Here's a patient that I saw today that has the beginning of a heel wound. They noticed some bleeding in the bottom of the heel when I took the top off this showed an open wound. The problem is that it's very difficult because this patient is in bed throughout the day and the heel is on the ground and in the back of the bed.
Solution: offloading boot in the bed. Just make sample called a multipodus boot and surgical shoe to not hit the back of the heel.