Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is a significant limitation of total contact casting?

1. Protects from further trauma

2. Heavy and bulky

3. Reduces edema with static compression

4. Contours to foot

The correct answer is: Heavy and bulky

Total contact casting is a technique used primarily for managing diabetic foot ulcers. While it has many benefits, such as providing protection and reducing pressure on the wound, one significant limitation is that it can be heavy and bulky. This characteristic may make it uncomfortable for the patient, leading to difficulties in mobility and compliance with treatment. Patients might be discouraged from wearing the cast or adhering to the prescribed care plan due to its cumbersome nature, which can ultimately impact healing. In contrast, the other options highlight features that are beneficial rather than limitations. For example, total contact casting does indeed protect the foot from further trauma, which is essential in the healing process. Similarly, the method effectively contours to the foot and employs static compression to help manage edema, both of which are advantageous for patient recovery.