When maceration of periwound skin is observed, which action should be communicated to the primary health care provider?

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Maceration around the wound means the skin is overly hydrated, often from too much drainage, incontinence moisture, or an occlusive dressing. This damages the periwound skin and can slow healing or signal a developing complication, so the immediate action is to notify the primary health care provider. They can reassess the dressing plan, address moisture sources, and determine if infection or other issues are present and need treatment. Wound cultures are not routinely needed for maceration alone unless infection is suspected. A liquid skin barrier may protect the skin, but it doesn’t address the underlying moisture balance or replace medical review. Changing the analgesic regimen isn’t relevant to the moisture-related skin issue surrounding the wound.