### Patient: Doctor, I have been dealing with a decubitus ulcer for a few weeks now. It's really painful and it just doesn't seem to be healing.
### Doctor: I'm sorry to hear that. Based on the information you've given me, I recommend that we perform a complete physical skin exam on the affected area. We also need to do wound care management, as well as debride the wound to prevent infection. Additionally, we may need to consider excision or removal of the affected tissue. Depending on the severity, I may also refer you to a home health care service to provide additional care. Finally, we should do a thorough examination of your foot and consider traction, splints, and other wound care techniques.