Final answer:
The removal of tape can cause skin damage and pressure ulcers, but solid skin barriers can protect the skin. Montgomery ties are used for repeated dressing changes, and topper dressing prevents wound drainage seepage.
Step-by-step explanation:
A chronic wound may require several dressings to heal completely. However, the removal of tape during dressing changes can cause the skin to stretch and induce tension, leading to skin damage and pressure ulcers. Solid skin barriers are used to protect the skin from the increasing tension of the adhesive tape. Montgomery ties are commonly used for repeated dressing changes, as they allow for easy removal and reapplication of dressings without causing skin damage. Elastic net and rolled gauze are used to support the dressings, but they do not prevent the development of pressure ulcers. Lastly, topper dressing, which is a thicker dressing, prevents the wound drainage from seeping through and provides a surface for taping the dressing in place, but it does not prevent pressure ulcer development.