All wounds, whether resulting from physical injury or idiopathic causes, are susceptible to infection. Identifying wound infection is one of the most important roles of the wound care specialist, as an unmanaged infection can lead to chronic non-healing wounds and a wide range of complications. The Five Signs of Wound Infection Most wound care professionals…
All skin has a certain resident level of bacteria and fungi known as microflora. This may be a difficult concept for patients familiar with advertisements for cleaners that ‘remove all germs’, but this resident microflora is an essential part of the body’s protection against pathogenic organisms. The presence of this low-level, non-replicating microbial presence is…
Previous articles have considered the importance of recording a full patient history, undertaking a thorough systems review, and making appropriate use of the different tests and measures available when confronted with a new wound care patient. Armed with the information from these different examinations, the wound care professional is now in a position to make…
Previous articles in this series have considered the importance of a full patient examination and systems review as part of a wound assessment. While these elements are essential and provide a great deal of vital information, nothing can substitute for a thorough and detailed assessment of the wound itself. A careful wound examination is important…
As wound care practitioners, we become very used to seeing and assessing new wounds and tend to follow the necessary procedures routinely without necessarily stopping to think about what we are doing. For this reason, it is worth taking a few moments to consider one of the most important part of a wound examination –…
Early pre-clinical and clinical research in the 1960s started to define the idea of moist wound healing and the benefit in optimizing wound healing. The concept that a wound that is kept optimally moist will have better outcomes than one that is allowed to dry out. Moist Wound Care Dressings The concept of moist wound…
The examination of an open wound often focuses on the use of tests and measures, with perhaps some attention paid to a systems review. However, one important component that can sometimes be overlooked in a busy practice is a focused history of both past and current factors related to the current presentation of the patient….
Lower extremity venous stasis ulcers represent approximately 80% of the leg ulcers typically seen in wound care facilities. The following statistics help to bring home the seriousness and chronicity of this common health problem: Healing time for venous stasis ulcers averages 24 weeks Approximately 15% of these ulcers will never heal In 15 to 71%…
As well as systemic and local factors, a number of the wound’s own inherent characteristics affect the rate of wound closure and wound healing. It is important to understand these factors so that they can be managed optimally as part of an overall strategy to help achieve wound closure. There are eight wound characteristics that…
Although honey has been used in wound management for centuries, and is mentioned in the Koran as a medicine for all disease, its popularity declined with the increasing availability of modern antibiotics, antiseptics and improved surgical techniques. However, with the continuing battle against wound infection and interest in the antimicrobial properties – honey in wound…
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