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…
Odor in wounds can be distressing for both the patient and the caregiver who must care for them. Odor can cause the patient to feel embarrassed or ashamed and may lead them to withdraw from their daily civilities. Patients with foul-smelling wounds are often driven to cover up the odor using various methods which may…
During our training, we are all taught about the three phases of normal wound healing; wound inflammation, proliferation, and remodeling. This is a relatively well-understood area of wound management and one that is predictable and consistent. Sadly, in wound management as in life, nothing is ever quite that simple. A number of wounds appear to…
We all know it is possible to have too much of a good thing. Unfortunately, this principle extends beyond chocolate and red wine into certain aspects of wound healing. Although we are taught that inflammation is an essential phase of the wound healing process, an excessive inflammatory response can actually slow wound healing, leaving patients…
It is sometimes easy to forget when we are caught up in complex treatment protocols, or when we are surrounded by paperwork, that the one thing that really matters in wound management is achieving wound closure. When a wound has closed properly, our work is done. Given the fundamental nature of wound closure, it is…
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