Many wounds seen by wound care specialists can be ascribed a vascular etiology, including arterial, venous, and diabetic wounds. In order to successfully manage wounds of this type, the underlying vascular dysfunction must first be addressed. A number of tests and measures are available for detecting arterial insufficiency, the simplest of which is an assessment…
According to Medicare requirements, measurement of wound healing should be performed at least monthly, although best practice dictates that assessment of wound status should be performed weekly or even more frequently.1 Measurement of Wound Healing However, despite universal agreement on the importance of regular and frequent measurement of wound healing, there is currently no consensus…
Effective wound measurement is pivotal to effective wound management. It is essential to be able to assess the rate of closure of a wound in order to assess the effectiveness of current treatment strategies, and adapt as appropriate. Wound photography can play a huge role in tracking progress and documenting, as long as it is…
Wound measurement is an essential part of wound management. Without techniques firstly to assess the size and extent of a wound and then to measure its progress, it is difficult to formulate an effective wound management strategy. Measuring & Calculating Wounds A number of techniques exist for the measurement of wounds, and new approaches are…
The term ‘advanced wound therapy’ is sometimes used to describe topical wound products and devices that actively promote wound healing. These wound products and devices typically cost more than other, conventional modalities.1 Examples of advanced therapies include living skin equivalents and topical growth factors, as well as devices that directly change the local wound environment,…
Phototherapy, also known as light therapy, has been used in a healing and medical context since prehistoric times. These days, the source of light energy tends to be dedicated, custom-made medical equipment rather than the sun, but the general principle remains much the same. Ultraviolet (UV) light phototherapy has also been used to treat a…
Scar formation is a major medical problem that can have devastating consequences for patients. The adverse physiological and psychological effects of scars are immense, and there are currently no reliable treatments to prevent scarring.1 It has been known since the 1970s that cutaneous wounds in early human fetuses, unlike those of adults, can heal without…
Wound ischemia is thought to be the most common cause of healing failure in a chronic wound.1 Furthermore, the rate of wound healing can be correlated directly with the level of tissue oxygenation. There is, therefore, a strong rationale for the use of oxygen therapy to promote wound healing in difficult-to-heal wounds.1 Hyperbaric oxygen therapy…
It can be argued that wound bed preparation is the one concept that has had the greatest impact on wound management practices over recent years. Wound bed preparation relies on a holistic view of a chronic wound in order to identify barriers to healing. The fundamental principles of wound bed preparation can be captured in…
Welcome to the first in a new series on wound bed preparation; a subject that we will consider from different angles over the coming weeks. The term ‘wound bed preparation’ is now common in wound management, but it is worth taking a few moments to go back to basics and reconsider exactly what we mean…
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