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…
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…
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…
Because of the known importance of good nutrition in improving healing in chronic wounds, an appropriate program of nutritional intervention should be implemented as quickly as possible once any nutritional deficit has been identified.1–4 Exploring why a patient is not eating or drinking properly can be an important first step in addressing any nutritional deficits….
As we mentioned last week, a number of key nutritional categories that are essential for both the prevention and management of chronic wounds. This week we will briefly review the major categories of nutrients, and describe their importance in wound care.1–4 Essential Nutritional Categories Water – Water is one of the most essential nutritional categories to…
Wound care has been revolutionized over recent years by numerous advances in wound care products and techniques, making this currently one of the most dynamic areas of health care. However, when considering the advances of recent years, and the number of innovations in development, it can be easy to overlook the fundamentals of wound care…
Over the past few weeks, we have considered the use of support surfaces in redistributing pressure and preventing the build-up of excessive pressure in vulnerable areas. We have looked at the different methods used for this purpose, and at the effectiveness of different support surface systems. However, we have not considered until now the safety…
Despite their importance in patient care and their ubiquity in many chronic care settings, support services have neither performance standards nor functional criteria that can be tested against clinical outcomes.1 For this reason, selection of the appropriate support surface can be left to individual healthcare professionals and institutions on the basis of their own judgment…
Welcome to the first article in a new series on support surfaces. The use of support surfaces is a critical component of any wound care plan, essential to prevent and treat skin breakdown. What is a Support Surface? A support surface is a specialized device that redistributes pressure to achieve optimal management of tissue loads,…
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