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Chronic Wound Management Principles

Kara S. Couch, MS, CRNP, CWS

Chronic wounds are a significant and rising problem for clinicians. In this presentation, participants will learn the difference between an acute and chronic wound and review the DIME model. Different dressing choices will be reviewed and evaluated for most appropriate use and cost effectiveness.


Chronic Wound Identification and Assessment

Chronic wounds become stagnant through the normal phases of wound healing and often enter a vicious cycle including numerous comorbidities, mixed etiologies, and intrinsic and extrinsic factors. In this useful guide, health care professionals will gain an understanding of the categories of chronic wounds and will learn ways to prevent, assess, and manage these types of chronic wounds.

A Fact A Day – Chronic Wound Care

Download A Fact A Day – Chronic Wound Care and share it within your facility. This two-page fact sheet was created to support staff education on the prevention and treatment of chronic wounds. The print-friendly format is perfect for posting on the bulletin board or distributing to your nursing staff at in-service.

How Much Do You Know About Chronic Wound Care?

Take our 10-question quiz to find out!

Terms to Know: Chronic Wound Assessment and Management

Glycemic control: management of blood glucose levels.

Inflammatory phase: the body’s natural response to injury. Once hemostasis is achieved blood vessels dilate to increase blood flow allowing antibodies, white blood cells, growth factors, enzymes, oxygen and nutrients to the injured area. It is characterized by redness, pain, warmth, and swelling.

Proliferative phase: the rebuilding phase of wound healing with new granulation tissue consisting of collagen and extracellular matrix. These structures provide the foundation for new blood vessels to develop via angiogenesis.


The Whole Patient Approach: Addressing Common Comorbidities That Affect Wound Healing

When developing the plan of care for the patient with a chronic wound, it is imperative first to look at the “whole” patient and not just the “hole” in the…

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Chronic Wound Management: Optimizing the Wound Healing Environment

Chronic wounds are any types of wounds that have failed to heal in 90 days. Identifying the cause of a chronic wound is most important in the healing process…

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The Surrounding Area: Protecting Periwound Skin in Chronic Wounds

The periwound is as important as the wound. As clinicians, we should carefully assess the wound bed, but we need to remember also to assess the periwound and surrounding skin. The periwound should…

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Complications in Chronic Wound Healing and Associated Interventions

Chronic non-healing wounds affect millions of patients each year and contribute significantly to their morbidity and mortality. These wounds have a substantial impact because of their economic burden…

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