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Wound Bed Preparation Best Practices: Optimizing the Wound For Closure

Speaker: Rebecca Naughton, MSN, FNP-C

Wound bed preparation is an important component of wound management. Gaps in knowledge of how and why to prepare a wound bed properly for conventional or advanced wound care modalities may delay or impede healing outcomes.

This presentation will describe how to prepare a wound bed properly to allow for optimal healing. It will define the term “wound bed preparation” and how it can aid in the management of tissue necrosis and maintain a proper bioburden balance of the wound’s environment.



Wound Bed Preparation Using the TIMERS Approach

For the last decade or so, the best practice approach to wound care has been based on the TIME (tissue, inflammation or infection, moisture, and edge) framework. More recently, TIME was updated to TIMERS, a more patient-centered approach ensuring that all aspects of wound care are addressed.

This extensively referenced white paper describes in detail each element of the TIMERS framework for wound bed management and wound care. The addition of regenerative processes (R) and social factors (S) to the original TIME model enriches this framework with a holistic approach to achieving the patient’s wound care goals.


Quick Facts – Wound Bed Preparation

Wound bed maintenance is essential for creating and preserving an optimal environment for wound healing. As in other aspects of wound care, patient education is vital to the success of wound bed preparation regimens.

This fact sheet contains up-to-date information on wound bed preparation strategies, including TIMERS, wound bed cleansing, debridement, and advanced modalities, as well as tips to share with your patients.


Encouraging Success with Wound Bed Preparation

Preparing the wound bed to encourage and promote healing is a well-established concept. Wound healing is a complex process that progresses through several phases, including….

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Maintaining the Wound Bed

Wound bed maintenance is the process taken by the bedside clinician or nurse to create or preserve the wound environment at optimal conditions and thus encourage the chronic wound to move to a state of closure or healing….

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Wound Bed Preparation Challenges

Wound bed preparation has been performed for decades in managing wounds of various etiologies. The wound healing process consists of a complex interlinked and independent cascade, which not all wounds follow in a consistent…

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Educating Your Patients About the Wound Healing Process

Patient education should be a priority to empower patients to care for themselves and improve patient outcomes. Involving patients in their own care can help them to understand about their wound…..

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How Much Do You Know About Wound Bed Preparation?

Take our 10-question quiz to find out.

Terms to Know: Wound Bed Preparation

Anoxia: A condition marked by the absence of oxygen reaching the tissues. It differs from hypoxia, in which there is a decrease in the oxygen levels to tissue.

Biocide tolerance: Demonstrating a tolerance to substances that destroy living things, such as bacteria. The initial stage in the life of biofilm can become biocide tolerant within 12 hours.

Calcium alginate: A water-insoluble, gelatinous substance that is highly absorbent. Dressings with calcium alginate can help to maintain a moist healing environment.

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