The role of the nurse in wound bed preparation.

This article explores the role of the nurse in wound bed preparation. Wounds cannot be tended to in isolation--many patient factors will influence healing. The nurse needs to have an understanding of the process of wound healing and have undertaken a full patient assessment before focusing on the patient's wound. Recognising and managing problems at the wound bed, for example necrotic tissue and excess exudate, can result in a better prepared wound bed and optimal healing. If the concept is to be valuable to nurses, they need to be part of the debate that defines wound bed preparation, how it is being implemented in clinical practice and how patients can benefit. This debate needs to include all nurses involved in wound care.