Introduction The burn wound is central to all aspects of burn care. The size, depth, and condition of the burn wound directly impacts fluid resuscitation, hypermetabolic response, immune system dysfunction, and predicted survival. Optimal care of the burn wound requires specialized facilities and experienced burn nurses and surgeons, all of which are in limited supply under normal circumstances...

The incidence of episiotomy continues to be high in Asian countries, therefore perineal episiotomy wounds commonly occur in women during labor. The assessment of perineal wounds is an important aspect of routine care women receive during the postpartum period. The purpose of this study was to compare the effectiveness of self perineal care (Group 2) and aseptic perineal care (Group 1) in healin...

Outpatient wound care centers are often challenged with patients whose wounds have multiple etiologies. These patients require a plan of care that debrides devitalized tissue, promotes wound healing, and addresses underlying factors. Because of the chronic nature of these wounds and the time required for healing, clinicians practicing in ambulatory settings also must coordinate care and appreci...

Background: The question of whether particular methodologies can generate knowledge of a sufficiently rigorous and relevant standard to guide patients’ interventions is regularly debated. This debate tends to be polarised between those who advocate the randomised controlled trial (RCT) as the ultimate scientific methodology and those who find RCTs wanting in terms of the information derived and...

The successful implementation of wound care guidelines requires an appreciation for the frustrations experienced by nurses trying to incorporate these tools into clinical practice. These frustrations or barriers to best wound care practice implementation are examined from the perspective of: 1) the practice environment, which must be understood; 2) the potential adopters, predominantly nurses s...

Diabetic foot ulcers affect millions of people in the United States of America and impose tremendous medical, psychosocial and financial loss or burden. Negative pressure wound therapy (NPWT) is generally well tolerated and appears to stimulate a robust granulation tissue response compared with other wound healing modalities. This device may be a cost-effective adjunctive wound healing therapy....

This article updates the concept of Preparing the wound bed by considering the whole patient (treatment of the cause and patientcentred concerns) before treating the wound. Local wound care consists of tissue debridement, control of persistent inflammation or infection, and moisture balance before considering advanced therapies for wounds that are not healing at the expected rate. The best prac...

As the incidence of diabetes continues to increase in the western world, the prevalence of chronic wounds related to this condition continues to be a major focus of wound care research. Additionally, over 50% of chronic wounds exhibit signs and symptoms that are consistent with localized bacterial biofilms underlying severe infections that contribute to tissue destruction, delayed wound-healing...