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The Care of Wounds


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Table of Contents

Preface vii 1 The physiology of wound healing 1 Introduction 1 Definitions associated with wounds 1 The structure of the skin 2 Wound healing 3 Impaired wound healing 9 Conclusion 12 2 The management of patients with wounds 15 Introduction 15 Physical care 15 Psychological care 39 Spiritual care 45 3 General principles of wound management 61 Introduction 61 Wound assessment 61 Managing wounds 77 Documentation 85 Evaluating the dressing 86 4 Wound management products 93 Introduction 93 The development of dressings through the ages 93 Traditional techniques 100 The use of lotions 102 Clinically effective wound management products 108 Modern wound management products 110 5 The management of patients with chronic wounds 127 Introduction 127 The prevention and management of pressure ulcers 127 The management of leg ulcers 149 Diabetic foot ulcers 165 The management of fungating wounds 170 6 The management of patients with acute wounds 185 Introduction 185 The care of surgical wounds 185 Traumatic wounds 199 The burn injury 205 Radiation reactions 216 7 The organisation of wound management 227 Introduction 227 Managing wounds in the community 227 Nurse specialists in wound care 228 Multiprofessional wound care 229 Wound healing centres 230 Conclusions 230 Index 233

About the Author

Dr Carol Dealey is Senior Research Fellow at University Hospital Birmingham NHS Foundation Trust. She is a Council Member of the Tissue Viability Society and has served on the Boards of both the European Wound Management Society and the European Pressure Ulcer Society.


This is a well-written book that presents up-to-dateinformation that is grounded in research. The author also presentsguidelines from national and international groups that are helpfulin problem-solving and management of wounds. (Doody s, 7 June 2013) In summary, this text will prove to be a useful dip in book for those involved with wounds and thereader will be grateful for the inclusion/reference to a largenumber and range of scoring tools/classification systems andrelevant charts all in one place. (NursingTimes, 11 October 2012) An excellent resource in providing a holistic approach towound care for both professionals and student nurses. Debbie Maddox, Community Staff Nurse A succinct, evidenced-based analysis of the care ofwounds in the community and hospital A very accessible wellthought-out book which takes into consideration recent developmentsof wound management. Sara Hutton, Staff Nurse This book is a comprehensive guide of wound careknow-how, that would be an excellent buy for student and qualifiedalike. Debbie Saunders, Student Nurse, University ofEast Anglia

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