Wound Bed Preparation: Standards of Care and Predictability of the Healing Time of Chronic Wounds by Erind Ruka* in Orthoplastic Surgery & Orthopedic Care International Journal_ Orthopedic Care International Journal
Abstract
We
intend to highlight the need to establish a hypothetical time of healing for
chronic wounds. Such innovative aspect within the TIME acronym [tissue,
infection/inflammation, moisture balance and edge of wound] is based on a more
correct analysis of the general and local symptoms that the patient presents,
classifying them in different ways according to their characteristics. The
analysis of medical history, pathogenesis and clinical leads to a total score
that can direct the clinician to choose principals important and aggressive
that can be used according to basic concepts
Background
To
predict the healing time for each patient is not always a simple task. The
healing process is the result of a complex interaction between factors related
to injury, the treatment used, skills and knowledge of the nursing staff. The
best way to shorten the healing time is an accurate staging of the lesion
[therefore a proper understanding of the gravity of the wound] and then the
decision of the most appropriate therapy.
In the last twenty years there have been great strides in the understanding of
the biological mechanisms involved in repairing wounds, so now more than ever
we have the means necessary to assume a time of complete healing as accurate as
possible [1].
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