Wound care and dressings is an enormous topic with fast-moving innovation and a bewildering number of options. Many dermatologists feel out of their depth advising on this topic, relying upon nursing colleagues both within dermatology and within the extended team, including tissue viability, district nurses and practice nurses.
This article offers a simple guide for general assessment and management which can be applied to any wound encountered in the dermatology clinic.
It looks at: the nature of wounds; how wounds should be assessed; the appropriate approach to wound care (including local, patient and wound factors); wound care (removal of dressing, cleansing, and care surrounding skin); and choosing a dressing.
It also offers examples of wound types (infected, dry, necrotic or sloughy, heavily exudative and malodorous) and example dressings for each.
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