A 'game of dressings': Strategies for wound management in primary health care

Maria G C Giaquinto-Cilliers, Arun Nair, Klaus B Von Pressentin, Francois Coetzee, Hamid Saeed, Maria G C Giaquinto-Cilliers, Arun Nair, Klaus B Von Pressentin, Francois Coetzee, Hamid Saeed

Abstract

Wound care management and the dressing of wounds represent some of the most basic services offered in primary health care facilities across Southern Africa. Clinicians should have a basic understanding of the processes of wound healing and wound bed preparation to match the ideal cost-effective dressing to the particular type of wound to be managed. In the 'kingdom of wounds', the authors use a popular analogy and propose the best five strategies for the clinician in choosing the right management option in the 'game of dressings'.

Keywords: dressings; framework; strategies; wound care; wound management; wound-bed-preparation.

Conflict of interest statement

The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article.

Figures

FIGURE 1
FIGURE 1
Common local and systemic factors that may delay wound healing.
FIGURE 2
FIGURE 2
Pictures of examples of tissue (a, b, c), moisture (d), edges (e) and surrounding skin (peri-wound) (f) found in the TIME framework.
FIGURE 3
FIGURE 3
Adaptation of the DIME wound bed preparation framework incorporating the concepts of healability and management of wounds accordingly.
FIGURE 4
FIGURE 4
Wound bed preparation and treatment plan: Assessment, objectives and action.
FIGURE 5
FIGURE 5
Classification of dressings adapted to the wound bed preparation framework.

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Source: PubMed

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