Wound Bed Preparation

Book Title: Wound Care Nursing

Chapter 6: Wound Bed Preparation 

Overview:

• Includes a wonderful discussion of the four principles of WBP
• Applies an easy-to-recall acronym for the principles of WBP
• Addresses the complications that can arise in WBP

Description:
Wound-bed preparation (WBP) is increasingly recognised as being crucial to effective chronic wound management. Application of the proactive principles of WBP leads to the adoption of the best approach to the healing of chronic wounds and optimises the function of modern dressings and techniques. This chapter provides an extensive discussion on the principles in WBP and the problems that can arise in it.

Topics:

• Definition and components of WBP
• Principles of WBP
  • Tissue management (debridement)
    • Biosurgical debridement
    • Enzymatic debridement
    • Autolytic debridement
    • Mechanical debridement
    • Sharp (surgical) debridement
  • Infection
  • Moisture imbalance
  • Management of the edge of the wound
• Complications in WBP
  • Osteomyelitis
  • Hypergranulation

Speaker / Author:
Terry Swanson
is a registered nurse who holds a diploma of nursing, a postgraduate certificate in perioperative nursing, and a diploma in health sciences. She is a member of the Royal College of Nursing, Australia. Terry is the clinical consultant responsible for administering wound management services at South West Healthcare (Victoria, Australia). She has held positions of responsibility in local, state, and national wound management professional bodies. As a member of the Australian Wound Management Association (AWMA) subcommittee, Terry participated in the development of the AWMA national ‘Standards for Wound Management’. Terry has presented at local, state, national, and international conferences. She is awaiting endorsement as a Nurse Practitioner. Terry will complete her master’s degree in 2005. Her thesis explores nurses’ perception of the variables influencing wound management practice.

Professional Reviews:

wound bed preparation is absolutely crucial to chronic wound healing and chronic wound management.Wound bed preparation opens your eyes into the way chronic wound management should be handled and managed to have the best possible outcome for the person or persons involved. its not just a case of clean the wound apply a bandage and you will be right mate see you later, theres so much more involved and to get results you need to have knowledge to get the best out of what you are doing.