Acute & chronic wounds : current management concepts.

Previous ed.: published as by Ruth A. Bryant. St Louis, Mo.; London: Mosby, 2000.

Includes bibliographical references and index.

1. Principles for practice development:- Qualifications of a wound care specialist--Roles functions and responsibilities of a wound care specialist-- 2. The multidisciplinary team approach to Wound Management:- Magnitude of the wound problem--Terminology--Building a case for a multidisciplinary team approach--Wound management models--Establishing a multidisciplinary wound management program--3. Anatomy and Physiology of skin and soft tissue:- Skin layers--Skin functions--Factors altering Skin Characteristics--4. Wound -Healing Physiology:- Physiology of wound healing--Definitions and classifications--Wound-healing process--Characteristics of full-thickness wounds healing by secondary intention--What makes a chronic wound chronic?--Mediators of wound healing--Interplay of mediators--Extremes of repair: Scarless healing versus excessive scarring--Factors affecting the repair process--5. Molecular Regulation of Wound Healing:- Biologic roles of cytokines and growth factors in wound healing--General properties of growth factors and their receptors--Major families of growth factors--Distinguishing cytokines from growth factors--Potential Limitations of growth factor technology--Wound bed preparation--6. Skin pathology and types of damage:- Assessment--Mechanical damage--Chemical factors--Vascular damage--Infectious factors--Arthropod--Allergic factors--Inflammatory Conditions leading to Atypical Ulcerations--Intrinsic skin diseases associated with ulceration--7. Patient Assessment and Evaluation of Healing:-Significance--Monitoring, Observation, and Inspection--Assessment--Frequency of wound assessment--Evaluation of healing and documentation tools--8. Nutritional Assessment and Support:- Malnutrition--Nutritional assessment--Nutritional Support--9. Wound Infection: Diagnosis and management:- Infection as a significant problem--Bioburden as a concept--Microbial states of a wound (Infection continuum)--Factors that effect the microbial state of a chronic wound--Acute wound infection--Diagnosis of infection--Treatment of wound infection--Psychological support and education--10. Wound Debridement:- Methods of debridement--Selection of debridement method--Assessment of the debridement process--11. Acute Surgical and Traumatic Wounds:- Factors in the repair of the Aacute Wound--Interventions that support acute wound healing--Assessment of healing in the acute wound--Incisional care--Patient education--12. Mechanical forces: Pressure, Shear, and Friction:- Economic Effects--Scope of the problem--Terminology--Causative factors--Intensity of Pressure--Duration of pressure--Tissue tolerance--Pathophysiologic changes--Pressure Ulcer Prevention Program--Management of pressure ulcers--Pressure ulc er healing--Quality of Life and Psychosocial needs--Quality improvement--Legal concerns--13. Support Surfaces:- Support surface features--Categories of support surfaces--Product selection--Safety--Renting versus owning--Evaluation of effectiveness--14. Skin Care Needs of the Obese Patient:- Defining obesity--Changing demographics--Stereotypes about obesity--Common skin complications in the Obese population--The surgical experience--Quality improvement--15. Lower-Extremity Ulcers of Vascular Etiology:- Terminology--Assessment of the Lower Extremity--Diagnostic tests for the lower extremity--Arterial ulcers--Venous ulcers--Lymphedema--16. Neuropathic Wounds: The Diabetic Wound:- Epidemiology--Economic burden--Pathogenesis--Assessment--Management--Education--17. Foot and Nail Care:- Quality of Life--Structure and Function--Pathology--Assessment--Interventions--18. Massive Tissue Loss: Burns:- Epidemiology--Pathophysiology--Types of burn injury--Inhalation injury--Phases of healing and the burn process--Evaluation of the burn injury--Initial interventions--Emergent phase--Acute/Wound care Phase--Infectious complications--Psychological consequences of burn injury--Discharge planning--Rehabilitation phase--Outpatient burn management--19. Principles of Wound Management:- Principles of wound management--Objectives to achieve a physiologic wound environment--Wound care dressing performance parameters--Wound care dressing categories--Selecting the wound care dressing--Wound care procedures--Standardization and decision making tools--Evaluating outcomes--20. Devices and Technology in Wound Care:- Hyperbaric Oxygenation--Negative-pressure wound therapy--Electrical stimulation--Ultraviolet light--Ultrasound--21. The role of surgery in wound healing:- History of surgery for wounds--Debridement--Surgical decision making--Nonoperative conditions--Urgent operative conditions--Preoperative management--Operative management--Postoperative Management--22. Oncology-Related Skin Damage:- Extravasation--Fungating wounds--Irradiation Tisue Damage--Primary Malignant and Malignant Transformation wounds--23. Management of Drain Sites and Fistulas:- Epidemiology and Etiology--Terminology--Manifestations--Medical management--Nursing management--24. Management of Gastrointestinal Feeding Tubes:- Gastrostomy and Jejunostomy devices--Placement approaches--Feeding tube features--Low-profile gastrostomy device (Button)--Nursing management of Enteric tubes--Complications--Tube removal--Patient education--25. Managing Wound Pain:- Definition of pain--Perceptions about pain--Consequences of Wound pain--Pain physiology--Assessment of pain--Nonpharmacologic pain control--Pharmacologic interventions--Wound pain models--26. Facilitating Adaptation:- Significance--Barriers to Adaptation--Patient learning--27. Billing, Coding, and Reimbursement:- Historical Perspective--Medicare--Medicaid--History of Medicare Payment systems--Coding systems--Billing for Wound Care Products and equipment--Billing for Wound Care Services--Coordination of Care and Coverage across care settings.

This text is a resource for clinicians challenged with the care of acute surgical wounds and various types of chronic wounds. It provides a knowledge base for understanding wound care, including the structure of the skin, its functions, types of skin damage, physiology of wound healing, and more.