Preparing the wound bed--debridement, bacterial balance, and moisture balance.

TLDR

Holistic, interdisciplinary care involving clinicians, allied health professionals, patients, families, and caregivers is essential for successful chronic wound diagnosis and treatment. The article aims to define a new paradigm linking cause treatment with local wound care focused on debridement, moist interactive dressings, and bacterial balance. The authors describe this paradigm by outlining its three components: debridement, wound‑friendly moist dressings, and bacterial balance. They show that chronic wounds can be treated through recommendations and rationales grounded in literature and experience, laying the groundwork for thorough assessment and evaluation.

Abstract

Successful diagnosis and treatment of patients with chronic wounds involve holistic care and a team approach. The integration of the work of an interdisciplinary care team that includes doctors, nurses, and allied health professionals with the patient, family, significant others, and caregivers offers an optimal formula for achieving wound resolution. Such an approach challenges practitioners and everyone participating in wound care to integrate data and information that arise from a number of sources and mitigating factors. In this article, the authors define the changing paradigm that links treatment of the cause and focuses on three components of local wound care: debridement, wound-friendly moist interactive dressings, and bacterial balance. The authors demonstrate that the treatment of chronic wounds can be accomplished through a series of recommendations and rationales based on the literature and their experience. These recommendations lay the groundwork for thorough assessment and evaluation of the wound.