Preface and Dedication
About the editors
About the contributors
List of colour plates
PART 1 CORE ELEMENTS OF EFFECTIVE WOUND MANAGEMENT
Chapter 1 The science of wound healing
A J Cowin & J Waters
Introduction
Anatomy and physiology of normal skin
Skin appendages
Vasculature and nervous systems of the skin
Immune cells in the skin
Classic stages of wound repair
The complex regulation of the wound-healing process
Scar-free wound healing
References
Chapter 2 Factors that inhibit wound healing
N Ruzehaji & A J Cowin
Introduction
Systemic intrinsic factors affecting healing
Local intrinsic factors affecting healing
Extrinsic factors affecting healing
Medications and pharmacological agents
Summary
References
Chapter 3 Assessment
Terry Swanson
Introduction
Patient history
Nutritional assessment
Wound history
Wound assessment
Pain
Physical assessment of the patient
References
Chapter 4 Outcome measures
Margo Asimus
Past approaches
Present approaches
Quantitative measurement
Qualitative measurement
Conclusion
References
Chapter 5 Evidence-based practice
Jason Wasiak & Anneliese Spinks
Introduction
What is evidence-based practice?
Process of EBP
Future of EBM
References
Chapter 6 Undertaking research
Bill McGuiness
Getting started
Forming the research team
Prevalence studies
Investigative studies
Conclusion
References
PART 2 WOUND BED PREPARATION AND MANAGEMENT
Chapter 7 Diagnostic investigations
Michael Woodward & Terry Swanson
Introduction
Wound cultures
Wound biopsies
Radiology and medical imaging
Doppler scanning
Blood tests
Other investigations
Interpretation
Conclusions
References
Chapter 8 Assessment and management of non-viable tissue
Wendy White & Margo Asimus
Introduction
Non-viable tissue
Assessment
Chronic wounds
Wound bed preparation
Debridement modalities
Clinical decision-making
Conclusion
References
Chapter 9 Infected wounds
Sue Templeton
Introduction
Surgical site infections
Wounds healing by secondary intention
How bacteria impair wound healing
Diagnosis
Management of wound infection
Antimicrobial agents
Fungal infections
Conclusion
References
Chapter 10 Modern dressings and technologies
Terry Swanson
Introduction
Regulation of wound dressings in Australia
Passive dressings
Modern interactive dressings
Medicated dressings
Negative pressure wound therapy
Bioactive dressings
Biological skin substitutes
Adjunctive therapies
References
Chapter 11 Pharmacology in wound management
Kerrie Coleman & Lisa Nissen
Introduction
Formularies
Quality use of medicines
Medications that may compromise healing
Medications that may promote healing
Medications used in the global management of wounds
Analgesics
Nutrition and wound healing
Myths and legends
References
Chapter 12 Acute wounds
Jennifer Byrnes & Tabitha Rando
Introduction
Epidemiology, definition, and types
Surgical wounds
Traumatic wounds
Skin tears
Burns
Conclusion
References
PART 3 TYPES OF WOUNDS
Chapter 13 Venous leg ulceration
Bill McGuiness
Introduction
Venous leg ulcer defined
Physiology
Impact on the patient
Assessing physiological and patient impact
Management techniques
Care of the leg
Patient education
Improving the patient’s social situation
Conclusion
References
Chapter 14 Arterial and mixed arterial-venous ulceration
Denise Findlay
Epidemiology
Pathophysiology
Assessment
Examination
Investigations
Management
Future treatments
References
Chapter 15 Inflammatory ulcers
Di Smith
Aetiology and pathophysiology
Key indicators for inflammatory ulcers
Diagnosis
Treatment
Specific conditions
Summary
References
Chapter 16 Unusual wounds
Jan Rice & Terry Swanson
Neoplastic ulceration
Necrobiosis lipoidica
Ulcers related to immune disorders
Scleroderma
Epidermolysis bullosa
Infective conditions
Hidradenitis suppurativa
Gout
Haematological ulcers
Medication-derived ulcers
Conclusion
References
Chapter 17 Pressure injury
Robyn Rayner, Margo Asimus, and Pui Ling (Iris) Li
Introduction
Avoidable and unavoidable pressure injury
Clinical assessment of the skin
Development of pressure injury
Depth of injury
Risk assessment
Pressure redistribution options
Treatment options for pressure wounds
Meeting accreditation standards
Crystal Model – A Pressure Injury Prevention Program
Conclusion
Guidelines and consensus documents
References
Chapter 18 The high-risk foot
Kerry May & Paul Wraight
Introduction
Diabetes mellitus and the foot
Pathogenesis of diabetes-related foot complications
Peripheral neuropathy
Foot deformity
Peripheral arterial disease
Infection and immunity
Charcot’s joint
Management
Differential diagnosis
References
PART 4 THE PROFESSIONALISATION OF WOUND MANAGEMENT IN AUSTRALIA
Chapter 19 Evolution of wound management in Australia
Keryln Carville
Australian indigenous practice
Tools of trade
Challenging practice
Emerging specialisation
A formal beginning in Australia
Conclusion
References
Chapter 20 Wound management education in Australia
Anne Purcell, Cathy Watson, & Sue Quarmby
Nursing education
Wound management education
Nursing in Australia today
Australian Wound Management Association (AWMA) Education Endorsement Project
Future directions in wound management practice
National Wound Management Associations
Courses for the advanced practitioner
Nursing leadership in advanced wound management
References
Index
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