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Wound assessment – the foundation of wound care

Alexandra Bishop looks at the fundamentals of assessing wounds in primary care settings

Wound healing consists of 3 phases: inflammation, proliferation and remodelling.1 In normal wound healing, the cellular activities in each phase synchronise to allow progression to the next phase. 2 Disturbance of the wound bed and surrounding tissue, for example from hypoxia or infection, will lead to disharmony of these activities and impaired healing.2,3 

The annual cost of managing chronic wounds in one year in the United Kingdom (UK) is estimated to be £5.6 billion compared with £2.7 billion for those that heal.4 Over three quarters of the cost of managing chronic wounds were incurred in the community.4 Wound assessment is crucial to establish the aim of care and select the appropriate treatment, including dressing.

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