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Wound bed preparation: employing the TIME acronym

Creating a stable wound bed is an essential part of the healing process, writes Edwin Chamanga

It can be argued that the concept of wound bed preparation has been noted ever since the work which was done by Winter in 1962, although at the time it was not recognised that moist wound healing is wound bed preparation in its own right. As scientific research and knowledge of wound care has evolved, such terms as wound bed preparation were ‘coined’ supported by frameworks and theories such as moist wound healing and the TIME principle1, 2. Although these two concepts seem to be the fundamental concepts of the wound bed preparation process, it is imperative that the clinician can interpret the presentation of the wound bed and all the associated challenges, such as biofilms, which can be found on the wound bed.

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