A wound is created when the anatomic integrity of any tissue is disrupted. Wound healing involves a series of mechanisms that progress toward restoration of tissue similar to the "status quo" prior to the wound.
Wounds are caused by surgery, trauma, or disease, and are acute or chronic. Chronic wounds often are the most difficult to treat, because healing may fail to progress because of underlying pathophysiology and other disturbances.
Wound healing progresses continuously in phases, some of which overlap. Each step and component in the healing processes is essential, and cannot be skipped or replaced without delay or prevention of healing.
The goal is nearly always the same...to optimize the host and close the wound in the most appropriate way.
Wound healing is a highly specialized and complex subject. Wound management is an art as well as a science. Caregivers must reflect on their growing knowledge and experience, and be ready to incorporate new approaches into their practices.
A systematic approach to wounds yields the best results. Here is what you need to know and think about.