A Global Perspective of Wound Care©

Abstract

Chronic wounds, particularly foot ulcers in persons with diabetes, have become a global pandemic in the developing and developed world. The authors propose a longitudinal interactive education program (knowledge, skills, and attitudes) linked to interprofessional centers of excellence to reduce the incidence of foot ulcers and unnecessary lower-limb amputations. This model is generalizable to other skin and wound conditions.

The lived experience of the wound care nurse in caring for patients with pressure ulcers

“…Four of these individuals had an undergraduate degree in nursing, one had a graduate degree in nursing and one was enrolled in a Master's program in wound healing. A total of four participants were practicing as an ET nurse (education in ET course) and one as a WCN currently enrolled in a wound care course . Three were aged >50 and their years of experience as a WCN ranged from 3 to more than 20 years.…”

“…Enterostomal therapy (ET) nurse is the term for Registered Nurses who have completed a postgraduate program in ET from a recognised provider with or without certification . A WCN is educated in the area of wound care through specialised courses such as the International Inter‐professional Wound Care Course or Master's level programs. For the purpose of this study, the term WCN is operationalised to reflect the varied roles in practice including ET and WCN within the health care system in one province in western Canada.…”

Effectiveness of Complementary Therapies in the Management of Wounds Among Adult Patients

“…Acute and chronic wounds remain a problem for both the developing and the developed world (Sibbald et al, 2012;Queen and Harding, 2012;Haagsma et al, 2016). In developed countries, the prevalence of skin breakdown from leg ulcers, pressure ulcers, and diabetic foot ulcers continues to grow as the population ages (Queen & Harding 2012;Posnett & Franks, 2008).…”

New approaches to wound healing for diabetes 促进糖尿病患者伤口愈合的新方法

“…Diabetic foot wounds are a major cause of morbidity and mortality and, even in centers in which nearly half the patients with moderate or severe wounds undergo revascularization, these wounds have median healing times of 6 months or more, with one‐third requiring amputation . Such resource‐intensive care is simply not available in most of the world, where “water or even gauze dressings may be scarce or not available” . Therefore, topical formulations to assist in wound healing are of significant interest: they can be simply applied, are not invasive, do not require advanced training for application, and can be used in an outpatient setting at relatively low cost.…”

“…糖尿病足伤口是糖尿病患者发病与死亡的主要原因之一1，其中接近一半的中度或者重度伤口需要进行血管成形术，这些伤口愈合时间的中位数大于等于6个月，并且有三分之一的患者需要截肢2。在全世界大部分地区都不太可能获得这种资源密集型的护理，在有些地区“甚至连水与纱布敷料都有可能缺乏或者没有”1。因此，可以加速伤口愈合的外用制剂特别令人感兴趣：它们的用法简单，并且是非侵袭性的，不需要进行高级培训就能够使用，能够在门诊的环境中使用，同时成本相对较低。此外，许多创伤患者都接受了彻底的治疗，包括卸下敷料、每日伤口护理以及侵袭性的换药，但是这一切都无助于伤口成功愈合3。自古以来就有许多关于促进伤口愈合的外用药物的描述和应用。…”