Description
This comprehensive text integrates related aspects of wound management, skin integrity and dermatology into a convenient, one-stop resource. It explores the theories underpinning wound management and skin integrity by reviewing the supporting evidence and making practical recommendations for busy clinicians. Wound Healing and Skin Integrity discusses current and future trends in the management of wounds and maintenance of skin integrity in respect to international healthcare initiatives and summarises the principles of maintaining healthy skin to provide a practical guide that is accessible to clinicians regardless of professional background. The title fulfils the inter-professional learning agenda and will be of interest to a wide range of clinicians, including doctors; wound management, dermatology and palliative care nurse specialists; community nurses; podiatrists; pharmacists; and anyone responsible for managing patients with impaired skin integrity. Key features: * A practical, accessible, evidence-based manual on wound care and skin integrity * Integrates related aspects of skin integrity, wound management and dermatology previously found in separate texts into one comprehensive resource * Written from a broad international perspective with contributions from key international opinion leaders from Australia, UK, Canada and Europe * Promotes international practice development in relation to management of skin integrity and chronic wounds * Full colour illustrations throughout * Defines key terms, relates anatomy and physiology to clinical practice and provides a summary of easily accessible online learning resources * Includes practical tips from expert practitioners, commonly presented clinical queries and discussion of professional issues related to skin integrity List of Contributors x Preface xii Acknowledgements xiv Section 1 Principles of Best Practice 1 1 Evidence and Clinical Decision-making 3 Carolina Weller 2 Maintaining Skin Integrity 18 Arne Langen and Janice Bianchi 3 Physiology of Wound Healing 33 Mary Martin 4 Assessing Skin Integrity 52 Annemarie Brown and Madeleine Flanagan 5 Principles ofWound Management 66 Madeleine Flanagan 6 Wound Infection 87 Valerie Edwards-Jones and Madeleine Flanagan 7 Psychological Impact of Skin Breakdown 102 Patricia Price Section 2 Challenging Wounds 117 8 Pressure, Shear and Friction 119 Keryln Carville 9 Diabetic Foot Disease 136 Jan Apelqvist 10 Chronic Ulcers of the Lower Limb 155 Jeanette Muldoon 11 Lymphoedema 175 David Keast 12 MalignantWounds 193 Wayne Naylor 13 Skin Integrity and Dermatology 208 Julia Schofield 14 Surgical Wounds 224 Alan Widgerow 15 NeglectedWounds 242 Kim Deroo, Lesley Robertson-Laxton, Sabina Sabo and Arlene A. Sardo Section 3 Improving Skin Integrity Services 261 16 Reducing Wound Care Costs and Improving Quality: A Clinician’s Perspective 263 Theresa Hurd 17 Dressings: The Healing Revolution 278 Douglas Queen and Keith Harding Index 291




