A key study by Guest et al (2015) into the realities of wound care service provision in the UK identified inconsistencies in the assessment and management of wounds, and the opportunities to improve both efficiency of working and patient outcomes.
Over the years, there has been a plethora of evidence-based literature on effective and ineffective wound management practices; however, some healthcare professionals continue to manage wounds using outmoded or ritualistic practices. The key areas are: frequency ofdressing changes; maintenance of a moist environment to aid healing;when wounds should be cleansed; and which cleaning solutions to use. This article presents the evidence base in these key four areas and aims to dispel some of the myths and misconceptions to ensure that healthcare professionals can be confident that they are delivering upto-date, evidence-based wound care in accordance with the Code of Conduct (Nursing and Midwifery Council [NMC], 2015).
A systematic approach to holistic wound assessment is essential for the delivery of high quality wound care. The findings of thorough assessment are key to gathering information on patients and their wounds. This information should be documented at each review so that it can act as a baseline against which wound progress can be tracked and used to guide management decisions.
