Moist Wound Healing Resources

Patients with chronic wounds present a growing challenge to community practitioners. Adding to this growing burden is the fact that inconsistent and sub-optimal wound care is delivered in some cases resulting in hard-to-heal wounds that could heal with evidence-based care. Holistic patient assessment is an important first step in establishing the cause of the wound and identifying any barriers to healing. Wound bed preparation is a concept which prepares the wound for closure by systematically identifying potential barriers to non-healing within the wound, including the presence of devitalised tissue, excess exudate, increased wound bioburden, infection, inflammation and biofilm. Dressings are a key part of wound bed preparation in the community setting, and it is important that community practitioners are mindful of the properties and mode of action of products they use, so that optimal outcomes can be achieved. Suprasorb® Liquacel Pro is a hydroactive gelling fibre dressing and Suprasorb® Liquacel Ag is a hydroactive dressing with silver nanoparticles that can be used as part of wound bed preparation to promote a moist wound healing environment.

Exudate management is one of the key challenges for clinicians who have to deal with wounds. The World Union of Wound Healing Societies (WUWHS, 2007) highlighted the importance of appropriate dressing selection for exudate control and removal of excess exudate. Correct dressing selection ensures that the wound bed remains moist without becoming saturated, which in turn prevents damage and pain to the surrounding skin and reduces the risk of infection from strikethrough. This article examines the role of exudate in wound healing, and the inherent challenges in its management, both for patients and carers. The role of superabsorbent dressings is discussed and the findings of an evaluation of clinicians’ requirements and expectations of superabsorbent dressings are presented.

June Jones, JJ TVE, Tissue Viability Education, Southport, Merseyside
Jo Barraud, Tamaris Communications, Hitchin, Hertfordshire

Maureen Benbow explores the significance, nature and methods for managing wound exudate and associated skin problems
Maureen Benbow MSc. BA RGN HERC is a Senior Lecturer, University of Chester
Article accepted for publication: July 2008