{"product_id":"wound-healing-and-skin-integrity-isbn-9780470659779","title":"Wound Healing and Skin Integrity","description":"\u003cp\u003eThis 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. \u003ci\u003eWound Healing and Skin Integrity\u003c\/i\u003e 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.\u003cbr\u003e \u003cbr\u003e 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.\u003c\/p\u003e \u003cp\u003eKey features:\u003c\/p\u003e \u003cul\u003e \u003cli\u003eA practical, accessible, evidence-based manual on wound care and skin integrity\u003c\/li\u003e \u003cli\u003eIntegrates related aspects of skin integrity, wound management and dermatology previously found in separate texts into one comprehensive resource\u003c\/li\u003e \u003cli\u003eWritten from a broad international perspective with contributions from key international opinion leaders from Australia, UK, Canada and Europe\u003c\/li\u003e \u003cli\u003ePromotes international practice development in relation to management of skin integrity and chronic wounds\u003c\/li\u003e \u003cli\u003eFull colour illustrations throughout\u003c\/li\u003e \u003cli\u003eDefines key terms, relates anatomy and physiology to clinical practice and provides a summary of easily accessible online learning resources \u003c\/li\u003e \u003cli\u003eIncludes practical tips from expert practitioners, commonly presented clinical queries and discussion of professional issues related to skin integrity\u003c\/li\u003e \u003c\/ul\u003e  \u003cp\u003eList of Contributors x\u003c\/p\u003e \u003cp\u003ePreface xii\u003c\/p\u003e \u003cp\u003eAcknowledgements xiv\u003c\/p\u003e \u003cp\u003e\u003cb\u003eSection 1 Principles of Best Practice 1\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003e1 Evidence and Clinical Decision-making 3\u003c\/b\u003e\u003cbr\u003e \u003ci\u003eCarolina Weller\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction: what is effective clinical decision-making? 3\u003c\/p\u003e \u003cp\u003eWhat is evidence-based health care? 4\u003c\/p\u003e \u003cp\u003eCommon misperceptions about evidence-based practice 5\u003c\/p\u003e \u003cp\u003eChallenges to changing practice 7\u003c\/p\u003e \u003cp\u003eFactors influencing clinical judgement 8\u003c\/p\u003e \u003cp\u003eEvidence-based practice: hierarchy of evidence 9\u003c\/p\u003e \u003cp\u003eEvidence-informed decisions 11\u003c\/p\u003e \u003cp\u003eCritical appraisal frameworks 11\u003c\/p\u003e \u003cp\u003eClinical guidelines 13\u003c\/p\u003e \u003cp\u003eSummary 13\u003c\/p\u003e \u003cp\u003eUseful resources 14\u003c\/p\u003e \u003cp\u003eUseful critical appraisal frameworks 14\u003c\/p\u003e \u003cp\u003eFurther reading 15\u003c\/p\u003e \u003cp\u003eReferences 15\u003c\/p\u003e \u003cp\u003e\u003cb\u003e2 Maintaining Skin Integrity 18\u003c\/b\u003e\u003cbr\u003e \u003ci\u003eArne Langøen and Janice Bianchi\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 18\u003c\/p\u003e \u003cp\u003eImpaired skin barrier function in the clinical setting 23\u003c\/p\u003e \u003cp\u003eManagement of vulnerable skin 27\u003c\/p\u003e \u003cp\u003eSummary 30\u003c\/p\u003e \u003cp\u003eUseful resources 30\u003c\/p\u003e \u003cp\u003eReferences 30\u003c\/p\u003e \u003cp\u003e\u003cb\u003e3 Physiology of Wound Healing 33\u003c\/b\u003e\u003cbr\u003e \u003ci\u003eMary Martin\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 33\u003c\/p\u003e \u003cp\u003eTypes of wound healing 35\u003c\/p\u003e \u003cp\u003eWound chronicity 35\u003c\/p\u003e \u003cp\u003eNormal wound healing 36\u003c\/p\u003e \u003cp\u003eOptimising healing: general factors 38\u003c\/p\u003e \u003cp\u003eOptimising healing: local factors 39\u003c\/p\u003e \u003cp\u003eDelayed wound healing 40\u003c\/p\u003e \u003cp\u003eTissue repair in chronic wounds 40\u003c\/p\u003e \u003cp\u003eThe inflammatory response 41\u003c\/p\u003e \u003cp\u003eProliferation of new tissue 43\u003c\/p\u003e \u003cp\u003eWound closure 45\u003c\/p\u003e \u003cp\u003eSummary 48\u003c\/p\u003e \u003cp\u003eUseful resources 48\u003c\/p\u003e \u003cp\u003eReferences 48\u003c\/p\u003e \u003cp\u003e\u003cb\u003e4 Assessing Skin Integrity 52\u003c\/b\u003e\u003cbr\u003e \u003ci\u003eAnnemarie Brown and Madeleine Flanagan\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 52\u003c\/p\u003e \u003cp\u003eAssessing skin integrity 53\u003c\/p\u003e \u003cp\u003eListening: problem orientation and knowledge 53\u003c\/p\u003e \u003cp\u003eLooking: problem clarification and knowledge construction 55\u003c\/p\u003e \u003cp\u003eTouch: hands on fact finding 56\u003c\/p\u003e \u003cp\u003eSmell: subconscious information gathering 57\u003c\/p\u003e \u003cp\u003eAssessing wounds 58\u003c\/p\u003e \u003cp\u003eWound bed preparation 58\u003c\/p\u003e \u003cp\u003eData collection 60\u003c\/p\u003e \u003cp\u003eEffective documentation 63\u003c\/p\u003e \u003cp\u003eWhen to seek specialist help? 63\u003c\/p\u003e \u003cp\u003eSummary 63\u003c\/p\u003e \u003cp\u003eUseful resources 64\u003c\/p\u003e \u003cp\u003eReferences 64\u003c\/p\u003e \u003cp\u003e\u003cb\u003e5 Principles ofWound Management 66\u003c\/b\u003e\u003cbr\u003e \u003ci\u003eMadeleine Flanagan\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 66\u003c\/p\u003e \u003cp\u003ePrinciples of wound management 67\u003c\/p\u003e \u003cp\u003eEffective wound management 67\u003c\/p\u003e \u003cp\u003eControlling bacterial burden: wound cleansing 68\u003c\/p\u003e \u003cp\u003eControlling bacterial burden: wound debridement 69\u003c\/p\u003e \u003cp\u003eAutolytic debridement 69\u003c\/p\u003e \u003cp\u003eEnzymatic debridement 69\u003c\/p\u003e \u003cp\u003eBiosurgical debridement 70\u003c\/p\u003e \u003cp\u003eMechanical debridement 70\u003c\/p\u003e \u003cp\u003eSharp debridement 70\u003c\/p\u003e \u003cp\u003eHydrosurgical debridement 71\u003c\/p\u003e \u003cp\u003eUltrasound (acoustic pressure wound therapy) 71\u003c\/p\u003e \u003cp\u003eRegulating moisture balance 71\u003c\/p\u003e \u003cp\u003eWound dressings 72\u003c\/p\u003e \u003cp\u003ePassive inert dressings 74\u003c\/p\u003e \u003cp\u003eInteractive dressings 75\u003c\/p\u003e \u003cp\u003eAntibacterial dressings 79\u003c\/p\u003e \u003cp\u003eSummary 83\u003c\/p\u003e \u003cp\u003eUseful resources 83\u003c\/p\u003e \u003cp\u003eReferences 83\u003c\/p\u003e \u003cp\u003e\u003cb\u003e6 Wound Infection 87\u003c\/b\u003e\u003cbr\u003e \u003ci\u003eValerie Edwards-Jones and Madeleine Flanagan\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 87\u003c\/p\u003e \u003cp\u003eBacterial invasion of the skin 88\u003c\/p\u003e \u003cp\u003eWound pathogens 88\u003c\/p\u003e \u003cp\u003eFactors increasing the risk of wound infection 90\u003c\/p\u003e \u003cp\u003eThe significance of bacteria within wounds 90\u003c\/p\u003e \u003cp\u003eSignificance of biofilms 92\u003c\/p\u003e \u003cp\u003eIdentifying wound infection 92\u003c\/p\u003e \u003cp\u003eMicrobiological assessment of wounds 93\u003c\/p\u003e \u003cp\u003ePrinciples of managing infected wounds 95\u003c\/p\u003e \u003cp\u003eSummary 99\u003c\/p\u003e \u003cp\u003eUseful resources 99\u003c\/p\u003e \u003cp\u003eReferences 99\u003c\/p\u003e \u003cp\u003e\u003cb\u003e7 Psychological Impact of Skin Breakdown 102\u003c\/b\u003e\u003cbr\u003e \u003ci\u003ePatricia Price\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 102\u003c\/p\u003e \u003cp\u003ePsychological impact on the individual and society 103\u003c\/p\u003e \u003cp\u003eAdaptation to chronic illness 103\u003c\/p\u003e \u003cp\u003eStress and skin disease 103\u003c\/p\u003e \u003cp\u003eDepression 104\u003c\/p\u003e \u003cp\u003eAdjustment to physical change\/disfigurement 105\u003c\/p\u003e \u003cp\u003eCoping strategies 105\u003c\/p\u003e \u003cp\u003eSocial support 106\u003c\/p\u003e \u003cp\u003eBody image 106\u003c\/p\u003e \u003cp\u003eLiving with skin breakdown and chronic wounds: symptom management 107\u003c\/p\u003e \u003cp\u003eMeasuring impact of skin breakdown 108\u003c\/p\u003e \u003cp\u003eFactors affecting treatment 109\u003c\/p\u003e \u003cp\u003eInterventions 111\u003c\/p\u003e \u003cp\u003eClinical reflection 112\u003c\/p\u003e \u003cp\u003eSummary 113\u003c\/p\u003e \u003cp\u003eUseful resources 113\u003c\/p\u003e \u003cp\u003eReferences 113\u003c\/p\u003e \u003cp\u003e\u003cb\u003eSection 2 Challenging Wounds 117\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003e8 Pressure, Shear and Friction 119\u003c\/b\u003e\u003cbr\u003e \u003ci\u003eKeryln Carville\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 119\u003c\/p\u003e \u003cp\u003ePrevalence and incidence 120\u003c\/p\u003e \u003cp\u003ePathophysiology 120\u003c\/p\u003e \u003cp\u003eRisk factors 122\u003c\/p\u003e \u003cp\u003ePsychological impact 122\u003c\/p\u003e \u003cp\u003eCurrent best practice 123\u003c\/p\u003e \u003cp\u003ePrevention strategies 123\u003c\/p\u003e \u003cp\u003ePressure ulceration: assessment considerations 123\u003c\/p\u003e \u003cp\u003eTreatment strategies: pressure ulcers 128\u003c\/p\u003e \u003cp\u003eEducation and support 132\u003c\/p\u003e \u003cp\u003eCriteria for specialist referral 133\u003c\/p\u003e \u003cp\u003eSummary 133\u003c\/p\u003e \u003cp\u003eUseful resources 133\u003c\/p\u003e \u003cp\u003eClinical guidelines 133\u003c\/p\u003e \u003cp\u003eOrganisations 133\u003c\/p\u003e \u003cp\u003eFurther reading 133\u003c\/p\u003e \u003cp\u003eReferences 133\u003c\/p\u003e \u003cp\u003e\u003cb\u003e9 Diabetic Foot Disease 136\u003c\/b\u003e\u003cbr\u003e \u003ci\u003eJan Apelqvist\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 136\u003c\/p\u003e \u003cp\u003eAetiology 137\u003c\/p\u003e \u003cp\u003ePsychological impact 139\u003c\/p\u003e \u003cp\u003ePrinciples of diabetic foot ulcer management 140\u003c\/p\u003e \u003cp\u003eDiabetic foot ulceration: assessment considerations 140\u003c\/p\u003e \u003cp\u003eAssessment of vascular status 143\u003c\/p\u003e \u003cp\u003eAssessment of wound infection 143\u003c\/p\u003e \u003cp\u003eManagement of diabetic foot ulcers 145\u003c\/p\u003e \u003cp\u003eVascular intervention 145\u003c\/p\u003e \u003cp\u003eFoot surgery and amputation 146\u003c\/p\u003e \u003cp\u003eDebridement 147\u003c\/p\u003e \u003cp\u003eInfection in diabetic foot wounds 147\u003c\/p\u003e \u003cp\u003eOsteomyelitis 148\u003c\/p\u003e \u003cp\u003eOffloading – non-weight-bearing 148\u003c\/p\u003e \u003cp\u003eWound dressings: special considerations 149\u003c\/p\u003e \u003cp\u003eFoot care 149\u003c\/p\u003e \u003cp\u003eEducation and support 150\u003c\/p\u003e \u003cp\u003eProvision of specialist diabetic foot services 151\u003c\/p\u003e \u003cp\u003eCriteria for specialist referral 151\u003c\/p\u003e \u003cp\u003eSummary 151\u003c\/p\u003e \u003cp\u003eUseful resources 151\u003c\/p\u003e \u003cp\u003eReferences 152\u003c\/p\u003e \u003cp\u003e\u003cb\u003e10 Chronic Ulcers of the Lower Limb 155\u003c\/b\u003e\u003cbr\u003e \u003ci\u003eJeanette Muldoon\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 155\u003c\/p\u003e \u003cp\u003eEpidemiology 155\u003c\/p\u003e \u003cp\u003eComorbidities and underlying pathologies 156\u003c\/p\u003e \u003cp\u003eRheumatoid arthritis and vasculitis 156\u003c\/p\u003e \u003cp\u003eVenous leg ulceration 156\u003c\/p\u003e \u003cp\u003eFactors that affect venous return 158\u003c\/p\u003e \u003cp\u003eRarer leg ulcer aetiologies 160\u003c\/p\u003e \u003cp\u003ePsychological impact 161\u003c\/p\u003e \u003cp\u003ePrinciples of managing leg ulcers 161\u003c\/p\u003e \u003cp\u003eLeg ulceration: assessment considerations 161\u003c\/p\u003e \u003cp\u003eVascular assessment for arterial disease 164\u003c\/p\u003e \u003cp\u003eManagement of chronic oedema in leg ulcers 166\u003c\/p\u003e \u003cp\u003eWound dressings: special considerations 168\u003c\/p\u003e \u003cp\u003ePrevention of ulcer recurrence 169\u003c\/p\u003e \u003cp\u003eEducation and support 170\u003c\/p\u003e \u003cp\u003eProvision of specialist services 170\u003c\/p\u003e \u003cp\u003eCriteria for specialist referral 171\u003c\/p\u003e \u003cp\u003eSummary 171\u003c\/p\u003e \u003cp\u003eUseful resources 171\u003c\/p\u003e \u003cp\u003eFurther reading 172\u003c\/p\u003e \u003cp\u003eReferences 172\u003c\/p\u003e \u003cp\u003e\u003cb\u003e11 Lymphoedema 175\u003c\/b\u003e\u003cbr\u003e \u003ci\u003eDavid Keast\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 175\u003c\/p\u003e \u003cp\u003ePathophysiology 176\u003c\/p\u003e \u003cp\u003eRisk factors 178\u003c\/p\u003e \u003cp\u003ePsychological impact 179\u003c\/p\u003e \u003cp\u003eCurrent best practice 179\u003c\/p\u003e \u003cp\u003ePrevention strategies: risk factor management 180\u003c\/p\u003e \u003cp\u003eLymphoedema: assessment considerations 180\u003c\/p\u003e \u003cp\u003eTreatment strategies 184\u003c\/p\u003e \u003cp\u003eEducation and support 189\u003c\/p\u003e \u003cp\u003eProvision of specialist services 190\u003c\/p\u003e \u003cp\u003eCriteria for specialist referral 190\u003c\/p\u003e \u003cp\u003eSummary 190\u003c\/p\u003e \u003cp\u003eUseful resources 190\u003c\/p\u003e \u003cp\u003eReferences 191\u003c\/p\u003e \u003cp\u003e\u003cb\u003e12 MalignantWounds 193\u003c\/b\u003e\u003cbr\u003e \u003ci\u003eWayne Naylor\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 193\u003c\/p\u003e \u003cp\u003eMalignant wounds: aetiology 194\u003c\/p\u003e \u003cp\u003ePsychological impact 195\u003c\/p\u003e \u003cp\u003ePrinciples of palliative wound management 196\u003c\/p\u003e \u003cp\u003eMalignant wounds: assessment considerations 196\u003c\/p\u003e \u003cp\u003eManagement of malignant wounds 198\u003c\/p\u003e \u003cp\u003eEducation and support 204\u003c\/p\u003e \u003cp\u003eProvision of specialist services 204\u003c\/p\u003e \u003cp\u003eCriteria for specialist referral 204\u003c\/p\u003e \u003cp\u003eSummary 205\u003c\/p\u003e \u003cp\u003eUseful resources 205\u003c\/p\u003e \u003cp\u003eReferences 205\u003c\/p\u003e \u003cp\u003e\u003cb\u003e13 Skin Integrity and Dermatology 208\u003c\/b\u003e\u003cbr\u003e \u003ci\u003eJulia Schofield\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 208\u003c\/p\u003e \u003cp\u003ePrevalence and incidence of skin disease 209\u003c\/p\u003e \u003cp\u003eQuality of life 209\u003c\/p\u003e \u003cp\u003eCost of skin diseases 209\u003c\/p\u003e \u003cp\u003eManagement principles 210\u003c\/p\u003e \u003cp\u003eImportant common skin problems and their management 211\u003c\/p\u003e \u003cp\u003eProvision of dermatology specialist services 220\u003c\/p\u003e \u003cp\u003eSummary 221\u003c\/p\u003e \u003cp\u003eUseful resources 222\u003c\/p\u003e \u003cp\u003eFurther reading 222\u003c\/p\u003e \u003cp\u003eReferences 222\u003c\/p\u003e \u003cp\u003e\u003cb\u003e14 Surgical Wounds 224\u003c\/b\u003e\u003cbr\u003e \u003ci\u003eAlan Widgerow\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 224\u003c\/p\u003e \u003cp\u003eClassification of surgical wounds 224\u003c\/p\u003e \u003cp\u003ePrinciples of surgical wound management 227\u003c\/p\u003e \u003cp\u003eSurgical wounds: assessment considerations 227\u003c\/p\u003e \u003cp\u003ePreoperative management 228\u003c\/p\u003e \u003cp\u003eIntraoperative management 229\u003c\/p\u003e \u003cp\u003ePostoperative management 230\u003c\/p\u003e \u003cp\u003eWound closure 231\u003c\/p\u003e \u003cp\u003eManagement of surgical scars 234\u003c\/p\u003e \u003cp\u003eCommon reconstructive surgical options 236\u003c\/p\u003e \u003cp\u003eEducation and support 237\u003c\/p\u003e \u003cp\u003eCriteria for specialist referral 238\u003c\/p\u003e \u003cp\u003eSummary 238\u003c\/p\u003e \u003cp\u003eUseful resources 239\u003c\/p\u003e \u003cp\u003eReferences 239\u003c\/p\u003e \u003cp\u003e\u003cb\u003e15 NeglectedWounds 242\u003c\/b\u003e\u003cbr\u003e \u003ci\u003eKim Deroo, Lesley Robertson-Laxton, Sabina Sabo and Arlene A. Sardo\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 242\u003c\/p\u003e \u003cp\u003eBODY PIERCINGS 242\u003c\/p\u003e \u003cp\u003eRisk factors (post-piercing infection) 243\u003c\/p\u003e \u003cp\u003eFactors delaying healing 243\u003c\/p\u003e \u003cp\u003eComplications 243\u003c\/p\u003e \u003cp\u003ePrinciples of wound management 243\u003c\/p\u003e \u003cp\u003ePractical management 243\u003c\/p\u003e \u003cp\u003ePractical tips 244\u003c\/p\u003e \u003cp\u003eHealing rates 244\u003c\/p\u003e \u003cp\u003eCriteria for specialist referral 244\u003c\/p\u003e \u003cp\u003eSummary 245\u003c\/p\u003e \u003cp\u003eFurther reading 245\u003c\/p\u003e \u003cp\u003eReferences 245\u003c\/p\u003e \u003cp\u003eBULLOUS PEMPHIGOID 245\u003c\/p\u003e \u003cp\u003eRisk factors 245\u003c\/p\u003e \u003cp\u003eDifferential diagnosis 245\u003c\/p\u003e \u003cp\u003eClinical features 245\u003c\/p\u003e \u003cp\u003eFactors delaying healing 246\u003c\/p\u003e \u003cp\u003eComplications 246\u003c\/p\u003e \u003cp\u003ePrinciples of wound management 246\u003c\/p\u003e \u003cp\u003ePractical management 246\u003c\/p\u003e \u003cp\u003eCriteria for specialist referral 246\u003c\/p\u003e \u003cp\u003eSummary 246\u003c\/p\u003e \u003cp\u003eFurther reading 247\u003c\/p\u003e \u003cp\u003eReferences 247\u003c\/p\u003e \u003cp\u003eCALCIPHYLAXIS 247\u003c\/p\u003e \u003cp\u003eRisk factors 247\u003c\/p\u003e \u003cp\u003eDifferential diagnosis 247\u003c\/p\u003e \u003cp\u003eClinical features 247\u003c\/p\u003e \u003cp\u003eFactors delaying healing 248\u003c\/p\u003e \u003cp\u003eComplications 248\u003c\/p\u003e \u003cp\u003ePrinciples of wound management 248\u003c\/p\u003e \u003cp\u003ePractical management 248\u003c\/p\u003e \u003cp\u003eCriteria for specialist referral 248\u003c\/p\u003e \u003cp\u003eSummary 248\u003c\/p\u003e \u003cp\u003eFurther reading 249\u003c\/p\u003e \u003cp\u003eReferences 249\u003c\/p\u003e \u003cp\u003eFISTULAS 249\u003c\/p\u003e \u003cp\u003eRisk factors 249\u003c\/p\u003e \u003cp\u003eDiagnostic procedures 249\u003c\/p\u003e \u003cp\u003eClinical features 249\u003c\/p\u003e \u003cp\u003eFactors delaying healing 249\u003c\/p\u003e \u003cp\u003eComplications 249\u003c\/p\u003e \u003cp\u003ePrinciples of wound management 250\u003c\/p\u003e \u003cp\u003ePractical management 250\u003c\/p\u003e \u003cp\u003eCriteria for specialist referral 250\u003c\/p\u003e \u003cp\u003eSummary 250\u003c\/p\u003e \u003cp\u003eFurther reading 251\u003c\/p\u003e \u003cp\u003eReferences 251\u003c\/p\u003e \u003cp\u003eNECROTISING FASCIITIS 251\u003c\/p\u003e \u003cp\u003eRisk factors 251\u003c\/p\u003e \u003cp\u003eDifferential diagnosis 251\u003c\/p\u003e \u003cp\u003eClinical features 252\u003c\/p\u003e \u003cp\u003eFactors delaying healing 252\u003c\/p\u003e \u003cp\u003eComplications 252\u003c\/p\u003e \u003cp\u003ePrinciples of wound management 252\u003c\/p\u003e \u003cp\u003ePractical management 252\u003c\/p\u003e \u003cp\u003eCriteria for specialist referral 253\u003c\/p\u003e \u003cp\u003eSummary 253\u003c\/p\u003e \u003cp\u003eFurther reading 253\u003c\/p\u003e \u003cp\u003eReferences 253\u003c\/p\u003e \u003cp\u003ePYODERMA GANGRENOSUM 253\u003c\/p\u003e \u003cp\u003eRisk factors 253\u003c\/p\u003e \u003cp\u003eDifferential diagnosis 254\u003c\/p\u003e \u003cp\u003eClinical features 254\u003c\/p\u003e \u003cp\u003eFactors delaying healing 254\u003c\/p\u003e \u003cp\u003eComplications 254\u003c\/p\u003e \u003cp\u003ePrinciples of wound management 254\u003c\/p\u003e \u003cp\u003ePractical management 254\u003c\/p\u003e \u003cp\u003eCriteria for specialist referral 254\u003c\/p\u003e \u003cp\u003eSummary 255\u003c\/p\u003e \u003cp\u003eFurther reading 255\u003c\/p\u003e \u003cp\u003eReferences 255\u003c\/p\u003e \u003cp\u003eSELF-INFLICTED WOUNDS (SELF-HARM) 255\u003c\/p\u003e \u003cp\u003eRisk factors 255\u003c\/p\u003e \u003cp\u003eDifferential diagnosis 255\u003c\/p\u003e \u003cp\u003eFactors delaying healing 255\u003c\/p\u003e \u003cp\u003eClinical features 255\u003c\/p\u003e \u003cp\u003eComplications 256\u003c\/p\u003e \u003cp\u003ePrinciples of wound management 256\u003c\/p\u003e \u003cp\u003ePractical management 256\u003c\/p\u003e \u003cp\u003eCriteria for specialist referral 257\u003c\/p\u003e \u003cp\u003eSummary 257\u003c\/p\u003e \u003cp\u003eFurther reading 257\u003c\/p\u003e \u003cp\u003eReferences 257\u003c\/p\u003e \u003cp\u003eSKIN TEARS 257\u003c\/p\u003e \u003cp\u003eRisk factors 257\u003c\/p\u003e \u003cp\u003eDifferential diagnosis 258\u003c\/p\u003e \u003cp\u003eFactors delaying healing 258\u003c\/p\u003e \u003cp\u003eClinical features 258\u003c\/p\u003e \u003cp\u003eComplications 258\u003c\/p\u003e \u003cp\u003ePrinciples of wound management 258\u003c\/p\u003e \u003cp\u003ePractical management 259\u003c\/p\u003e \u003cp\u003eCriteria for specialist referral 259\u003c\/p\u003e \u003cp\u003eSummary 259\u003c\/p\u003e \u003cp\u003eFurther reading 259\u003c\/p\u003e \u003cp\u003eReferences 259\u003c\/p\u003e \u003cp\u003e\u003cb\u003eSection 3 Improving Skin Integrity Services 261\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003e\u003cb\u003e16 Reducing Wound Care Costs and Improving Quality: A Clinician’s Perspective 263\u003c\/b\u003e\u003cbr\u003e \u003ci\u003eTheresa Hurd\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 263\u003c\/p\u003e \u003cp\u003eHealth economics: a clinician’s perspective 264\u003c\/p\u003e \u003cp\u003eBarriers to best-practice wound care and prevention 265\u003c\/p\u003e \u003cp\u003eThe costs of wound care 266\u003c\/p\u003e \u003cp\u003eBest-practice wound prevention and care programmes 267\u003c\/p\u003e \u003cp\u003eClinical results 268\u003c\/p\u003e \u003cp\u003eThe impact of best-practice wound prevention and care on health economics 272\u003c\/p\u003e \u003cp\u003eRedesigning clinical care, business and information processes 274\u003c\/p\u003e \u003cp\u003eIndirect economic benefits 274\u003c\/p\u003e \u003cp\u003eSummary 275\u003c\/p\u003e \u003cp\u003eUseful resources 275\u003c\/p\u003e \u003cp\u003eReferences 276\u003c\/p\u003e \u003cp\u003e\u003cb\u003e17 Dressings: The Healing Revolution 278\u003c\/b\u003e\u003cbr\u003e \u003ci\u003eDouglas Queen and Keith Harding\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction 278\u003c\/p\u003e \u003cp\u003eEvolution of new wound dressing technologies 279\u003c\/p\u003e \u003cp\u003eThe healing revolution 280\u003c\/p\u003e \u003cp\u003eDressing evolution led by technology: an example 282\u003c\/p\u003e \u003cp\u003ePatient-centred dressing evolution: an example 282\u003c\/p\u003e \u003cp\u003eAdvanced wound technologies 283\u003c\/p\u003e \u003cp\u003eThe future: wound care as a clinical specialty 284\u003c\/p\u003e \u003cp\u003eSummary 287\u003c\/p\u003e \u003cp\u003eUseful resources 287\u003c\/p\u003e \u003cp\u003eReferences 287\u003c\/p\u003e \u003cp\u003eIndex 291\u003c\/p\u003e  \u003cp\u003e“Nurses at any stage of practice could benefit from this book as it provides good evidence based data when considering tissue viability and holistic assessment. Specialist nurses - tissue viability, diabetes, lymphedema could benefit from this book and is a vital resource to have in any clinical setting.”  (\u003ci\u003eNursing Times\u003c\/i\u003e, 25 June 2014)\u003c\/p\u003e \u003cp\u003e“With its focus on practical information for practicing physicians, this reference is easier to understand than most wound healing books. The discussions of bacterial colonization, biofilms, and wound healing processes gone awry are clear and most helpful.”  (\u003ci\u003eDoody’s\u003c\/i\u003e, 20 September 2013)\u003c\/p\u003e  \u003cp\u003e\u003cstrong\u003eMadeleine Flanagan\u003c\/strong\u003e is a Principal Lecturer in the School of Postgraduate Medicine at the University of Hertfordshire in the UK. She is Programme Leader for the MSc Skin Integrity Skills \u0026amp; Treatment and MSc Dermatology Skills \u0026amp; Treatment and has developed an international reputation for the provision of innovative, inter-professional education for practitioners with a special interest in skin integrity, wound management and dermatology.   \u003c\/p\u003e\u003cp\u003eThis 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. \u003ci\u003eWound Healing and Skin Integrity\u003c\/i\u003e discusses current and future trends in the management of wounds and maintenance of skin integrity with 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.\u003c\/p\u003e \u003cp\u003e\u003ci\u003eWound Healing and Skin Integrity\u003c\/i\u003e fulfils the inter-professional learning agenda and is relevant 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. \u003c\/p\u003e \u003cp\u003e\u003cb\u003eKey Features\u003c\/b\u003e\u003c\/p\u003e \u003cul\u003e \u003cli\u003eA practical, accessible, evidence-based manual on wound care and skin integrity\u003c\/li\u003e \u003cli\u003eIntegrates related aspects of skin integrity, wound management and dermatology previously found in separate texts into one comprehensive resource\u003c\/li\u003e \u003cli\u003eWritten from a broad international perspective with contributions from key international opinion leaders from Australia, UK, Canada and Europe\u003c\/li\u003e \u003cli\u003ePromotes international practice development in relation to management of skin integrity and chronic wounds\u003c\/li\u003e \u003cli\u003eFull colour illustrations throughout\u003c\/li\u003e \u003cli\u003eContains definition of key terms, relates anatomy and physiology to clinical practice, and points the reader to easy-to-access online learning resources\u003c\/li\u003e \u003cli\u003eIncludes practical tips from expert practitioners, commonly presented clinical queries and discussion of professional issues related to skin integrity\u003c\/li\u003e \u003c\/ul\u003e","brand":"Wiley-Blackwell","offers":[{"title":"Default Title","offer_id":47990510026981,"sku":"NP9780470659779","price":63.95,"currency_code":"USD","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1842\/7735\/files\/9780470659779.jpg?v=1761788116","url":"https:\/\/k12savings.com\/products\/wound-healing-and-skin-integrity-isbn-9780470659779","provider":"K12savings","version":"1.0","type":"link"}