Conclusion

Wound Bed Preparation (WBP) is a model to treat the “whole patient” and not just the “hole in the patient.” Treatment of the cause and addressing patient concerns are often best accomplished with an interprofessional approach. The ability of a wound to heal is based on adequate blood supply and treatment of the cause. Maintenance or nonhealable wounds require attention to patient centered care including pain control and optimizing activities of daily living.
Local wound care should include accurate documentation and consideration of the four main local components of topical treatment: debridement, infection/inflammation control, moisture management for all wounds. The edge effect is for healable wounds that are stalled and includes skin grafts and adjunctive therapies. The health care system needs to establish interprofessional wound care teams to optimize patient outcomes and deliver cost effective wound care.

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