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Anderson K, Hamm RL, et al.
The journal of the American College of Clinical Wound Specialists. Date of publication 2014 Mar 24;volume 4(4):84-91.
1. J Am Coll Clin Wound Spec. 2014 Mar 24;4(4):84-91. doi: 10.1016/j.jccw.2014.03.001. eCollection 2012 Dec. Factors That Impair Wound Healing. Anderson K(1), Hamm RL(2). Author information: (1)Orthopedic Physical Therapy, Therapyworks, Inc., Santa Monica, CA, USA. (2)Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA. The body's response to tissue injury in a healthy individual is an intricate, sequential physiologic process that results in timely healing with full re-epithelialization, resolution of drainage, and return of function to the affected tissue. Chronic wounds, however, do not follow this sequence of events and can challenge the most experienced clinician if the underlying factors that are impairing wound healing are not identified. The purpose of this article is to present recent information about factors that impair wound healing with the underlying pathophysiological mechanism that interferes with the response to tissue injury. These factors include co-morbidities (diabetes, obesity, protein energy malnutrition), medications (steroids, non-steroidal anti-inflammatory drugs or NSAIDs, anti-rejection medications), oncology interventions (radiation, chemotherapy), and life style habits (smoking, alcohol abuse). Successful treatment of any chronic wound depends upon identification and management of the factors for each individual. DOI: 10.1016/j.jccw.2014.03.001 PMCID: PMC4495737 PMID: 26199879
Appears in following Topics:
Pressure Ulcers/Injuries - Introduction and Assessment
Lymphedema - Introduction and Assessment
Skin Tears - Introduction and Assessment
Arterial Ulcer - Introduction and Assessment
How to Assess a Patient with Chronic Wounds
How to Assess a Patient with Chronic Wounds