Sibbald RG, Elliott JA, Persaud-Jaimangal R, Goodman L, Armstrong DG, Harley C, Coelho S, Xi N, Evans R, Mayer DO, Zhao X, Heil J, Kotru B, Delmore B, LeBlanc K, Ayello EA, Smart H, Tariq G, Alavi A, Somayaji R, et al.
Advances in skin & wound care. Date of publication 2021 Apr 1;volume 34(4):183-195.
1. Adv Skin Wound Care. 2021 Apr 1;34(4):183-195. doi:
10.1097/01.ASW.0000733724.87630.d6.
Wound Bed Preparation 2021.
Sibbald RG, Elliott JA, Persaud-Jaimangal R, Goodman L, Armstrong DG, Harley C,
Coelho S, Xi N, Evans R, Mayer DO, Zhao X, Heil J, Kotru B, Delmore B, LeBlanc K,
Ayello EA, Smart H, Tariq G, Alavi A, Somayaji R.
GENERAL PURPOSE: To present the 2021 update of the Wound Bed Preparation
paradigm.
TARGET AUDIENCE: This continuing education activity is intended for physicians,
physician assistants, nurse practitioners, and nurses with an interest in skin
and wound care.
LEARNING OBJECTIVES/OUTCOMES: After participating in this educational activity,
the participant will: 1. Apply wound assessment strategies. 2. Identify patient
concerns about wound care. 3. Select management options for healable,
nonhealable, and maintenance wounds.
plain-language-summary: Wound Bed Preparation is a paradigm to optimize chronic
wound treatment. This holistic approach examines the treatment of the cause and
patient-centered concerns to determine if a wound is healable, a maintenance
wound, or nonhealable (palliative). For healable wounds (with adequate blood
supply and a cause that can be corrected), moisture balance is indicated along
with active debridement and control of local infection or abnormal inflammation.
In maintenance and nonhealable wounds, the emphasis changes to patient comfort,
relieving pain, controlling odor, preventing infection by decreasing bacteria on
the wound surface, conservative debridement of slough, and moisture management
including exudate control. In this fourth revision, the authors have reformulated
the model into 10 statements. This article will focus on the literature in the
last 5 years or new interpretations of older literature. This process is designed
to facilitate knowledge translation in the clinical setting and improve patient
outcomes at a lower cost to the healthcare system.
Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.
DOI: 10.1097/01.ASW.0000733724.87630.d6
PMCID: PMC7982138
PMID: 33739948 [Indexed for MEDLINE]
