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Wound Bed Preparation

JULY IS WOUND BED PREPARATION MONTH For this month's WoundSource Practice Accelerator series, we are providing education on a variety of topics related to wound bed preparation. Scroll below to read this month's white paper and articles, to print out our quick fact sheet, and to sign up for this month's webinar.

Upcoming Webinar

Wound Bed Preparation Best Practices: Optimizing the Wound For Closure

Thursday, July 29

Rebecca Naughton, MSN, FNP-C
Wound bed preparation is an important component of wound management. Gaps in knowledge of how and why to prepare a wound bed properly for conventional or advanced wound care modalities may delay or impede healing outcomes. This presentation will describe how to prepare a wound bed properly to allow for optimal healing. It will define the term "wound bed preparation" and how it can aid in the management of tissue necrosis and maintain a proper bioburden balance of the wound’s environment. The concept of "TIME" will be used to evaluate a wound’s readiness to progress into the healing phases. The healing phases of hemostasis, inflammation, proliferation, and maturation will be reviewed, and the focus of each phase when preparing the wound bed for treatment will also be discussed. The presentation will conclude by outlining methods of preparing a wound bed for conventional or advanced treatment modalities, including "BEAMS" debridement methods, conventional and advanced dressings, cellular products, and wound vacuum application. Overall objectives:
  • Define the term "wound bed preparation."
  • Evaluate the wound closure based on the acronym "TIME."
  • Determine when a wound bed is ready to accept advanced treatment modalities based on its phase of healing.
  • Review methods of preparing a wound bed: "BEAMS", dressings, cellular products, and negative pressure wound therapy.

White Paper

Wound Bed Preparation Using the TIMERS Approach

For the last decade or so, the best practice approach to wound care has been based on the TIME (tissue, inflammation or infection, moisture, and edge) framework. More recently, TIME was updated to TIMERS, a more patient-centered approach ensuring that all aspects of wound care are addressed. This extensively referenced white paper describes in detail each element of the TIMERS framework for wound bed management and wound care. The addition of regenerative processes (R) and social factors (S) ...

Fact Sheet

Quick Facts - Wound Bed Preparation 2021

Wound bed maintenance is essential for creating and preserving an optimal environment for wound healing. As in other aspects of wound care, patient education is vital to the success of wound bed preparation regimens. Beginning with assessment, wound bed preparation comprises wound cleansing, infection control, exudate management, and removal of non-viable tissue, to promote the formation of healthy granulation tissue and move the wound toward closure. This fact sheet contains up-to-date informat...

Featured Articles

Maintaining the Wound Bed

Wound bed maintenance is the process taken by the bedside clinician or nurse to create or preserve the wound environment at optimal conditions and thus encourage the chronic wound to move to a state of closure or healing. Critical thinking skills require a trained eye focused on the characteristics ...

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Encouraging Success With Wound Bed Preparation

Preparing the wound bed to encourage and promote healing is a well-established concept. Wound healing is a complex process that progresses through several phases, including coagulation and hemostasis, inflammation, cell proliferation and repair, and epithelialization and remodeling of scar tissue. I...

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Wound Bed Preparation Challenges

Wound bed preparation has been performed for decades in managing wounds of various etiologies. The wound healing process consists of a complex interlinked and independent cascade, which not all wounds follow in a consistent, organized manner. The TIMERS acronym, consisting of four general steps, has...

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Educating Your Patients About Wound Care and the Wound Healing Process

Patient education should be a priority to empower patients to care for themselves and improve patient outcomes. Involving patients in their own care can help them to understand about their wound and be more adherent to the overall treatment plan. Remember to involve the caregiver or family if applic...

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Important Terms to Know

Terms to Know: Wound Bed Preparation

Anoxia: A condition marked by the absence of oxygen reaching the tissues. It differs from hypoxia, in which there is a decrease in the oxygen levels to tissue. Biocide tolerance: Demonstrating a tolerance to substances that destroy living things, such as bacteria. The initial stage in the life of biofilm can become biocide tolerant within 12 hours. Calcium alginate: A water-insoluble, gelatinous substance that is highly absorbent. Dressings with calcium alginate can help to maintain a moist healing environment.