by Cathy L. Wogamon, DNP, MSN, FNP-BC, CWON, CFCN
The periwound is generally defined as the area from the wound edge to 4 cm beyond circumferentially. Breakdown of the periwound can adversely affect wound healing even if the wound itself is doing well. After the initial assessment of the wound bed and edges, one should direct their assessment to the periwound. Generally speaking, there are three major conditions (other than intact) in which you may find the periwound: damaged from trauma, too moist, or in an inflammatory state.