Wound Healing and Skin Integrity

Madeleine Flanagan is a Principal Lecturer in the School of Postgraduate Medicine at the University of Hertfordshire in the UK. She is Programme Leader for the MSc Skin Integrity Skills & Treatment and MSc Dermatology Skills & Treatment and has developed an international reputation for the provision of innovative, inter-professional education for practitioners with a special interest in skin integrity, wound management and dermatology.

This comprehensive text integrates related aspects of wound management, skin integrity and dermatology into a convenient, one-stop resource. It explores the theories underpinning wound management and skin integrity by reviewing the supporting evidence and making practical recommendations for busy clinicians. Wound Healing and Skin Integrity discusses current and future trends in the management of wounds and maintenance of skin integrity in respect to international healthcare initiatives and summarises the principles of maintaining healthy skin to provide a practical guide that is accessible to clinicians regardless of professional background.
 
The title fulfils the inter-professional learning agenda and will be of interest to a wide range of clinicians, including doctors; wound management, dermatology and palliative care nurse specialists; community nurses; podiatrists; pharmacists; and anyone responsible for managing patients with impaired skin integrity.
 
Key features:
* A practical, accessible, evidence-based manual on wound care and skin integrity
* Integrates related aspects of skin integrity, wound management and dermatology previously found in separate texts into one comprehensive resource
* Written from a broad international perspective with contributions from key international opinion leaders from Australia, UK, Canada and Europe
* Promotes international practice development in relation to management of skin integrity and chronic wounds
* Full colour illustrations throughout
* Defines key terms, relates anatomy and physiology to clinical practice and provides a summary of easily accessible online learning resources
* Includes practical tips from expert practitioners, commonly presented clinical queries and discussion of professional issues related to skin integrity

List of Contributors x
 
Preface xii
 
Acknowledgements xiv
 
Section 1 Principles of Best Practice 1
 
1 Evidence and Clinical Decision-making 3
Carolina Weller
 
2 Maintaining Skin Integrity 18
Arne Langøen and Janice Bianchi
 
3 Physiology of Wound Healing 33
Mary Martin
 
4 Assessing Skin Integrity 52
Annemarie Brown and Madeleine Flanagan
 
5 Principles ofWound Management 66
Madeleine Flanagan
 
6 Wound Infection 87
Valerie Edwards-Jones and Madeleine Flanagan
 
7 Psychological Impact of Skin Breakdown 102
Patricia Price
 
Section 2 Challenging Wounds 117
 
8 Pressure, Shear and Friction 119
Keryln Carville
 
9 Diabetic Foot Disease 136
Jan Apelqvist
 
10 Chronic Ulcers of the Lower Limb 155
Jeanette Muldoon
 
11 Lymphoedema 175
David Keast
 
12 MalignantWounds 193
Wayne Naylor
 
13 Skin Integrity and Dermatology 208
Julia Schofield
 
14 Surgical Wounds 224
Alan Widgerow
 
15 NeglectedWounds 242
Kim Deroo, Lesley Robertson-Laxton, Sabina Sabo and Arlene A. Sardo
 
Section 3 Improving Skin Integrity Services 261
 
16 Reducing Wound Care Costs and Improving Quality: A Clinician's Perspective 263
Theresa Hurd
 
17 Dressings: The Healing Revolution 278
Douglas Queen and Keith Harding
 
Index 291