SECTION I

FOUNDATIONS

1

Principles for Practice Development

2

2

Billing, Reimbursement, and Setting Up a Clinic

21

3

Anatomy and Physiology of Skin and Soft Tissue

40

4

Wound-Healing Physiology

63

5

Types of Skin Damage and Differential Diagnosis

83

6

Skin and Wound Inspection and Assessment

108

SECTION II

PRESSURE ULCERS

7

Pressure Ulcers: Impact, Etiology, and Classification

123

8

Developing and Maintaining a Pressure Ulcer Prevention Program

137

9

Support Surfaces

154

SECTION III

LOWER EXTREMITY WOUNDS

10

Lower Extremity Assessment

169

11

Arterial Ulcers

178

12

Venous Ulcers

194

13

Lymphedema

214

14

Neuropathic Wounds: The Diabetic Wound

225

15

Foot and Nail Care

249

SECTION IV

WOUND BED PREPARATION

16

Wound Infection: Diagnosis and Management

270

17

Wound Debridement

279

18

Topical Management

289

SECTION V

BIOPHYSICAL AND BIOLOGIC AGENTS

19

Skin Substitutes and Extracellular Matrix Scaffolds

308

20

Molecular and Cellular Regulators

324

21

Negative Pressure Wound Therapy

337

22

Hyperbaric Oxygenation

345

23

Electrical Stimulation

353

24

Ultraviolet Light and Ultrasound

360

SECTION VI

CRITICAL COFACTORS

25

Wound Pain: Impact and Assessment

361

26

Managing Wound Pain

380

27

Nutritional Assessment and Support

388

28

Perfusion and Oxygenation

400

29

Noncompliance, Nonadherence, or Barriers to a Sustainable Plan?

408

SECTION VII

ACUTE AND TRAUMATIC WOUNDS

30

Intrinsic Skin Diseases and Uncommon Cutaneous Wounds

417

31

Traumatic Wounds: Bullets, Blasts, and Vehicle Crashes

434

32

Burns

446

33

Reconstructive Surgery

460

34

Surgical Wounds and Incision Care

469

SECTION VIII

SPECIAL PATIENT POPULATIONS

35

Skin Care Needs of the Obese Patient

477

36

Skin Care Needs of the Pediatric and Neonatal Patient

485

37

Managing Wounds in Palliative Care

505

38

Management of Draining Wounds and Fistulas

514

39

Percutaneous Tube Management

534

Appendix A

Self-Assessment Exercises

551

Appendix B

Documentation Tools

564

Appendix C

Infrastructure Support Examples: Policies, Procedures, Protocols, and Decision-Making Tools

584

Glossary

608