Awarded First place in the 2020 AJN Book of the Year Awards in Medical-Surgical Nursing Category and awarded Second place in Advance Practice Nursing Category.

Looking for an up-to-date, how-to, evidence-based wound care reference? The newly revised Wound Care Essentials, 5th Edition is the comprehensive seminal resource, offering the latest evidence, guidelines and information to assist the interprofessional skin and wound care team translate knowledge into practice. 

A crucial guide for all skin and wound care professionals, this essential resource provides authoritative science and practical instruction on wound care best practices. 

This must-have guide offers the latest, skin and wound care research-backed insights on prevention and management strategies… 

Three New Chapters—Skin, Challenging Skin Conditions and Lymphedema 

More chapter contributions from global wound care opinion leaders

More (now 50) helpful color photos in the wound gallery 

Comprehensive end-of-book certification practice exam, including new review questions

Chapter features that include: 

All chapters have been updated with the latest available research and educational enablers

Visual aids, mnemonics, tables boxes, diagrams. and charts to highlight key concepts

Practice Point Boxes – quick summaries of knowledge for best practices that assist in retaining knowledge

Show What You Know – review questions at the end of each chapter and answers with explanations at the end of the book

Patient Scenario – case studies that illustrate clinical data and discuss application of information

Skin and Wound Care Concepts—every chapter has been updated with the most current international guidelines especially for pressure injuries and skin tears

Essential content for training staff at wound centers and in every healthcare practice setting – ideal for updating skin and wound care policies and procedures

About the Authors

Sharon Baranoski, MSN, RN, CCNS-APN, CWCN, MAPWCA, FAAN, is a Board-certified, Advanced Practice Nurse specializing in skin & wound care. Her experience crosses all health care setting.  She is a well-known consultant, lecturer, author and educator. She is a Fellow in the American Academy of Nursing.  She is a former President of the International Skin Tear Advisory Board and the National Pressure Injury Advisory Panel and remains an active member of both organizations.  Sharon has received numerous accolades and awards for her 35 plus years of work in the field of wound care.  

Elizabeth A. Ayello, PhD, MS, BSN, RN, CWON, ETN, MAPWCA, FAAN, is a Board-certified wound and ostomy nurse who believes in the interprofessional team approach to skin and wound care practice and education. A fellow in the American Academy of Nursing, she is an internationally known prolific author, editor, researcher, consultant  (including to CMS) and innovative, interactive educator who is the current Co- Editor in Chief of Advances in Skin and Wound Care, President of the World Council of Enterostomal.

Contents

1 Quality of Life and Ethical Issues 1

Kevin Y. Woo, PhD, RN, NSWOC, WOCC(C), FAPWCA, IIWCC-Can

Nicola Waters, PhD, MSc, (WHTR) RN

Vera Lúcia Conceição de Gouveia Santos, PhD, BSN, MNSc, CETN (TiSOBEST Emerit)

2 Reimbursement Regulations Impacting Wound Care 19

Dan R. Berlowitz, MD, MPH

Marcia Nusgart, RPh

Karen Ravitz, JD

3 Legal Aspects of Wound Care 38

Steven P . Knowlton, JD, RN

Diane K. Langemo, PhD, RN, FAAN

4 Skin: An Essential Organ 57

Sharon Baranoski, MSN, RN, CCNS-APN, CWCN, MAPWCA, FAAN

Elizabeth A. Ayello, PhD, MS, BSN, RN, CWON, ETN, MAPWCA, FAAN

Jeffrey M. Levine, MD, AGSF, CMD, CWSP

R. Gary Sibbald, MD, DSc (Hons), MEd, BSc, FRCPC (Med)(Derm), FAAD, MAPWCA, JM

5 Acute and Chronic Wound Healing 79

Samantha Holloway, MSc, PGCE, FHEA, RN

Sophia Tate, MB, ChB

Joyce K. Stechmiller, PhD, ACNP-BC, FAAN

Gregory Schultz, PhD

6 Wound Assessment 102

Sharon Baranoski, MSN, RN, CCNS-APN, CWCN, MAPWCA, FAAN

Elizabeth A. Ayello, PhD, MS, BSN, RN, CWON, ETN, MAPWCA, FAAN

Jeffrey A. Niezgoda, MD, FACHM, MAPWCA, CHWS

Diane K. Langemo, PhD, RN, FAAN

7 Wound Bioburden and Infection 131

Nancy A. Stotts, RN, EdD, FAAN

Gregory Schultz, PhD

8 Wound Debridement 163

R. Gary Sibbald, MD, DSc (Hons), MEd, BSc, FRCPC (Med)(Derm), FAAD, MAPWCA, JM

Jeffrey A. Niezgoda, MD, FACHM, MAPWCA, CHWS

Elizabeth A. Ayello, PhD, MS, BSN, RN, CWON, ETN, MAPWCA, FAAN

9 Wound Treatment Options 185

Jeffrey A. Niezgoda, MD, FACHM, MAPWCA, CHWS

Sharon Baranoski, MSN, RN, CCNS-APN, CWCN, MAPWCA, FAAN

Elizabeth A. Ayello, PhD, MS, BSN, RN, CWON, ETN, MAPWCA, FAAN

Andrea McIntosh, BSN, RN, CWON, APN

Linda Montoya, BSN, RN, CWOCN, APN

Marta Ostler, PT, CWS Contents xi

10 Nutrition and Wound Care 242

Mary Ellen Posthauer, RDN, LD, FAND

Becky Dorner, RDN, LD, FAND

Andy S. Chu, MS, RD, CDN, CNSC, FAND

11 Pressure Redistribution: Seating, Positioning, and Support Surfaces 270

David M. Brienza, PhD

Ann N. Tescher, APRN, CNS, PhD, CCRN, CWCN, CCNS, FCCM

Evan Call, MS, CSM-NRM

12 Pain Management and Wounds 306

Kevin Y. Woo, PhD, RN, NSWOC, WOCC(C), FAPWCA, IIWCC-Can

R. Gary Sibbald, MD, DSc (Hons), MEd, BSc, FRCPC (Med)(Derm), FAAD, MAPWCA, JM

13 Skin—Challenging Conditions 333

Sharon Baranoski, MSN, RN, CCNS-APN, CWCN, MAPWCA, FAAN

Elizabeth A. Ayello, PhD, MS, BSN, RN, CWON, ETN, MAPWCA, FAAN

Kimberly LeBlanc, PhD, MN, RN, NSWOC, WOCC(C), IIWCC

Dimitri Beeckman, PhD, RN, FEANS

R. Gary Sibbald, MD, DSc (Hons), MEd, BSc, FRCPC (Med)(Derm), FAAD, MAPWCA, JM

14 Pressure Injuries 370

Elizabeth A. Ayello, PhD, MS, BSN, RN, CWON, ETN, MAPWCA, FAAN

Sharon Baranoski, MSN, RN, CCNS-APN, CWCN, MAPWCA, FAAN

Janet E. Cuddigan, PhD, RN, CWCN, FAAN

Amit Gefen, PhD, MSc, BSc

Dan R. Berlowitz, MD

Hiske Smart, RN, RM, MA (Nur), PGDip (WHTR), IIWCC-Can

Wendy S. Harris Jicman, BSN, BSHS, RN

15 Venous Disease and Ulcers 408

Mary Y. Sieggreen, MSN, RN, CNS, NP , CVN

Jeffrey A. Niezgoda, MD, FACHM, MAPWCA, CHWS

Hiske Smart, RN, RM, MA (Nur), PGDip (WHTR), IIWCC-Can

Awais Siddique, MD

16 Lymphedema: Complete Decongestive Therapy 435

Victoria J. Magnan, OTR, CLT-LANA

Jeffrey A. Niezgoda, MD, FACHM, MAPWCA, CHWS

Jonathan A. Niezgoda, MA

17 Arterial Ulcers 467

Mary Y. Sieggreen, MSN, RN, CNS, NP , CVN

R. Gary Sibbald, MD, DSc (Hons), MEd, BSc, FRCPC (Med)(Derm), FAAD, MAPWCA, JM

Jeffrey A. Niezgoda, MD, FACHM, MAPWCA, CHWS

Awais Siddique, MD

18 Diabetic Foot Ulcers 493

Peter Andrew Crisologo, DPM

Lawrence A. Lavery, DPM, MPH

Paul J. Kim, DPM, MS

Javier La Fontaine, DPM, MSxii Contents

19 Sickle Cell Ulcers 528

Terry Treadwell, MD, FACS

20 Surgical Wounds and Surgical Reconstruction 542

Jonathan S. Black, MD, FACS, FAAP

Joyce M. Black, PhD, RN, FAAN

Barbara Delmore, PhD, RN, CWCN, MAPWCA, IIWCC-NYU

21 Tube, Drain, and Fistula Management 562

Linda J. Stricker, MSN, RN, CWOCN

Laurent O. Chabal, BSc, (CBP), RN, OncPall(Cert), Dip (WH), ETN, EAWT, HES-SO

22 Atypical Wounds 579

Robert S. Kirsner, MD, PhD, FAAD

Brian A. Cahn, MS

23 Spinal Cord Injury Population 603

Susan L. Garber, MA, OTR, FAOTA, FACRM

24 Adiposity and the Bariatric Patient 618

Susan Gallagher, PhD, MSN, MA, RN, CBN

Sharon Baranoski, MSN, RN, CCNS-APN, CWCN, MAPWCA, FAAN

25 Pressure Injuries in Neonatal and Pediatric Populations 632

Catherine Noonan Caillouette, MS, RN, CPNP-AC/PC, CWON

Sandy Quigley, MSN, RN, CPNP-PC, CWOCN

26 Palliative Skin and Wound Care 650

Diane K. Langemo, PhD, RN, FAAN

27 Wound Gallery 669

Sharon Baranoski, MSN, RN, CCNS-APN, CWCN, MAPWCA, FAAN

Elizabeth A. Ayello, PhD, MS, BSN, RN, CWON, ETN, MAPWCA, FAAN

APPENDICES

Definitions of the EPUAP/NPIAP/PPPIA 2019 Clinical Guideline

Strengths of Evidence and Strengths of Recommendations 679

Answers 681

Index 691

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