The Care of Wounds - A Guide for Nurses 4e
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The Care of Wounds addresses all aspects of holistic wound management. The fourth edition of this successful clinical text continues to reflect current research and evidence-based practice, while incorporating the considerable developments which have occurred in wound care practice since the previous edition. It includes chapters on the physiology of wound healing, general principles of wound management, wound management products, and the management of patients with both acute and chronic wounds. The title is an essential read for all nurses and healthcare professionals working in the field of tissue viability and wound healing.

  • Comprehensive and clinically-oriented
  • Examines best practice in wound management
  • Incorporates national and international clinical guidelines where applicable
  • Superbly illustrated with full colour throughout


Dr Carol Dealey is Senior Research Fellow at University Hospital Birmingham NHS Foundation Trust. She is a Council Member of the Tissue Viability Society and has served on the Boards of both the European Wound Management Society and the European Pressure Ulcer Society.


Preface vii

1 The physiology of wound healing 1

Introduction 1

Definitions associated with wounds 1

The structure of the skin 2

Wound healing 3

Impaired wound healing 9

Conclusion 12

2 The management of patients with wounds 15

Introduction 15

Physical care 15

Psychological care 39

Spiritual care 45

3 General principles of wound management 61

Introduction 61

Wound assessment 61

Managing wounds 77

Documentation 85

Evaluating the dressing 86

4 Wound management products 93

Introduction 93

The development of dressings through the ages 93

Traditional techniques 100

The use of lotions 102

Clinically effective wound management products 108

Modern wound management products 110

5 The management of patients with chronic wounds 127

Introduction 127

The prevention and management of pressure ulcers 127

The management of leg ulcers 149

Diabetic foot ulcers 165

The management of fungating wounds 170

6 The management of patients with acute wounds 185

Introduction 185

The care of surgical wounds 185

Traumatic wounds 199

The burn injury 205

Radiation reactions 216

7 The organisation of wound management 227

Introduction 227

Managing wounds in the community 227

Nurse specialists in wound care 228

Multiprofessional wound care 229

Wound healing centres 230

Conclusions 230

Index 233


“This is a well-written book that presents up-to-date information that is grounded in research. The author also presents guidelines from national and international groups that are helpful in problem-solving and management of wounds.”  (Doody’s, 7 June 2013)

“In summary, this text will prove to be a useful ”dip in” book for those involved with wounds and the reader will be grateful for the inclusion/reference to a large number and range of scoring tools/classification systems and relevant charts all in one place.”  (Nursing Times, 11 October 2012)

“An excellent resource in providing a holistic approach to wound care for both professionals and student nurses. Debbie Maddox, Community Staff Nurse

“A succinct, evidenced-based analysis of the care of wounds in the community and hospital…A very accessible well thought-out book which takes into consideration recent developments of wound management. Sara Hutton, Staff Nurse

“This book is a comprehensive guide of wound care know-how, that would be an excellent buy for student and qualified alike. Debbie Saunders, Student Nurse, University of East Anglia