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Hard-to-heal wounds

Clinical/pre-clinical research

Wound hygiene

Using patient-reported experiences to inform the use of foam dressings for hard-to-heal wounds: perspectives from a wound care expert panel

02 December 2024

Practice

02 December 2024

Volume 8 · Issue 3

ISSN (online): 2514-2585

Abstract

Caring for patients with hard-to-heal (chronic) wounds requires a multifaceted approach that addresses their diverse needs, which can contribute to the complexity of care. Wound care providers must have a comprehensive understanding of the patient's comorbid conditions and psychosocial issues to provide personalised and effective treatment. Key quality indicators for effective wound care involves not only selecting appropriate local wound care products, such as foam dressings, but also addressing individual patient experiences of wound-related pain, odour, itch, excessive wound drainage, and self-care needs. The purpose of this review is to inculcate the wound care practice community, research scientists and healthcare industry with a sense of accountability in order to work collaboratively in addressing these unmet care needs.

Skin serves as the primary barrier of the body's integumentary system against mechanical, thermal, chemical and physical injury, as well as pathogens.¹ Although a universally accepted definition remains elusive, chronic wounds are aptly referred to as hard-to-heal wounds. These wounds tend to follow a protracted and circuitous healing pathway that is punctuated with frequent complications and characterised by chronic inflammatory response instead of an expected linear trajectory of healing.² Whether the predominant aetiology is related to mechanical pressure damage, venous stasis, arterial insufficiency or diabetic neuropathy, hard-to-heal wounds are estimated to affect 1.67 per 1000 population (95% confidence interval: 0.83–2.80) globally.³ Evolving demographics reveal a trend of people living longer with multimorbidity that will likely contribute to the growing number of hard-to-heal wounds. Their ongoing care and management places a significant societal and economic burden on the health system. For many affected patients, their quality of life (QoL) is manifestly compromised.⁴

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