Ian Peate, OBE FRCN is Visiting Professor of Nursing, Visiting Senior Clinical Fellow, Editor-in-Chief of the British Journal of Nursing, and Head of School, School of Health Studies, Gibraltar.

Melanie Stephens is Senior Lecturer in Adult Nursing at Salford University, Chairman of the University of Salford International Wound Management Committee, and Module Lead for Tissue Viability and Leg Ulcer Management Modules.

Preface to the second edition vii

Acknowledgements viii

How to use your textbook ix

About the companion website xi

Part 1 Anatomy and physiology 1

1 The history of wound care 2

2 Anatomy and physiology of the skin 4

3 Psychological and social aspects of the skin 6

4 Body image 8

5 The skin and ageing 12

Part 2 The normal healing process: acute wounds 15

6 Haemostasis 16

7 Inflammation 18

8 Proliferation (granulation and epithelialisation) 20

9 Maturation 22

10 Factors affecting wound-healing 24

Part 3 The abnormal healing process: chronic wound healing 27

11 The impaired healing process 28

12 Factors affecting wound-healing 30

13 Nutrition and wound-healing 32

14 Incontinence and wounds 34

15 Vascular disease 36

Part 4 Wound management in practice 39

16 Assessment of skin 40

17 Assessment of the patient with a wound 42

18 Classification of wounds 46

19 Legal and ethical aspects of wound care 48

20 Documenting wounds and keeping records 50

21 Evidence based practice 52

22 Treatment options 54

23 Pain management 56

Part 5 Dressing selection 59

24 Principles of wound management I 60

25 Principles of wound management II 61

26 Managing wound exudate: moist wound healing, hydration and maceration 62

27 Generic wound products: mode of action 64

28 Choosing a wound care product 68

29 Use of topical antimicrobials and antibiotics 70

30 Application of lotions, creams, emollients and ointments 74

31 Advanced technologies 76

Part 6 Complexities of wound care 79

32 Pressure redistribution equipment 80

33 Pressure ulcer classification and prevention 82

34 Pressure ulcers 86

35 Venous leg ulcers 88

36 Lymphoedema 90

37 Compression therapy 92

38 Arterial ulcers 94

39 Assessing for arterial disease: ankle-brachial pressure index and toe-brachial pressure index 96

40 Interpreting ABPIs 100

41 Diabetic foot ulcers 102

42 Moisture lesions 106

43 Surgical wounds 108

44 Traumatic wounds 112

45 Burns and scalds 114

46 Atypical wounds 116

47 Wounds in different populations 118

48 Malignant wounds and palliative wound care 120

Glossary 124

References and further reading 126

Index 128