Abstract

When a patient with a chronic wound has been referred to me, a chain of thoughts and processes will be immediately initiated. As my approach to patients will always be holistic I will try to fully investigate the origin of that wound including the underlying cause. A systemic disease, which may have influence to origin and treatment needs assessment and then optimization, if not yet achieved. Co-factors have to be identified and then the actual wound can be assessed and graded. This may take more than one visit, but time is a powerful help in estimating the patient’s actual circumstances. Only then an individualized Plan of Care may be set up, which consists of multiple facets like treatment of cause, treatment of pain, addressing factors, which delay or prevent healing, educate the patient’s circle of care and turn to local wound care.