Wound Care Today

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WOUND CARE TODAY 2017,Vol 4, No 1 3
EDITORIAL i
New national indicators for 2017–19 include ‘improving
the assessment of wounds’, with community services
placing a greater emphasis on wound care to ensure
better patient and system outcomes (NHS England, 2016).
This volume of Wound Care Today is tailored to helping nurses
in the community undertake systematic and thorough wound
assessment to get better outcomes and
thus meet performance targets in line with
the CQUIN framework.
By focusing on the principles of
the acronymTIME (tissue, infection/
inflammation, moisture imbalance and
edge of wound), the articles each explore
and explain these inter-related clinical
components of wound bed preparation,
including the recent addition of‘S’(surrounding skin) to this
framework (pp. 44–45). How this model can be used in practice
is demonstrated through a patient story (pp. 48–50), while the
importance of measuring patients’ankle brachial pressure index
(ABPI) on a regular basis is also highlighted (pp. 51–52).
Throughout the journal there are snapshot learning features,
providing a quick and easy guide to using products in practice.
This issue is also available for free on our website
ng with other educational materials to improve
your understanding of wound assessment, such as the wound
assessment module endorsed by the European Wound
remember to log it in your free JCN revalidation e-portfolio, as
evidence of continued learning
Binkie Mais, editor, Wound Care Today
Managing director
Nicola Rusling
Publisher/editor
Binkie Mais
Business director
Alec O’Dare
07535 282827
Sales manager
Sam Ciotkowski
Opinions expressed in the articles are those of the authors and
do not necessarily reflect those of Wound Care People Limited.
Any products referred to by the authors should only be used as
recommended by manufacturers’data sheets.
Accurate and ongoing
wound assessment today
WOUND CARE TODAY
©Wound Care People Limited 2017
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Bidford on Avon, Alcester B50 4JS
ISSN 2054-9636
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All rights reserved. No part of the Wound Care Today journal may
be reproduced, stored in a retrieval system or transmitted by any
means electronic or mechanical, photocopied or otherwise without
the prior written permission of Wound Care People Limited.
Printed in England by Blackmore Ltd, Shaftesbury
Picture on front cover courtesy of:
AppleZoomZoom at Shutterstock
i Contents
6 Wound watch — It’s TIME to get to
grips with wound assessment in
the community
8 At a glance — CQUIN and wound
assessment: what does it mean for you?
Jackie Stephen-Haynes, Rosie Callaghan
12 TIME to identify and manage tissue types
present in the wound bed
Kathryn Vowden
18 Snapshot learning — Debrisoft® and
Debrisoft® Lolly
20 Infection and inflammation: assessment
and treatment
Kirsty Mahoney
28 Snapshot learning — Cutimed® Sorbact®
30 Moisture balance: why it matters and
how to achieve it
Sarah Pankhurst, Alison Parnham
36 Snapshot learning — Vliwasorb® Pro
38 Edging quickly towards wound closure:
optimising the ‘E’ of TIME
Jeanette Milne
44 Structured skin assessment: introducing
the ‘S’ of TIMES
John Timmons
46 Snapshot learning — Self-care solutions
for venous leg ulcers
48 TIMES in practice: assessment and
management of a patient with a VLU
Joy Tickle
51 ABPI: an essential component of holistic
wound assessment
Natalie Freeman
54 Snapshot learning — MESI ABPI MD