Clarity is needed around the terms “wound care” (WC) and “wound management” (WM). WC pertains to the local management of wounds, while WM is the overall treatment of wounds and the entire patient. WM encompases all local and systemic treatments and also includes debridement, offloading strategies, prognostication (quaod vitam & quoad sanationem), ordering/interpreting of diagnostics (labs, x-rays, biopsies, MMP assays etc), diagnosis and treatment of infection and complications (abscesses, paronychia, sepsis, cellulitis, DVT, compartment syndrome, flesh eating disease, gangrene, etc), chronic disease management (dm, pvd, anemia et).WC is within the scope of practice for most nurses, while WM is within the scope of a wound specialist MD. Thus, WC, is but a small component of the overencompassing and all inclusive WM.
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