Enabling best practice using the wound prevention and management cycle

Preventing and managing wounds are complicated processes affected by numerous interacting factors. These factors can be intrinsic or extrinsic and might include personal health, skin and wound status, environmental concerns, and availability and access to resources. In combination, these factors can have a profound impact on the development of wounds and can slow or even halt the healing process. The wound care team is responsible for supporting the prevention of wounds and optimising the body’s ability heal itself in the case of existing wounds. Since 2000, Wounds Canada (formerly the Canadian Association of Wound Care)’s Best Practice Recommendations articles have provided healthcare providers with an easy-to-follow guide to best practice that is supported by the best available evidence, including current best practice guidelines. The revised recommendations outline a cycle consisting of five steps — assess/reassess, set goals, assemble the team, implement the plan of care and evaluate outcomes — to support patient-centred care. The discussion presented in each step of the cycle will assist the clinician in developing a customised plan of care, beginning with the initial assessment and continuing all the way through discharge, sustainability and beyond.


  • Heather Orsted

    Director, CAWC Institute of Wound Management and Prevention, and Clinical and Educational Consultant, Canadian Association of Wound Care, Calgary, Alberta, Canada

  • Kathryn Basset