Paradigm shift from wound care towards wound prevention and integrated care

Historically, wound care has referred to the diagnosis and treatment of wounds. As a result, insurance companies reimburse for chronic wound care and focus on rapid wound healing as a measure of quality. But is no wound even better than a rapidly healed one? A wound is a defect involving the skin with a pathophysiological substrate and is the end of a process with early dermatological signs and symptoms. Therefore, it is important to begin with risk stratification and prevention before a wound develops, in conjunction with maintenance compression therapy to prevent frequent recurrences. 

Author

  • RJ Damstra

    Dermatologist, Expert Center for Wound and Compression Care, Dutch Expertise Center of Lympho-vascular Medicine, Nij Smellinghe Hospital, The Netherlands