
A107B A Guide to Complex Wound Care
Course summary
This course provides healthcare professionals with an in-depth understanding of the pathophysiology, assessment, and management of complex wounds. Participants will develop practical, evidence-based skills to confidently address chronic non-healing wounds, diabetic foot ulcers, and wound dehiscence. Through theoretical content and interactive case studies, attendees will enhance patient outcomes in hospital and community care settings.
Who should attend?
This course is intended for healthcare practitioners who encounter complex wounds in their practice and are looking to enhance their knowledge and skills, such as:
- Nurse Practitioners
 - Ward-based Nurses
 - Practice Nurses
 - Community Nurses
 - Allied Health Professionals
 
Aims / objectives
By the end of the course, participants will be able to:
- Understand skin anatomy, physiology, and the complex pathophysiology of wounds.
 - Recognize normal wound healing phases and factors leading to chronicity.
 - Perform comprehensive wound assessments using evidence-based models.
 - Apply advanced wound care techniques, including wound bed preparation, debridement, and negative pressure therapy.
 - Improve patient outcomes through holistic management of complex wounds.
 
Course programme
- Anatomy and Physiology of the Skin
- Skin layers: epidermis, dermis, hypodermis
 - Key structures: blood vessels, nerves, glands
 - Functions: barrier, thermoregulation, sensation, immunity
 
 Phases of Normal Wound Healing & Chronic Wounds
- Normal Healing Phases: Hemostasis, Inflammation, Proliferation, Remodeling
 - Chronic Wounds: How each healing phase can be disrupted
 - Visual comparison: normal vs chronic wound healing
 
Pathophysiology of Complicated Wounds
- Chronic Non-Healing Wounds:
- Causes: poor circulation, infection, comorbidities
 - Infection & Biofilm: impact on healing, management strategies
 
 - Primary and Secondary Intention Healing:
- Overview of the two healing processes and their clinical implications
 - Examples of wounds healing by primary vs. secondary intention
 
 - Diabetic Foot Ulcers: neuropathy, ischemia, infection, prevention and management
 - Wound Dehiscence: causes, risks, and management strategies
 
- Chronic Non-Healing Wounds:
 4. Comprehensive Wound Assessment
- Evaluate wound size, depth, tissue type, exudate, infection
 - Identify patient risk factors (diabetes, nutrition, mobility)
 - Assessment Models:
- TIMERS: Tissue, Infection/Inflammation, Moisture, Edge, Repair/Regeneration, Surrounding skin
 - Triangle of Wound Assessment: wound, patient, environment
 
 
5. Evidence-Based Management Approaches
- Wound Bed Preparation / Hygiene:
- Moisture balance, debridement, infection control, edge management
 
 - Debridement Methods:
- Autolytic
 - Larval (maggot therapy)
 - Conservative sharp
 - Chemical
 - Mechanical
 
 - Wound Cleansing: choosing appropriate solutions
 - Dressing Selection: foam, hydrocolloid, alginate, hydrogel, antimicrobial, superabsorbent
 - Negative Pressure Wound Therapy (NPWT):
- Theoretical overview of NPWT principles and its role in promoting wound healing
 
 - Theoretical overview of NPWT principles and its role in promoting wound healing
 
- Wound Bed Preparation / Hygiene:
 - Practice Scenarios and Case Studies:
Through hands-on exercises and case studies, participants will apply their knowledge to real-life clinical situations. This section will:- Present a series of wound care challenges, from initial assessment to long-term management.
 - Allow participants to work through patient cases, considering both the wound itself and the holistic care of the patient, including pain management, infection control, and the psychosocial impact of chronic wounds.
 
 
Led by
TBA
