Wound Care Clinical Presentation

Updated: Feb 08, 2017
  • Author: Brian J Daley, MD, MBA, FACS, FCCP, CNSC; Chief Editor: Zubin J Panthaki, MD, CM, FACS, FRCSC  more...
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Presentation

Physical Examination

The Wound Healing Society often uses the mnemonic device TIME, which is a comprehensive description of the key elements associated with impaired wound healing, as follows:

  • T = Tissue: Note the presence of devitalized or necrotic tissue, as well as specific characteristics of the tissue surrounding the wound
  • I = Inflammation or infection: Note areas both within and surrounding the wound site
  • M = Moisture: Note the state of moisture balance and whether the wound is macerated
  • E = Edge of the wound: This includes assessing for reepithelialization versus nonadvancing or nonhealing edges; assessing the blood supply to the edges of the wound
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Complications

Complications of nonhealing wounds include the following:

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