Clinical Practice

Quick Reference Guides (PDF)
Recommendations for Practice: Prevention & Treatment of Diabetic Foot Ulcers
Recommendations for Practice: Prevention & Treatment of Venous Leg Ulcers
Recommendations for Practice: Prevention & Treatment of Pressure Ulcers
Recommendations for Practice: Preparing the Wound Bed

Clinician Section

Visit this area for updates on wound care specialty practice groups.

Articles

To view articles listed by topic, click here.

Best Practice Articles
Opinion leaders selected by the CAWC have written and published articles covering the recommendations for best practices in the areas of diabetic foot ulcers, pressure ulcers, venous leg ulcers, preparing the wound bed and the principles of wound healing.

The most recent versions were published in 2006 in Wound Care Canada. You can read these articles, in English or French, by visiting the Wound Care Canada Best Practice issue page.

The original set of these "Best Practice" articles were publish in Ostomy/Wound Management (www.o-wm.com), and are reprinted here these articles are reproduced here (as PDF documents) in their entirety. If you do not have Adobe Acrobat Reader, you can download it from the Adobe Web site.

Best Practices for the Prevention, Diagnosis, and Treatment of Diabetic Foot Ulcers • Shane Inlow, MD; Heather Orsted, RN, BN, ET; and R. Gary Sibbald, BSc, MD, FRCPC (Med), FRCPC (Derm)

Best Practices for the Prevention and Treatment of Pressure Ulcers • Ken Dolynchuk, MD, PhD, FRCSC, FACS; David Keast, MD, CCFP; Karen Campbell, RN, MScN, NP; Pam Houghton, BSc, PT, PhD; Heather Orsted, RN, BN, ET; Gary Sibbald, MD, FRCPC(C); and Angela Atkinson, RN, BN, ET

Best Practices for the Prevention and Treatment of Venous Leg Ulcers • Brian Kunimoto, MD, FRCPC; Maureen Cooling, RN, ET; Wayne Gulliver, MD, BMSc, FRCPC; Pamela Houghton, BSc, PT, PhD; Heather Orsted, RN, BN, ET; and R. Gary Sibbald, MD, FRCPC

Preparing the Wound Bed — Debridement, Bacterial Balance, and Moisture Balance • R. Gary Sibbald, MD, FRCPC; Diane Williamson, MB, MRCP(UK); Heather L. Orsted, RN, BN, ET; Karen Campbell, RN, MScN; David Keast, MD, CCFP; Diane Krasner, PhD, RN, CWOCN, CWS, FAAN; and Debra Sibbald, BScPhm

Principles of Wound Care (PDF) • David Keast, MD, CCFP; Heather Orsted, RN, BN, ET (originally published: Ostomy/Wound Management. 1998;44 (8):24-8, 30-1)

Other OWM Articles
The articles listed below are presented here (as PDF documents), with the kind permission of Ostomy/Wound Management (www.o-wm.com)

Woodbury MG, Houghton PE. Prevalence of pressure ulcers in Canadian health-care settings. Ostomy/Wound Management. 2004;50(10):22-38.

Preparing the Wound Bed 2003: Focus on Infection and Inflammation • R. Gary Sibbald, MD; Heather Orsted, RN, ET; Gregory S. Schultz, PhD; Patricia Coutts, RN; and David Keast MD, for the International Wound Bed Preparation Advisory Board and the Canadian Chronic Wound Advisory Board

Searching for Evidence-Based Medicine in Wound Care: An Introduction • Siobhan Ryan, MD, FRCPC; Laure Perrier, Med, MLIS; and R. Gary Sibbald, MD, FRCPC

Ultraviolet Light C in the Treatment of Chronic Wounds with MRSA: A Case Study • Thao Pl Thai, BScPT, MSc; Pamela E. Houghton, BscPT, PhD; David H Keast, MD CCFP; Karen E. Campbell, RN MScN, Np; and M. Gail Woodbury, BScPT, MSc, PhD

Cost-effectiveness of Becaplermin for Nonhealing Neuropathic Diabetic Foot Ulcers • R. Gary Sibbald, MD, FRCPC; George Torrance, PhD; Maragert Hux, MSc; Cheryl Attard, MSc; and Natalie Milkovich, MSc

Intact Skin – An Integrity Not to be Lost • R. Gary Sibbald, MD, FRCPC(Med)(Derm); Karen Campbell, RN, MScN, NP/CNS; Patricia Coutts, RN; and Douglas Queen, BSC, PhD, MBA

The Process of Developing Best Practice Guidelines for Nurses in Ontario: Risk Assessment and Prevention of Pressure Ulcers • Frances E. MacLeod, RN, MScN; Margaret B. Harrison, RN, PhD; and Ian D. Graham, PhD

Chronic Wound and Palliative Cancer Care • Douglas Queen, BSc, PhD, MBA; Kevin Woo, RN, MSc, PhD(cand), ACNP, GNC(C); Valerie N. Schulz, MD, FRCPC (Anesth), MPH; and
R. Gary Sibbald, MD, FRCPC (Med) (Derm)

A Consensus Report on the Use of Vacuum-Assisted Closure In Chronic,
Difficult-To-Heal Wounds • R. Gary Sibbald, MD, FRCPC; James Mahoney, MD, FRCSC; and The V.A.C.® Therapy Canadian Consensus Group

An Evaluation of the Canadian Ostomy Assessment Guide • Diane St-Cyr, RN, ET, BSc, MEd

A Comparison Of Computer-Assisted And Manual Wound Size Measurement • Habiba A. Thawer, BScPT, MSc, PhD; Pamela E. Houghton, BScPT, PhD; M. Gail Woodbury,
BScPT, MSc, PhD; David Keast, MSc, MD, CCFP; and Karen Campbell, MScN, RN, NP/CNS

Other Articles
Assessment of Venous Leg Ulcers: An In-depth Discussion of a Literature-Guided Approach (PDF) • Brian T. Kunimoto

Management and Prevention of Venous Leg Ulcers: A Literature-Guided Approach (PDF) • Brian T. Kunimoto

The Impact of Musculoskeletal Changes on the Dynamics of the Calf Muscle Pump (PDF)
• Heather Orsted, RN, BN, ET; Lori Radke, BScPT; and Richelle Gorst, BScPT

High Bacterial Load in Asymptomatic Diabetic Patients with Neurtrophic Ulcers Retards Wound Healing after Application of Dermigraft® (PDF)
• Anne C. Browne, MB, MICGP; Mary Vearncombe, MD, FRCPD; and R. Gary Sibbald, MD, FRCPC

Physician's SOLUTIONS References (PDF) for Weisz and Benjamin article: Less than the best: Care of patients with diabetic food wounds

Outline of presentation (Word RTF file) on "Hard to Heal Leg Ulcers," given by Alain Brassard, MD, FRCPC; Diane St.Cyr, RN, ET, M.Ed. and Hakeem Sam, MD, PhD at the 9th Annual CAWC Conference, November 2003

Articles from Wound Care Canada
Managing the Challenges of Enterocutaneous Fistulas (PDF) • Kathryn Kozell, Lina Martins

Innovative Treatments for Elderly Patients with Contractures: A Clinical Experience (PDF) • Teresa A. Hurd

Peri-wound Skin Protection: A Comparison of a New Skin Barrier vs. Traditional Therapies in Wound Management (HTML) • Patricia Coutts, Douglas Queen, R. Gary Sibbald

The Interdisciplinary Urgency Tool: A Comprehensive Wound-Care Referral Form
(HTML) • Richelle Gorst, Gillian Bagg, Martine Albert, Nancy Couture

Ask the Expert - The Challenges of Compression (PDF) • R. Gary Sibbald

To view other Wound Care Canada articles, please visit the WCC Web site.

Literature Reviews
Visit the Wound Care Canada section of this Web site for a selection of literature reviews.

Articles from the Former Newsletter of the CAWC– Exploration
Health of the Aging Foot • Shane Inlow MD

An Approach to Chronic Wounds: Why You Shouldn't Listen to Your Mom • Brian Kunimoto, MD

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