title: Co-factors in impaired wound healing.
abstract: Caring for individuals with chronic wounds is a complex process that requires a multi-disciplinary approach. Age, insufficient oxygenation/perfusion, malnutrition, bioburden, excess pressure, psychophysiological stress, concomitant conditions and adverse effects of treatment are the co-factors addressed in this manuscript. The evaluation of these co-factors is typically integrated into the initial history, physical, and ongoing assessment. Early identification of these co-factors allows the practitioner to establish a differential diagnosis, initiate proper referrals, and develop a comprehensive plan of care. Management of local and systemic co-factors that impact repair will mitigate their adverse effects and facilitate healing of the individual's chronic wound.
authors.forename: N A
authors.initials: NA
authors.lastname: Stotts
authors.forename: D
authors.initials: D
authors.lastname: Wipke-Tevis
mesh_terms: D002908:Chronic Disease; D003937:Diagnosis, Differential; D006801:Humans; D009730:Nursing Assessment; D010347:Patient Care Planning; D012017:Referral and Consultation; D012307:Risk Factors; D014945:Wound Healing; D014947:Wounds and Injuries / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy