Comprehensive Wound Management

Glenn L. Irion, PhD, PT, CWS, is a retired Certified Wound Specialist through the American Academy of Wound Management and Professor of Physical Therapy. He has taught integumentary and cardiovascular and pulmonary physical therapy and basic science for more than 30 years at the University of Central Arkansas and University of South Alabama and retired recently from Emory & Henry College. His clinical practice has included wound management, cardiopulmonary rehabilitation, and intensive care unit in both hospital and outpatient settings. He received a PhD in physiology at Temple University School of Medicine and furthered his research skills at the Medical College of Virginia (Virginia Commonwealth University) and the University of Cincinnati/Cincinnati Children’s Hospital. He is the author of more than 50 research articles and co-editor with his wife Jean of Women’s Health in Physical Therapy. Jennifer A. Gardner, PT, DPT, MHA, CWS, has been a physical therapist since 1997 and a Certified Wound Specialist through the American Academy of Wound Management since 2001. She is the Clinical Director for Reapplix and its product, 3C Patch. Prior to joining the industry side of wound care, Dr. Gardner managed a wound care center, working with a multidisciplinary team of surgeons and nurses. In addition, she is an adjunct professor at Stockton University in Galloway, New Jersey, teaching integumentary to doctoral physical therapy students. Dr. Gardner is also one of the founding members of the American Physical Therapy Association Integumentary Specialty Council. She received her master’s in physical therapy from Ithaca College and her doctorate in physical therapy from Temple University as well as her master’s in health care administration from Walden University. Rose M. Pignataro, PT, DPT, PhD, CWS, CHES, is a Certified Wound Specialist through the American Academy of Wound Management and Certified Health Education Specialist through the National Commission for Health Education Credentialing. She has been a physical therapist since 1990, with a clinical background in wound prevention and management, cardiopulmonary physical therapy, adult rehabilitation, and home health. Dr. Pignataro has been teaching integumentary physical therapy since 1999. She received a bachelor’s degree in physical therapy from Hunter College: City University of New York, a master’s degree in health science education and a doctorate of physical therapy from Stony Brook University, and a PhD in public health from West Virginia University. Dr. Pignataro is currently a member of the faculty and the Assistant Chair at Emory & Henry College Department of Physical Therapy. She also serves on the education committee for the American Physical Therapy Academy of Clinical Electrophysiology and Wound Management.

Dedication Acknowledgments About the Authors Preface Chapter 1 Anatomy and Physiology of Skin Chapter 2 Normal Healing Chapter 3 Abnormal Healing Chapter 4 Nutrition, Medications, and Substance Use Chapter 5 Infection Control Chapter 6 Pain Management Chapter 7 History Taking Chapter 8 Physical Examination Chapter 9 Wound Assessment Chapter 10 Pressure Injuries Chapter 11 Neuropathic Ulcers Chapter 12 Vascular Ulcers Chapter 13 Traumatic and Surgical Wounds Chapter 14 Burn Injuries Chapter 15 Wound Bed Preparation Chapter 16 Selection and Application of Dressings Chapter 17 Adjunct Interventions and Scar Management Chapter 18 Special Cases Chapter 19 Documentation Chapter 20 Plan of Care Chapter 21 Regulations and Reimbursement Index