wound bed preparation, stalled wound, chronic wound, holistic approach, leg and foot ulcers, healable and nonhealable wounds, maintenance wounds



  1. Sibbald, R. Gary BSc, MD, Med, FRCPC (Med Derm), MACP, FAAD, MAPWCA
  2. Goodman, Laurie BA, RN, MHScN
  3. Woo, Kevin Y. PhD, RN, FAPWCA
  4. Krasner, Diane L. PhD, RN, CWCN, CWS, MAPWCA, FAAN
  5. Smart, Hiske MA, RN, PG Dip (UK), IIWCC (Canada)
  6. Tariq, Gulnaz RN, BSN, PG Dip (Pak)
  7. Ayello, Elizabeth A. PhD, RN, ACNS-BC, CWON, MAPWCA, FAAN
  8. Burrell, Robert E. PhD, MSc
  9. Keast, David H. MD, MSc, BSc(Hon), DipEd, CCFP, FCFP
  10. Mayer, Dieter MD, FEBVS, FAPWCA
  11. Norton, Linda BScOT, OT Reg(ONT), MScCH
  12. Salcido, Richard "Sal" MD


PURPOSE: To enhance the learner's knowledge and competence in wound bed preparation.


TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care.


OBJECTIVES: After participating in this educational activity, the participant should be better able to:


1. Assess wounds to classify them and determine prognosis.


2. Apply evolving evidence regarding effective wound bed preparation and recommend patient-specific therapy.



This article builds and expands upon the concept of wound bed preparation introduced by Sibbald et al 2000 as a holistic approach to wound diagnosis and treatment of the cause and patient-centered concerns such as pain management, optimizing the components of local wound care: Debridement, Infection and persistent Inflammation, along with Moisture balance before Edge effect for healable but stalled chronic wounds.