Understand pressure injury staging, surgical wound classification, healing phases, and the key assessment cues our specialists use to prevent complications.
CORE PRINCIPLE
Prevention is always better than healing
01 • KNOW THE WOUND
Etiology Driven Evidence-Based Wound
High-risk wounds demand prevention and early intervention. Staging pressure injuries and monitoring for surgical complications can prevent costly delays and keep patients on the path to healing.
01
Pressure Injury.
Stages I–IV based on tissue damage: from skin redness to full-thickness with eschar. Risk factors include immobility, friction, moisture, and malnutrition. Frequent repositioning and skin integrity checks are essential.
02
Surgical Incision
Monitor closely for dehiscence (separation), seroma, hematoma, and infection. Primary closure intention means fast healing if undisturbed.
03
Venous Ulcer
Common near the medial ankle; expect edema, irregular borders, and heavy exudate. Compression therapy is central to healing.
04
Diabetic Foot Ulcer
Neuropathy and poor perfusion can delay healing — offloading is essential. Daily inspection helps catch problems early.
05
Arterial Ulcers
Wounds caused by reduced blood flow. Arterial ulcers often develop on the feet, toes, or lower legs. Care focuses on protecting the wound, reducing complications, and coordinating vascular evaluation when needed.
06
Traumatic Wounds
Specialized care following an injury. Cuts, falls, accidents, and skin trauma can create wounds that need close attention. We clean, protect, and manage the wound to support safe healing.
07
Non-Healing Wounds
Focused care when healing has stalled. These wounds may be affected by pressure, infection, diabetes, swelling, poor circulation, or nutrition. We identify the barriers and create a personalized treatment plan.
08
Skin Tears
Gentle treatment for delicate skin. Skin tears are common in older adults and people with fragile skin. Care protects the injured area, supports tissue repair, and helps prevent further damage.
02 • HEALING SEQUENCE
Hemostasis
The timeline varies, but the order stays consistent. Delayed healing often means something is interrupting the process.
1
Hemostasis
Immediately
Bleeding stops and a clot forms to protect the site.
2
Inflammation
DAYS 1-4
White blood cells clean debris; mild redness and warmth can be expected.
3
Proliferation
Days 4-21
Granulation, contraction, and epithelialization begin.
4
Maturation
WEEKS TO MONTHS
Collagen remodels and the scar gradually strengthens.
03 • ASSESS FIRST
Assess before you dress.
Location & cause What caused it, and where is it?
Tissue type Granulation, slough, eschar, or epithelial tissue.
Edges & periwound Check maceration, erythema, and rolled edges.
Size & depth Measure length, width, depth, and undermining.
Drainage Amount, color, consistency, and odor.
Pain & red flags New pain, odor, fever, or spreading redness.
KEEP CLOSE
High-priority checks.
1
Turn at least every 2 hours; use offloading and pressure-relief devices for high-risk patients.
2
Keep surgical sites clean and dry; watch for increased drainage, warmth, or separation.
3
Document staging and intervention for pressure injuries; assess incisions daily for signs of complication.
TREATMENTS
Personalized Treatment Options
WholeCare selects treatment according to the wound’s cause, severity, location, healing progress, and the patient’s overall health. A treatment plan may include one or more of the following services.
Advanced Dressings
Specialized protection for every stage of healing.
We use advanced wound dressings selected according to drainage, tissue condition, infection risk, and moisture needs. Dressings help protect the wound and create an environment that supports healing.
Debridement removes dead, damaged, or infected tissue that may delay healing. Our clinicians select the appropriate method based on the wound’s condition, the patient’s comfort, and the overall treatment plan.
Compression may be used for appropriate venous wounds and lower-leg swelling. The treatment helps improve blood return and control edema after circulation has been properly assessed.
Offloading helps remove pressure from diabetic foot ulcers and other pressure-related wounds. Treatment may include specialized footwear, padding, positioning, or other pressure-relieving devices.
When clinically appropriate, advanced biologic products or skin substitutes may be used to provide structural support and encourage tissue repair in wounds that have not progressed with standard treatment.
Our clinicians address wound care, pressure relief, infection risk, circulation concerns, and coordination with the patient’s healthcare team to help reduce complications and support limb preservation.
Debridement removes dead, damaged, or infected tissue that may delay healing. Our clinicians select the appropriate method based on the wound’s condition, the patient’s comfort, and the overall treatment plan.
Whether you need advanced wound care for yourself, a loved one, or a patient, our experienced team is ready to provide compassionate and personalized care where it is needed most.
Phone
(678) 469-3584 (717) 992-3459
Email
info@wholecaresg.org
Fax
(717) 617- 0066
Service Area
Central Pennsylvania Region
Hours
Mon-Fri: 8AM-6PM | 24/7 Emergency
Request WholeCare services
Complete the form below, and a member of our care team will contact you to discuss your wound care needs.