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Chronic Wound Care: A Clinical Source Book for Healthcare Professionals.


The editor, a registered nurse and certified See certification.  enterostomal enterostomal

relating to or having undergone an enterostomy.
 nurse, and 62 additional authors contributed to this book. Thirty-two percent of the authors have doctoral degrees in their fields, 50% are registered nurses, and the remainder have specific clinical or business experience relevant to their contributions. The sole physical therapist who contributed is a private practitioner and consultant.

The goal of this book is to present up-to-date information and differing views on valid approaches to chronic wound management. The editor states,

The sharing and the dialogue between

healthcare professionals that this book

reflects is perhaps its most unique contribution

.... For it is through a multi-disciplinary

approach that the best and

most comprehensive management of

chronic wounds can be attained.

The book is presented in three parts. The first part. consisting of 30 chapters, presents an overview of wound healing wound healing Physiology The repair of a wound Steps Inflammation, repair and closure, remodeling, final healing; repair of incisions may be either simple–'clean' wounds with little loss of tissue heal by 'primary intention', or 'dirty' wounds heal by , wound care systems, documentation, specialty beds and support systems, nursing programs for prevention and care of pressure ulcers Pressure ulcer
Also known as a decubitus ulcer, pressure ulcers are open wounds that form whenever prolonged pressure is applied to skin covering bony outcrops of the body. Patients who are bedridden are at risk of developing pressure ulcers.
, nutritional and social work perspectives, and discussions of the most frequently occurring chronic wounds.

Part 2, containing 14 chapters, explores controversies from the viewpoints of academicians, clinicians, and industrial representatives. Topics include natural and synthetic dressings and medications, infection control, baromedicine, laser treatments, surgical grafts and flaps, and a single chapter on the role of the physical therapist in wound care.

Part 3, entitled en·ti·tle  
tr.v. en·ti·tled, en·ti·tling, en·ti·tles
1. To give a name or title to.

2. To furnish with a right or claim to something:
 "Future Directions," provides six chapters that address growth factors, allografts allografts (al´graf´ts),
n.pl the transplantation of tissue between genetically nonidentical individuals of the same species.
, trends in synthetic dressings, and the usefulness of a skin care team.

Current references are provided at the end of all chapters, and an appendix lists wound care products by generic category with notation notation: see arithmetic and musical notation.


How a system of numbers, phrases, words or quantities is written or expressed. Positional notation is the location and value of digits in a numbering system, such as the decimal or binary system.
 of manufacturer.

Given the editor's purpose of offering various individuals' viewpoints on chronic wound care, the text is successful. Although the information and concepts are primarily those of physicians, nurses, and industrial representatives, major portions of the book would be of interest to most health care professionals.

The weakness of this text lies in the substantial lack of coverage of physical therapists' wound care protocols and accompanying research, The lack of recognition of physical therapists as potential contributors to this volume is disappointing and is indicative of the purview The part of a statute or a law that delineates its purpose and scope.

Purview refers to the enacting part of a statute. It generally begins with the words be it enacted and continues as far as the repealing clause.
 claimed by nurses. Chapter 49 explicitly states that nurse specialists such as enterostomal nurses are the logical choices to serve as chairmen of skin care teams. Physical therapists' skills are enumerated This term is often used in law as equivalent to mentioned specifically, designated, or expressly named or granted; as in speaking of enumerated governmental powers, items of property, or articles in a tariff schedule.  but did not include direct wound care. With this caveat in mind, physical therapists and physical therapist assistants could find the book of benefit in broadening their understanding of other professionals' perspectives in wound care physiology and wound care products and procedures. Practices considered reasonable 10 years ago may now be unacceptable.
COPYRIGHT 1992 American Physical Therapy Association, Inc.
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 1992, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Article Details
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Author:Peck, John D.
Publication:Physical Therapy
Article Type:Book Review
Date:Jun 1, 1992
Words:436
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