Wound Healing: Alternatives in Management, 3d ed.

Kloth LC, McCulloch JM, eds. Philadelphia, PA 19103, FA Davis Co, 2002, hardcover, 597 pp, illus, ISBN: 0-8036-0833-0, $49.95.

Substantial restructuring characterizes the new edition of this classic textbook on integumentary repair. Several of these changes merit mention. The most obvious change is the collection of color slides containing 50 color pictures of wounds and their treatment. Second, the principles and recommendations from the second edition of the Guide to Physical Therapist Practice (Guide) are incorporated throughout the text. Third, 2 revised chapters dealing with electrical stimulation and alternative wound interventions are evidence based. In addition, a number of new chapter authors contribute their expertise and experience to the material.

The first section of the book deals with the wound-healing environment, including the normal healing process, and it also has an expanded chapter on nutrition. It features chapters on factors that hinder healing, bacteriology and infection control, and growth factors and cellular level physiology. Section II contains a single chapter that focuses on basic wound evaluation techniques. This chapter uses the information found in the Guide. Section III, "Principles and Techniques," details various debridement and irrigation modalities, provides information on electrical stimulation physiology, and outlines adjunctive treatments such as normothermic therapy, ultraviolet radiation, negative pressure therapy, hyperbaric oxygen, ultrasound, and diathermy. All of these interventions are presented using an evidence-based approach. The final section outlines case management of specific wound entities, such as the insensate foot, vascular wounds, and pressure ulcers. It also includes a new chapter (chapter 14) on documentation and reimbursement issues. The appendix to this chapter contains useful evaluation and documentation tools.

Other important features of this book include clinical case studies at the conclusion of each chapter that aptly illustrate the presented material. The book also emphasizes a holistic approach to wound care, rather than focusing on the local wound area. In addition, it presents material regarding Occupational Safety and Health Administration (OSHA) regulations regarding blood-borne pathogens. Appendixes at the end of each chapter offer practical additional materials and treatment ideas.

Overall, the third edition of this book is impressive in the depth and breadth of its information. The additions and revisions strengthen an already solid text and provide a comprehensive tool for students and clinicians at every level of expertise.

Cynthia Kunkel Scott, PT
University of Mississippi Medical Center
Jackson, Miss

Ms Scott is Associate Professor in the Physical
Therapy Program in the School of
Health-Related Professions where she
teaches wound care.