Arterial disease ulcers, part 2: treatment
Gregory Ralph Weir1, Hiske Smart, Jacobus van Marle
1Gregory Ralph Weir, MBChB, MMed(Surg), Certificate in Vascular Surgery, IIWCC (ZA) • Medical Director • Vascular and Hyperbaric Unit, Life Eugene Marais Hospital • Pretoria, South Africa Hiske Smart, MA, RN, PG Dip(UK), IIWCC (Toronto) • Nurse Manager • Wound Care and Hyperbaric Oxygen Therapy, King Hamad University Hospital • Muharraq Island, Kingdom of Bahrain Jacobus van Marle, MBChB, MMEd(Surg) • Consultant Vascular Surgeon • Medical University of South Africa • Pretoria, South Africa Frans Johannes Cronje, MBChB(UP), BSc(Hons), MSc • Associate Medical Director • Baromedical Facility, Tygerberg Hospital • Western Province, Cape Town, South Africa R. Gary Sibbald, BSc, MD, MEd, FRCPC(Med Derm), MACP, FAAD, MAPWCA • Professor of Public Health and Medicine • University of Toronto, Ontario, Canada • Director • International Interprofessional Wound Care Course & Masters of Science in Community Health (Prevention & Wound Care) • Dalla Lana School of Public Health, University of Toronto • Past President • World Union of Wound Healing Societies • Course Coordinator • International Interprofessional Wound Care Course at New York University Medical Center • Clinical Editor • Advances in Skin & Wound Care • Philadelphia, Pennsylvania.
This article outlines therapeutic strategies for arterial insufficiency, emphasizing wound bed preparation and patient-centered care. It guides clinical decision-making within an interprofessional team approach for optimal patient outcomes.
Area of Science:
- Vascular Medicine
- Wound Care Science
- Clinical Therapeutics
Background:
- Arterial insufficiency presents complex wound healing challenges.
- Effective management requires a structured, evidence-based approach.
- Integrating patient-specific needs is crucial for successful outcomes.
Purpose of the Study:
- To detail therapeutic options for arterial insufficiency.
- To propose a clinical strategy centered on wound bed preparation.
- To support interprofessional decision-making and patient-centered care.
Main Methods:
- Literature review of current therapeutic interventions.
- Application of the wound bed preparation paradigm.
- Integration of the International Inter-professional Wound Caring Model (2012).
Main Results:
- A framework for selecting therapies based on wound characteristics.
- Guidelines for patient-centered care planning.
- Emphasis on collaborative, interprofessional team strategies.
Conclusions:
- Personalized therapeutic approaches improve outcomes in arterial insufficiency.
- Wound bed preparation is fundamental to effective treatment.
- Interprofessional collaboration enhances patient care and decision-making.
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