[PERSONALIZED APPROACH TO PATIENT WITH CHRONIC WOUND IN FAMILY MEDICINE]

Area of Science:

• Regenerative Medicine
• Wound Healing Research
• Dermatology

Background:

• Wound healing involves complex processes, often resulting in functionally suboptimal skin tissue.
• Excessive healing can manifest as fibrosis (hypertrophic scars, keloids) and adhesions, impacting skin function.
• Compromised microcirculation, local hypoxia, and lymphedema contribute to delayed healing and chronic wound development.

Purpose of the Study:

• To present a comprehensive, personalized care model for chronic wounds based on a biopsychosocial approach.
• To demonstrate the effectiveness of integrated diagnostic and therapeutic interventions in managing complex wound cases.
• To emphasize the crucial role of family physicians within a multidisciplinary team for chronic wound management.

Main Methods:

• Patient case presentation of a post-traumatic scar wound.
• Comprehensive assessment including wound evaluation, biofilm and lymphedema detection, psychosocial status, and risk factors.
• Multimodal treatment including vascular ultrasound, carboxytherapy, advanced wound dressings, compression therapy, and supportive psychotherapy.

Main Results:

• Successful wound healing and significant improvement in the patient's quality of life were achieved.
• The integrated care model positively influenced the wound healing process and patient well-being.
• Enhanced professional satisfaction resulted from the achieved treatment outcomes.

Conclusions:

• A personalized, biopsychosocial approach is effective in managing chronic wounds and improving patient outcomes.
• Specialized knowledge and skills are essential for family doctors to provide high-quality care for chronic wound patients.
• Multidisciplinary collaboration and advanced therapies are key to addressing the complexities of chronic wound management.