The ABCESS System for Chronic Wound Management: A New Acronym for Lower Extremity Wound Management

Area of Science:

• Podiatry
• Wound Care
• Medical Education

Background:

• The TIME/DIME model has been a standard for wound bed management.
• Existing models require expansion to encompass all aspects of lower extremity wound healing.
• The need for a comprehensive framework to integrate new technologies in wound care is growing.

Purpose of the Study:

• To introduce the ABCESS acronym as a novel, comprehensive framework for assessing lower extremity wounds.
• To provide a teaching tool and organizational aid for wound care clinicians and students.
• To enhance the management of chronic lower extremity wounds by addressing all contributing factors.

Main Methods:

• Development of the ABCESS acronym: All aspects of the patient, wound Bed, Circulation, Edema/Exudate/Erythema, Skin, Social factors.
• Utilizing each letter as a framework for a complete patient assessment.
• Incorporating elements such as patient history, systemic disease overview, wound bed analysis (bioload, biofilm, biomarkers), circulation assessment, edema/exudate/erythema management, skin protection, and psychosocial factors.

Main Results:

• The ABCESS framework provides a structured approach to lower extremity wound assessment.
• It facilitates the integration of new guidelines and technologies into clinical practice.
• Offers a holistic view of the patient, addressing physical, biological, and psychosocial aspects.

Conclusions:

• The ABCESS acronym offers a comprehensive and adaptable framework for lower extremity wound assessment and management.
• It serves as an effective educational tool for clinicians and students in wound healing.
• This model promotes evidence-based care and maximizes healing potential by considering all patient factors.