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Edge of the Wound - Monitoring Healing

A diabetic ulcer with an undermined (worn and damaged) wound edge that is preventing the wound from healing.  


In a wound that is healing normally, new skin cells are formed and added to the edges and the base until it closes up. In many chronic wounds, this does not happen and the wound fails to close. Reasons for this include abnormal skin cells at the edges and base of the wound, or inhibitory factors in the wound exudate (fluid). In diabetic ulcers or pressure ulcers, the wound edge may be worn away or damaged (i.e. undermined) so that new skin cells cannot attach properly.



Managing wound closure

Wound closure may be promoted by addressing tissue viability, inflammation and infection and moisture levels in the wound. If however, the wound still fails to close, referral for more advanced treatment may be necessary.



Wound Assessment >


Wound Bed Preparation >