Ian Peate, OBE FRCN is Visiting Professor of Nursing, Visiting Senior Clinical Fellow, Editor-in-Chief of the British Journal of Nursing, and Head of School, School of Health Studies, Gibraltar.Melanie Stephens is Senior Lecturer in Adult Nursing at Salford University, Chairman of the University of Salford International Wound Management Committee, and Module Lead for Tissue Viability and Leg Ulcer Management Modules.

• Preface to the second edition viiAcknowledgements viiiHow to use your textbook ixAbout the companion website xiPart 1 Anatomy and physiology 11 The history of wound care 22 Anatomy and physiology of the skin 43 Psychological and social aspects of the skin 64 Body image 85 The skin and ageing 12Part 2 The normal healing process: acute wounds 156 Haemostasis 167 Inflammation 188 Proliferation (granulation and epithelialisation) 209 Maturation 2210 Factors affecting wound-healing 24Part 3 The abnormal healing process: chronic wound healing 2711 The impaired healing process 2812 Factors affecting wound-healing 3013 Nutrition and wound-healing 3214 Incontinence and wounds 3415 Vascular disease 36Part 4 Wound management in practice 3916 Assessment of skin 4017 Assessment of the patient with a wound 4218 Classification of wounds 4619 Legal and ethical aspects of wound care 4820 Documenting wounds and keeping records 5021 Evidence based practice 5222 Treatment options 5423 Pain management 56Part 5 Dressing selection 5924 Principles of wound management I 6025 Principles of wound management II 6126 Managing wound exudate: moist wound healing, hydration and maceration 6227 Generic wound products: mode of action 6428 Choosing a wound care product 6829 Use of topical antimicrobials and antibiotics 7030 Application of lotions, creams, emollients and ointments 7431 Advanced technologies 76Part 6 Complexities of wound care 7932 Pressure redistribution equipment 8033 Pressure ulcer classification and prevention 8234 Pressure ulcers 8635 Venous leg ulcers 8836 Lymphoedema 9037 Compression therapy 9238 Arterial ulcers 9439 Assessing for arterial disease: ankle–brachial pressure index and toe–brachial pressure index 9640 Interpreting ABPIs 10041 Diabetic foot ulcers 10242 Moisture lesions 10643 Surgical wounds 10844 Traumatic wounds 11245 Burns and scalds 11446 Atypical wounds 11647 Wounds in different populations 11848 Malignant wounds and palliative wound care 120Glossary 124References and further reading 126Index 128

Ian Peate, OBE FRCN is Visiting Professor of Nursing, Visiting Senior Clinical Fellow, Editor-in-Chief of the British Journal of Nursing, and Head of School, School of Health Studies, Gibraltar.Melanie Stephens is Senior Lecturer in Adult Nursing at Salford University, Chairman of the University of Salford International Wound Management Committee, and Module Lead for Tissue Viability and Leg Ulcer Management Modules.

• Preface to the second edition viiAcknowledgements viiiHow to use your textbook ixAbout the companion website xiPart 1 Anatomy and physiology 11 The history of wound care 22 Anatomy and physiology of the skin 43 Psychological and social aspects of the skin 64 Body image 85 The skin and ageing 12Part 2 The normal healing process: acute wounds 156 Haemostasis 167 Inflammation 188 Proliferation (granulation and epithelialisation) 209 Maturation 2210 Factors affecting wound-healing 24Part 3 The abnormal healing process: chronic wound healing 2711 The impaired healing process 2812 Factors affecting wound-healing 3013 Nutrition and wound-healing 3214 Incontinence and wounds 3415 Vascular disease 36Part 4 Wound management in practice 3916 Assessment of skin 4017 Assessment of the patient with a wound 4218 Classification of wounds 4619 Legal and ethical aspects of wound care 4820 Documenting wounds and keeping records 5021 Evidence based practice 5222 Treatment options 5423 Pain management 56Part 5 Dressing selection 5924 Principles of wound management I 6025 Principles of wound management II 6126 Managing wound exudate: moist wound healing, hydration and maceration 6227 Generic wound products: mode of action 6428 Choosing a wound care product 6829 Use of topical antimicrobials and antibiotics 7030 Application of lotions, creams, emollients and ointments 7431 Advanced technologies 76Part 6 Complexities of wound care 7932 Pressure redistribution equipment 8033 Pressure ulcer classification and prevention 8234 Pressure ulcers 8635 Venous leg ulcers 8836 Lymphoedema 9037 Compression therapy 9238 Arterial ulcers 9439 Assessing for arterial disease: ankle–brachial pressure index and toe–brachial pressure index 9640 Interpreting ABPIs 10041 Diabetic foot ulcers 10242 Moisture lesions 10643 Surgical wounds 10844 Traumatic wounds 11245 Burns and scalds 11446 Atypical wounds 11647 Wounds in different populations 11848 Malignant wounds and palliative wound care 120Glossary 124References and further reading 126Index 128