Special considerations in wound bed preparation 2011: an update

  • R G Sibbald University of Toronto
  • L Goodman Toronto Regional Wound Clinics
  • K Y Woo Queen’s University
  • D L Krasner Rest Haven-York
  • H Smart Stellenbosch University
  • G Tariq Sheikh Khalifa Medical City
  • E A Ayello Excelsior College School of Nursing
  • R E Burrell University of Alberta
  • D H Keast Lawson Health Research Institute
  • D Mayer University Hospital of Zurich
  • L Norton Shoppers Home Health Care
  • R Salcido Advances in Skin
Keywords: wound bed preparation, stalled wound, chronic wound, holistic approach, leg and foot ulcers, healable and nonhealable wounds, maintenance wounds


This article builds and expands upon the concept of wound bed preparation introduced by Sibbald et al in 2000 as a holistic approach to wound diagnosis and treatment of the cause and patient-centered concerns such as pain management, optimizing the components of local wound care: Debridement, Infection and persistent Inflammation, along with Moisture balance before Edge effect for healable but stalled chronic wounds.

Author Biographies

R G Sibbald, University of Toronto
BSc, MD, Med, FRCPC (Med Derm), MACP, FAAD, MAPWCA Professor Public Health Sciences and Medicine Director International Interprofessional Wound Care Course and Masters of Science in Community Health Dalla Lana School of Public Health University of Toronto Ontario Canada President World Union of Wound Healing Societies Clinical Associate Editor Advances in Skin Wound Care Ambler Pennsylvania
L Goodman, Toronto Regional Wound Clinics
BA, RN, MHScN Director Mississauga Halton Wound Care Initiative Toronto Regional Wound Clinics Toronto Ontario Canada
K Y Woo, Queen’s University
PhD, RN, FAPWCA Assistant Professor Faculty of Health Sciences School of Nursing Queens University Kingston Ontario Canada Wound Care Consultant West Park Health Centre Toronto Ontario Web Editor Advances in Skin and Wound Care
D L Krasner, Rest Haven-York
PhD, RN, CWCN, CWS, MAPWCA, FAAN Clinical Nurse Specialist/Wound Ostomy Continence Nurse Rest Haven-York York Pennsylvania Wound and Skin Care Consultant
H Smart, Stellenbosch University
MA, RN, PG Dip (UK), IIWCC (Canada) Clinical Nurse Specialist and IIWCC Course Coordinato South Africa Division of Community Health Department of Interdisciplinary Health Sciences Stellenbosch University Stellenbosch South Africa
G Tariq, Sheikh Khalifa Medical City
RN, BSN, PG Dip (Pak) Wound Care Specialist Sheikh Khalifa Medical City Abu Dhabi United Arab Emirates IIWCC Course Coordinator Abu Dhabi
E A Ayello, Excelsior College School of Nursing
PhD, RN, ACNS-BC, CWON, MAPWCA, FAAN Faculty Excelsior College School of Nursing Albany New York President Ayello, Harris Associates, Inc Copake New York Clinical Associate Editor Advances in Skin and Wound Care Amber Pennsylvania Executive Editor Journal of World Council of Enterostomal Therapists Co-Director International Interdisciplinary Wound Care Course University of Toronto Senior Advisor The John A. Hartford Institute for Geriatric Nursing Co-Secretary World Union of Wound Healing Societies
R E Burrell, University of Alberta
PhD, MSc Professor and Chair Department of Biomedical Engineering Faculties of Engineering and Medicine and Dentistry Professor and Canada Research Chair Nanostructured BiomaterialsChemical and Materials Engineering Faculty of Engineering University of Alberta Edmonton Alberta Canada
D H Keast, Lawson Health Research Institute
MD, MSc, BSc(Hon), DipEd, CCFP, FCFP Centre Director Aging, Rehabilitation Geriatric Care Research Centre Lawson Health Research Institute London Ontario Canada
D Mayer, University Hospital of Zurich
MD, FEBVS, FAPWCA Head of Wound Care Senior Vascular Consultant Clinic for Cardiovascular Surgery University Hospital of Zurich Zurich Switzerland
L Norton, Shoppers Home Health Care
BScOT, OT Reg(ONT), MScCH National Educator Shoppers Home Health Care Toronto Ontario Director Interprofessional Team Canadian Association of Wound Care Institute
R Salcido, Advances in Skin
MD Editor-in-Chief Advances in Skin Wound Care Course Director Annual Clinical Symposium on Advances in Skin William Erdman Professor Department of Rehabilitation Medicine Senior Fellow Institute on Aging; and Associate Institute of Medicine and Bioengineering University of Pennsylvania Health System Philadelphia Pennsylvania Wound Care
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