,
, Wound Care
A Collaborative Practice Manual
for Health Professionals
FOURTH EDITION
Edited by
Carrie Sussman, PT, DPT
Owner and Operator
Sussman Physical Therapy, Inc.
Wound Care Management Services
Torrance, California
Barbara M. Bates-Jensen, PhD, RN, FAAN
Associate Professor
School of Nursing & David Geffen School of Medicine, Division of Geriatrics
University of California, Los Angeles
Los Angeles, California
Veterans Administration Greater Los Angeles Healthcare System
Geriatric Research Education Clinical Center
Los Angeles, California
Sussman_FM.indd i 8/5/2011 2:38:24
, Acquisitions Editor: Emily Lupash
Product Manager: Paula C. Williams
Marketing Manager: Allison Powell
Designer: Terry Mallon
Compositor: SPi Global
Fourth Edition
Copyright © 2012 Lippincott Williams & Wilkins, a Wolters Kluwer business
351 West Camden Street Two Commerce Square
Baltimore, MD 21201 2001 Market Street
Philadelphia, PA 19103
Printed in China
All rights reserved. This book is protected by copyright. No part of this book may be reproduced or
transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies,
or utilized by any information storage and retrieval system without written permission from the copyright
owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book
prepared by individuals as part of their official duties as U.S. government employees are not covered by the
above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two
Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at , or via
website at lww.com (products and services).
Library of Congress Cataloging-in-Publication Data
Wound care : a collaborative practice manual for health professionals / [edited by] Carrie Sussman, Barbara
Bates-Jensen. — 4th ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-60831-715-8
1. Wounds and injuries—Treatment. 2. Physical therapy. 3. Nursing. I. Sussman, Carrie. II. Bates-Jensen,
Barbara M.
[DNLM: 1. Wounds and Injuries—rehabilitation. 2. Physical Therapy Modalities. 3. Wounds and
Injuries—diagnosis. 4. Wounds and Injuries—nursing. WO 700]
RD93.W683 2011
617.1—dc23
2011027050
DISCLAIMER
Care has been taken to confirm the accuracy of the information present and to describe generally accepted
practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any
consequences from application of the information in this book and make no warranty, expressed or implied,
with respect to the currency, completeness, or accuracy of the contents of the publication. Application of this
information in a particular situation remains the professional responsibility of the practitioner; the clinical
treatments described and recommended may not be considered absolute and universal recommendations.
The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage
set forth in this text are in accordance with the current recommendations and practice at the time of
publication. However, in view of ongoing research, changes in government regulations, and the constant
flow of information relating to drug therapy and drug reactions, the reader is urged to check the package
insert for each drug for any change in indications and dosage and for added warnings and precautions. This
is particularly important when the recommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in this publication have Food and Drug Administration
(FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care
provider to ascertain the FDA status of each drug or device planned for use in their clinical practice.
To purchase additional copies of this book, call our customer service department at (800) 638-3030 or fax
orders to (301) 223-2320. International customers should call (301) 223-2300.
Visit Lippincott Williams & Wilkins on the Internet: http://www.lww.com. Lippincott Williams & Wilkins
customer service representatives are available from 8:30 am to 6:00 pm, EST.
9 8 7 6 5 4 3 2 1
Sussman_FM.indd ii 8/5/2011 2:38:24
, Wound Care
A Collaborative Practice Manual
for Health Professionals
FOURTH EDITION
Edited by
Carrie Sussman, PT, DPT
Owner and Operator
Sussman Physical Therapy, Inc.
Wound Care Management Services
Torrance, California
Barbara M. Bates-Jensen, PhD, RN, FAAN
Associate Professor
School of Nursing & David Geffen School of Medicine, Division of Geriatrics
University of California, Los Angeles
Los Angeles, California
Veterans Administration Greater Los Angeles Healthcare System
Geriatric Research Education Clinical Center
Los Angeles, California
Sussman_FM.indd i 8/5/2011 2:38:24
, Acquisitions Editor: Emily Lupash
Product Manager: Paula C. Williams
Marketing Manager: Allison Powell
Designer: Terry Mallon
Compositor: SPi Global
Fourth Edition
Copyright © 2012 Lippincott Williams & Wilkins, a Wolters Kluwer business
351 West Camden Street Two Commerce Square
Baltimore, MD 21201 2001 Market Street
Philadelphia, PA 19103
Printed in China
All rights reserved. This book is protected by copyright. No part of this book may be reproduced or
transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies,
or utilized by any information storage and retrieval system without written permission from the copyright
owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book
prepared by individuals as part of their official duties as U.S. government employees are not covered by the
above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two
Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at , or via
website at lww.com (products and services).
Library of Congress Cataloging-in-Publication Data
Wound care : a collaborative practice manual for health professionals / [edited by] Carrie Sussman, Barbara
Bates-Jensen. — 4th ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-60831-715-8
1. Wounds and injuries—Treatment. 2. Physical therapy. 3. Nursing. I. Sussman, Carrie. II. Bates-Jensen,
Barbara M.
[DNLM: 1. Wounds and Injuries—rehabilitation. 2. Physical Therapy Modalities. 3. Wounds and
Injuries—diagnosis. 4. Wounds and Injuries—nursing. WO 700]
RD93.W683 2011
617.1—dc23
2011027050
DISCLAIMER
Care has been taken to confirm the accuracy of the information present and to describe generally accepted
practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any
consequences from application of the information in this book and make no warranty, expressed or implied,
with respect to the currency, completeness, or accuracy of the contents of the publication. Application of this
information in a particular situation remains the professional responsibility of the practitioner; the clinical
treatments described and recommended may not be considered absolute and universal recommendations.
The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage
set forth in this text are in accordance with the current recommendations and practice at the time of
publication. However, in view of ongoing research, changes in government regulations, and the constant
flow of information relating to drug therapy and drug reactions, the reader is urged to check the package
insert for each drug for any change in indications and dosage and for added warnings and precautions. This
is particularly important when the recommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in this publication have Food and Drug Administration
(FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care
provider to ascertain the FDA status of each drug or device planned for use in their clinical practice.
To purchase additional copies of this book, call our customer service department at (800) 638-3030 or fax
orders to (301) 223-2320. International customers should call (301) 223-2300.
Visit Lippincott Williams & Wilkins on the Internet: http://www.lww.com. Lippincott Williams & Wilkins
customer service representatives are available from 8:30 am to 6:00 pm, EST.
9 8 7 6 5 4 3 2 1
Sussman_FM.indd ii 8/5/2011 2:38:24