Wound Healing Protocols

Standard Wound Care Practices at Derma Vivere

Physicians, physician assistants, and advanced practice practitioners play a crucial role in facilitating and supporting the wound-healing process. Wound healing is a dynamic process that encompasses four stages and any number of standard protocols depending upon the wound. The Physician’s role is to optimize conditions for the body’s natural healing mechanisms. Individualized care plans are developed based on the specific characteristics of each patient’s wound and overall health.

Standard Protocols for Wound Healing

The Physician’s role is to optimize conditions for the body’s natural healing mechanisms.


Wound Assessment

A thorough assessment of the wound is essential to determine its type, size, depth, and the presence of any complications. Additionally, there are many factors that may impact the wound healing process that are taken into consideration during the assessment and accounted for appropriately (link). This assessment guides the development of an appropriate treatment plan.

Wound Cleaning

Cleaning the wound is a crucial step to remove debris, bacteria, and contaminants. This is typically done using a gentle solution, such as saline, to avoid further trauma to the wound.



Debridement involves the removal of dead or necrotic tissue from the wound. This process helps create a clean wound bed, promoting better healing. Debridement methods may include sharp debridement, enzymatic debridement, or autolytic debridement.

Infection Control

Preventing and managing infections is a key aspect of wound care. Topical or systemic antibiotics may be used when there is evidence of infection. Proper hygiene and wound dressing techniques are also crucial.

Moist Wound Healing

Maintaining a moist wound environment has been shown to enhance the healing process. Moist dressings, such as hydrocolloids or hydrogels, are often used to create an optimal healing environment.

Dressings and Bandages

The choice of dressings depends on the type of wound, its stage of healing, and other factors. Dressings may include films, foams, hydrocolloids, or alginate dressings. Bandages secure the dressings and provide compression when needed.


Offloading pressure from wounds, particularly in the case of pressure ulcers or diabetic foot ulcers, is crucial for healing. This may involve the use of special cushions, footwear, or offloading devices.

Pain Management

Addressing pain associated with the wound is an important aspect of wound care therapy. This may involve the use of analgesics, proper wound care techniques, and addressing underlying causes of pain.

Patient Education

Educating patients, and in the case of long-term care facilities, ensuring that clinicians are educated on proper wound care, recognizing signs of infection, and understanding the importance of adherence to treatment plans is essential for successful wound healing.

Monitoring and Follow-up

Regular monitoring of the wound’s progress and follow-up appointments are critical to assess healing, make adjustments to the treatment plan, and address any emerging issues.

It’s important to note that wound care is individualized based on the specific characteristics of each wound and the patient’s overall health. While standard wound care practices provide a foundation, healthcare professionals may tailor the approach to meet the unique needs of each patient and wound.