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DEFINING CHRONIC WOUNDS
November 12th, 2010

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Chronic Wound

After 3 x 30g tubes of Wound-Be-Gone®

Most skin wounds are acute and heal relatively quickly; this means that a skin injury of various severity happens and the body immediately begins healing, with completion of healing within days or perhaps weeks. However, some wounds fail to heal properly, taking months to progress through the traditional stages of a wound, and sometimes seeming to refuse to heal altogether. These wounds become chronic, essentially turning into an ongoing process of treatment and insufficient healing. Chronic wounds are constantly open to potential environmental contamination and infection, as well as discomfort, pain, and loss of utility in the injured area. With such wounds it is imperative to treat them in a way the encourages quick healing, permanently closing the wound once and for all.

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THE WOUND HEALING PROCESS
November 12th, 2010

Most wounds follow a relatively consistent process of healing. The first phase is inflammation. This phase usually takes 2-5 days, and involves the body responding to a skin injury by sending resources such as platelets and thromboplastin to the injury site.

Next is the proliferative phase which can last from two days to three weeks. This phase includes granulation, where fibroblasts lay strands of collagen to create a scab, then the wound contracts as the edges pull together to close the wound, and finally epithelializaton occurs, as new skin is created within a moist environment underneath the scab or other protective layer.
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THE TYPES OF CHRONIC WOUNDS
November 11th, 2010

Chronic wounds often fall into one of three major classifications: venous ulcers, diabetic ulcers and pressure ulcers.

Venous and arterial ulcers make up between 70 and 90 percent of chronic wounds. These types of wounds most often occur in the legs of elderly persons, as a result of malfunctioning valves which allow blood to flow backwards and pool. When this happens ischemia occurs, causing tissue damage and an eventual skin wound.
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TREATING CHRONIC WOUNDS
November 11th, 2010

As with any open sore, the body heals chronic wounds through the previously described series of stages. During these healing stages harmful molecules called free oxygen radicals are produced; these radicals impede the healing process. Furthermore, keeping a chronic wound clean and protected can be a challenge, particularly when they are on the legs and feet.

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