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Case Study
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A clinical evaluation to show the benefits of the TIME framework in complex wound management Rachael Corser, BS, RN, Jacqui Johnson, Milton Keynes General NHS Trust, UK. Wound bed preparation is fundamental to ensuring effective progression of a wound. The purpose of this evaluation is to show the outcomes of the T.I.M.E framework on complex wounds within a District General Hospital. Following the T.I.M.E framework ensures that all non-viable and deficient tissue is removed, that any infection or inflammation is treated, that any moisture imbalance is corrected and that the edge of the wound remains viable. A prospective evaluation of a range of complex wound aetiologies will follow the TIME framework and will be assessed and evaluated until healed or for 6 weeks, whichever is sooner. A pressure ulcer, leg ulcer, diabetic foot ulcer and surgical wound will be included within the clinical evaluation to ensure a fair evaluation of the framework. .The evaluation criteria will include the ease of wound assessment following the TIME framework, the ability of the dressing to reduce bacterial counts or prolonged inflammation, evidence of wound progression and other dressing parameters All products used within this evaluation will follow the recommendations within the TIME framework The results will give an overview of the impact of the T.I.M.E framework on a range of complex wounds. The author acknowledges the limitations in evaluating such a range of highly variable wounds. Wounds will be measured and photographic evidence will be used to evaluate changes in the size and the appearance of the wounds There is a strong focus on enhancing wound care provision and it is imperative that the right treatment is provided to the patient at the right time at all times. Through the use of frameworks such as TIME it is possible to ensure that effective, evidence based wound care is carried out in all clinical areas. . Schultz GS, Sibbald RG, Falanga V, et al. Wound bed preparation: a systematic approach to wound management. Wound Repair Regen. 2003;11:1Ð28. |
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