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Contents
1  Quality of Life and Ethical Issues 1
Kevin Y. Woo, PhD, RN, NSWOC, WOCC(C), FAPWCA, IIWCC-Can
Nicola Waters, PhD, MSc, (WHTR) RN
Vera Lúcia Conceição de Gouveia Santos, PhD, BSN, MNSc, CETN (TiSOBEST Emerit)
2  Reimbursement Regulations Impacting Wound Care 19
Dan R. Berlowitz, MD, MPH
Marcia Nusgart, RPh 
Karen Ravitz, JD
3  Legal Aspects of Wound Care 38
Steven P . Knowlton, JD, RN
Diane K. Langemo, PhD, RN, FAAN
4  Skin: An Essential Organ 57
Sharon Baranoski, MSN, RN, CCNS-APN, CWCN, MAPWCA, FAAN
Elizabeth A. Ayello, PhD, MS, BSN, RN, CWON, ETN, MAPWCA, FAAN
Jeffrey M. Levine, MD, AGSF, CMD, CWSP
R. Gary Sibbald, MD, DSc (Hons), MEd, BSc, FRCPC (Med)(Derm), FAAD, MAPWCA, JM
5  Acute and Chronic Wound Healing 79
Samantha Holloway, MSc, PGCE, FHEA, RN
Sophia Tate, MB, ChB 
Joyce K. Stechmiller, PhD, ACNP-BC, FAAN
Gregory Schultz, PhD
6  Wound Assessment 102
Sharon Baranoski, MSN, RN, CCNS-APN, CWCN, MAPWCA, FAAN
Elizabeth A. Ayello, PhD, MS, BSN, RN, CWON, ETN, MAPWCA, FAAN
Jeffrey A. Niezgoda, MD, FACHM, MAPWCA, CHWS
Diane K. Langemo, PhD, RN, FAAN
7  Wound Bioburden and Infection 131
Nancy A. Stotts, RN, EdD, FAAN
Gregory Schultz, PhD
8  Wound Debridement 163
R. Gary Sibbald, MD, DSc (Hons), MEd, BSc, FRCPC (Med)(Derm), FAAD, MAPWCA, JM
Jeffrey A. Niezgoda, MD, FACHM, MAPWCA, CHWS
Elizabeth A. Ayello, PhD, MS, BSN, RN, CWON, ETN, MAPWCA, FAAN
9  Wound Treatment Options 185
Jeffrey A. Niezgoda, MD, FACHM, MAPWCA, CHWS
Sharon Baranoski, MSN, RN, CCNS-APN, CWCN, MAPWCA, FAAN
Elizabeth A. Ayello, PhD, MS, BSN, RN, CWON, ETN, MAPWCA, FAAN
Andrea McIntosh, BSN, RN, CWON, APN
Linda Montoya, BSN, RN, CWOCN, APN
Marta Ostler, PT, CWS Contents xi
 10  Nutrition and Wound Care 242
Mary Ellen Posthauer, RDN, LD, FAND
Becky Dorner, RDN, LD, FAND
Andy S. Chu, MS, RD, CDN, CNSC, FAND
 11  Pressure Redistribution: Seating, Positioning, and Support Surfaces 270
David M. Brienza, PhD
Ann N. Tescher, APRN, CNS, PhD, CCRN, CWCN, CCNS, FCCM
Evan Call, MS, CSM-NRM
 12  Pain Management and Wounds 306
Kevin Y. Woo, PhD, RN, NSWOC, WOCC(C), FAPWCA, IIWCC-Can
R. Gary Sibbald, MD, DSc (Hons), MEd, BSc, FRCPC (Med)(Derm), FAAD, MAPWCA, JM
 13  Skin—Challenging Conditions 333
Sharon Baranoski, MSN, RN, CCNS-APN, CWCN, MAPWCA, FAAN
Elizabeth A. Ayello, PhD, MS, BSN, RN, CWON, ETN, MAPWCA, FAAN
Kimberly LeBlanc, PhD, MN, RN, NSWOC, WOCC(C), IIWCC
Dimitri Beeckman, PhD, RN, FEANS
R. Gary Sibbald, MD, DSc (Hons), MEd, BSc, FRCPC (Med)(Derm), FAAD, MAPWCA, JM
 14  Pressure Injuries 370
Elizabeth A. Ayello, PhD, MS, BSN, RN, CWON, ETN, MAPWCA, FAAN
Sharon Baranoski, MSN, RN, CCNS-APN, CWCN, MAPWCA, FAAN
Janet E. Cuddigan, PhD, RN, CWCN, FAAN
Amit Gefen, PhD, MSc, BSc
Dan R. Berlowitz, MD
Hiske Smart, RN, RM, MA (Nur), PGDip (WHTR), IIWCC-Can
Wendy S. Harris Jicman, BSN, BSHS, RN
 15  Venous Disease and Ulcers 408
Mary Y. Sieggreen, MSN, RN, CNS, NP , CVN
Jeffrey A. Niezgoda, MD, FACHM, MAPWCA, CHWS
Hiske Smart, RN, RM, MA (Nur), PGDip (WHTR), IIWCC-Can
Awais Siddique, MD
 16  Lymphedema: Complete Decongestive Therapy 435
Victoria J. Magnan, OTR, CLT-LANA
Jeffrey A. Niezgoda, MD, FACHM, MAPWCA, CHWS
Jonathan A. Niezgoda, MA
 17  Arterial Ulcers 467
Mary Y. Sieggreen, MSN, RN, CNS, NP , CVN
R. Gary Sibbald, MD, DSc (Hons), MEd, BSc, FRCPC (Med)(Derm), FAAD, MAPWCA, JM
Jeffrey A. Niezgoda, MD, FACHM, MAPWCA, CHWS
Awais Siddique, MD
 18  Diabetic Foot Ulcers 493
Peter Andrew Crisologo, DPM
Lawrence A. Lavery, DPM, MPH
Paul J. Kim, DPM, MS
Javier La Fontaine, DPM, MSxii Contents
19  Sickle Cell Ulcers 528
Terry Treadwell, MD, FACS
20  Surgical Wounds and Surgical Reconstruction 542
Jonathan S. Black, MD, FACS, FAAP
Joyce M. Black, PhD, RN, FAAN
Barbara Delmore, PhD, RN, CWCN, MAPWCA, IIWCC-NYU
21  Tube, Drain, and Fistula Management 562
Linda J. Stricker, MSN, RN, CWOCN
Laurent O. Chabal, BSc, (CBP), RN, OncPall(Cert), Dip (WH), ETN, EAWT, HES-SO
22  Atypical Wounds 579
Robert S. Kirsner, MD, PhD, FAAD
Brian A. Cahn, MS
23  Spinal Cord Injury Population 603
Susan L. Garber, MA, OTR, FAOTA, FACRM
24  Adiposity and the Bariatric Patient 618
Susan Gallagher, PhD, MSN, MA, RN, CBN
Sharon Baranoski, MSN, RN, CCNS-APN, CWCN, MAPWCA, FAAN
25  Pressure Injuries in Neonatal and Pediatric Populations 632
Catherine Noonan Caillouette, MS, RN, CPNP-AC/PC, CWON
Sandy Quigley, MSN, RN, CPNP-PC, CWOCN
26  Palliative Skin and Wound Care 650
Diane K. Langemo, PhD, RN, FAAN
27  Wound Gallery 669
Sharon Baranoski, MSN, RN, CCNS-APN, CWCN, MAPWCA, FAAN
Elizabeth A. Ayello, PhD, MS, BSN, RN, CWON, ETN, MAPWCA, FAAN
APPENDICES
Definitions of the EPUAP/NPIAP/PPPIA 2019 Clinical Guideline  
Strengths of Evidence and Strengths of Recommendations 679
Answers 681
Index 691