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Understand the principles of wound care.
The questionnaire is shown in Figure 1, and is based on the WHO guideline for prevention of disabilities in BU and general principles of wound care.
In addition, we did not assess to what degree any of the health workers or health facilities had been exposed to the WHO guidelines but these guidelines are based on basic principles of wound care that nurses in Ghana and Benin are indeed exposed to during their education.
5, 8– 10 Basic principles of wound management are to treat or manage relevant systemic conditions, to maintain a moist wound environment, 11 to protect the wound from trauma, to promote a clean wound base and control infection, and to control edema and lymphoedema.
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12 Currently, there are two guidelines on BU wound care, both published by the World Health Organization (WHO), which apply the basic principles of general wound care to BU. 12, 13 The goal of these guidelines is to minimize time to healing of wounds, optimize treatment outcome, and minimize iatrogenic damage.
Although fundamental principles of diabetic wound care still apply, critical thought must be given to biofilm before implementing a treatment plan for the closure of these complex wounds.
Little is known about the application of the basic principles of BU wound care as described by the WHO guidelines.
Measurements of wound area as a function of time show that the rate of wound closure depends on the initial wound shape.
Measurement of Wound Index.
5. Dressing of wound.
Currently, wound management is largely empirical and based on principles of reducing bacterial load and preventing infection [28]; however, the complexity of the wound environment makes it likely that antimicrobial therapy could result in unintended consequences.
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