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Wound Healing

It is estimated that open wounds impact nearly 10 million people in the United States. Wounds are painful, can disrupt personal and professional life and depending on the underlying cause, can threaten life and limb.

The experts at Cape Cod Healthcare’s Centers for Wound Care and Hyperbaric Medicine understand the challenges of treating acute and chronic wounds. They are experts at providing advanced, outcome-based wound care.

Our two, state-of-the-art, wound care centers are conveniently located in Bourne and Hyannis. In addition, nurses at Cape Cod Healthcare’s Visiting Nurses Association are available to collaborate with the Wound Care Team to support our patients who require home health services for dressing changes.

Why do wounds become chronic wounds?

Most people heal just fine following minor trauma, such as a bump or fall. However, some wounds fail to progress through the normal stages of healing in a timely manner. This failure to progress can be related to infection, lack of oxygen, chronic swelling and diabetes, among other factors. When impediments to healing exist, it is all the more important to create an ideal environment for healing to occur.

Studies show that the longer a wound persists, the less likely it is to heal. It is therefore recommended that patients with chronic wounds receive advanced wound care in a timely manner.

If you have a wound that has not made significant progress toward healing in two weeks or has not totally healed within 30 days, you may benefit from the expertise of Cape Cod Healthcare’s Wound Care team. We utilize a multi-disciplinary team approach and is guided by an evidenced-based comprehensive clinical pathway for healing wounds.

We heal 98% of the wounds we treat. The median days to heal is 28 days at Cape Cod Healthcare’s Centers for Wound Care and Hyperbaric Medicine. Each patient’s healing rate will vary depending on individual medical history and compliance with treatment plan.

Wounds We Treat

  • Arterial Ulcers
  • Diabetic Foot Ulcer
  • Traumatic
  • Surgical Wounds
  • Radiation injury
  • Neuropathic ulcers
  • Venous Ulcer
  • Lymphedema
  • Pressure Injury

Our Therapies and Diagnostic Tests

  • Debridement
  • Wound Culture
  • Tissue Biopsy
  • Compression therapy
  • Offloading of the Foot
  • Vascular Assessments
  • Assessment of Tissue Oxygenation

Wound Treatments

  • Cellular Tissue Products
  • Negative Pressure Wound Therapy (NPWT)
  • Cellutome
  • Hyperbaric Oxygen Therapy

What to Expect

  • The First Appointment: This visit lasts approximately 90 minutes and consists of a full assessment to determine the underlying reason why your wound is not healing. Based on the evaluation, a customized treatment plan will be developed to best address the needs of the wound, your overall medical needs, and any lifestyle concerns.
  • What will happen: Your wound will be cleaned, measured, and photographed. The physician will likely perform debridement to remove unhealthy tissue and debris which can impede healing. Debridement also converts the chronic wound to an acute wound allowing the body to recruit substances to help healing. Prior to the debridement, the wound will be anesthetized with either topical or injectable anesthetic. A dressing will be chosen that best suits the characteristics of your wound type.
  • A plan created for you: Your treatment plan may include addressing blood flow issues, vein issues, leg swelling, pressure relief, blood sugar control, infection control, referrals to specialists, diagnostic testing and/or nutritional counseling.
  • Follow-up Appointments: Wound care patients are usually scheduled to be seen once a week. Studies have shown that patients who are seen weekly have a far greater chance to heal and to heal quickly, compared to those who are seen less frequently. The size and depth of your wound will be documented at each visit and photographed on every fourth visit. This data is entered into the electronic record and allows us to track the progression of the wound towards healing, and the effectiveness of the current treatment.
  • As you heal: As your wound progresses, evidenced-based clinical guidelines provide specify the best treatment options for you.

Our collaborative approach

Our team approach involves specialty physicians trained in wound care, certified wound care nurses and trained technicians who work with you to assess your medical condition and identify the underlying cause of your non-healing wound. We then develop a customized plan of care using a variety of clinical treatments, advanced therapies, and support services to facilitate the healing process. This comprehensive care may include referrals to specialists, diagnostic testing and/or nutritional counseling, when needed.

Patient education and collaboration with your personal physicians, home health services and/or family members optimizes the coordinated care process.