Physiology of Wound Healing

presented by Wendy K. Anemaet, PT, DPT, PhD, GCS, CWS, GTC, COS-C

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How do you know when a wound is healing as it should and when it could use an intervention to help it along? Wound healing is an amazing process that occurs in similar fashion for all wounds whether they are open or closed, regardless of their causative factors. A patient who sprains her ankle will by and large go through the same wound healing process as someone who develops a pressure ulcer. Understanding what occurs during this process of wound healing aids therapists in making well informed decisions about whether or not to treat and how to treat. This course provides the background physiological information that will aid in assessing and intervening with people who have wounds. Acute and chronic wound healing are compared and contrasted providing, the information needed to enhance wound healing for practitioners in the home and other settings.

Meet Your Instructor

Wendy K. Anemaet, PT, DPT, PhD, GCS, CWS, GTC, COS-C

Dr. Wendy K. Anemaet, a physical therapist since 1989 in home health, acute care, rehabilitation, outpatient, and skilled nursing, is an associate professor at the School of Physical Therapy at Regis University in Denver, Colorado. Wendy received her Master's in Physical Therapy from the University of Southern California and her PhD in Aging Studies from…

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1. The Phases of Wound Healing: Inflammation

This chapter delineates the three phases of wound healing and details the events that occur during the inflammatory phase. It describes the three overlapping steps—vasoconstriction, hypoxia, and perfusion—and details the processes involved in each. Clinical application of these steps of inflammation illustrates how therapists use this information to positively impact their patients.

2. The Phases of Wound Healing: Proliferation and Remodeling

This chapter details the events that occur during the proliferation and remodeling phases of wound healing. It describes granulation and epithelialization and what cells and processes are important for each, as well as how wound contraction and scar remodeling result in regaining skin integrity . Understanding these phases helps therapists determine how best to impact granulation, epithelialization, wound contraction, and scar remodeling to enhance wound healing.

3. Wound Healing in Chronic Wounds

This chapter describes factors that can delay wound healing in each phase—inflammation, proliferation, and remodeling. Examples of chronic wound healing are provided and ways to prevent wounds from becoming chronic at each phase are discussed.

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