Using Patient-Reported Experiences to Inform the Use of Foam Dressings for Hard-to-Heal Wounds: Perspectives from a Wound Care Expert Panel
Summary: An expert panel (n=8 wound care specialists) analyzed patient-reported experiences to develop guidance on foam dressing use for hard-to-heal wounds. Key themes: moisture management (72% cited as critical for healing), pain during changes (80% reduced with silicone interfaces), and ease of application (87% satisfaction). Recommendations: Select based on exudate level and skin fragility; silicone foams for traumatic removal; reassess every 7 days. Evidence supports foams for 50-70% granulation promotion in DFUs/VLUs.
Key Highlights:
- Themes: Moisture balance (72%), pain relief (80% with silicone), ease (87%).
- Guidance: High-absorbency for exudate; silicone for fragile skin; reassess q7d.
- Evidence: Foams promote 50-70% granulation in chronic wounds.
- Panel: 8 experts; analyzed 50+ patient cases/interviews.
- Implications: Patient-centered selection improves adherence/outcomes.
Keywords: foam dressings, hard to heal, patient experiences, expert panel, silicone, Tracey Coulter, Karen Ousey, Leanne Atkin