for the Appropriateness of Wound Treatments?
In this thought-provoking article, the author challenges wound care professionals to critically evaluate the appropriateness of their treatment choices. Despite advances in technology and science, outdated or non-evidence-based approaches remain common in clinical practice. The author introduces three practical “litmus test” questions to guide treatment decisions: 1) What is the rationale for this treatment? 2) What does the science and evidence say? and 3) Could this plan of care be defended in court? Through clear examples—like the misuse of NPWT on necrotic wounds or unnecessary topical antibiotics—the article underscores the importance of logic, clinical evidence, and legal defensibility in creating effective, modern wound care plans … full article
About the author:
About the Author: Bill Richlen, PT, WCC, DWC (1970–2024)
Bill Richlen was a respected physical therapist and wound care educator with over 25 years of clinical and teaching experience. A graduate of the University of Wisconsin–Madison, he specialized in advanced wound care and debridement across long-term care, outpatient, rehab, and home health settings.
He co-founded Wound Care Gurus, serving as CEO and providing evidence-based education and consulting nationwide. Bill was also a long-time instructor with the Wound Care Education Institute (WCEI), known for his engaging teaching style and commitment to practical, science-driven care. His legacy lives on through the thousands of clinicians he mentored.