01/29/2026
What is one habit that consistently improves healing rates in long-term care?
Mikhail Novikov, MD answers:
Start by clearly defining the root cause of the wound.
Healing rates improve when teams ask the most important question first:
đ Where did this wound come from?
Is it:
-Pressure-related?
-Caused by uncontrolled diabetes?
-Related to vascular disease, gout, or another systemic condition?
These wounds may look similar on the surfaceâbut they are very different clinically and require very different treatment plans.
A neuropathic ulcer caused by diabetes is not the same as a pressure ulcer. Treating them the same leads to stalled healing.
âď¸ Identify true wound etiology
âď¸ Match treatment to the cause
âď¸ Address underlying conditionsânot just the wound bed
Finding the why behind the wound is habit number oneâand itâs the foundation of better healing outcomes.
Because wounds donât heal in isolation.