United Wound Healing

11/19/2025

Do you love Wound Care? Are you a lifelong learner? If so, this is the perfect opportunity for you! Check out all of the details of our fellowship program here: https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=896f11a8-28a9-4fd5-b4af-631117256f47&ccId=2495025665_6754&type=JS&lang=en_US&jobId=524180

11/19/2025

Are you or a loved one in need of exceptional skin and wound care from a qualified specialist? Start your healing journey here: https://www.unitedwoundhealing.com/enroll/

11/17/2025

💎 Pamela’s Pearl #5 – Wound Hygiene / Debridement Series

Step 4: Dress for Healing & Biofilm Control 🩹🧫

Focus: Dressing strategy after cleansing, debridement, and edge refashioning.

⸻

A️⃣ Protect the Biofilm-Free Window (⏱️ 24–72 hours)
   •   Debridement disrupts biofilm — but it reforms fast ⚡
   •   Dressings should extend the biofilm disruption you just achieved
   •   Assume biofilm in all hard-to-heal wounds 🦠

⸻

B️⃣ When High Bioburden Is Suspected, Choose Dressings That Do 3 Things:

1️⃣ Control Moisture / Exudate 💧
Exudate carries proteases, cytokines, and new biofilm seeds — manage it early.

2️⃣ Provide Antimicrobial / Antibiofilm Action 🛡️🧫
Use when there is:
   •   inflammation,
   •   slough recurrence, or
   •   stalled healing 🚫🧬

(Insert product examples/image here)

3️⃣ Support Tissue Growth 🌱🧵
   •   Choose dressings that support moist wound healing — passive dressings that rely on the patient’s physiology
   •   Collagen dressings (sheets, powders) provide ECM support & enhance repair

NOTE:
CAMPs (cellular, acellular, matrix-like products) are active, not passive.
They support tissue via scaffolding, ECM components, and/or cellular signals.
They require provider oversight, unlike most daily-managed dressings that support biofilm control.

⸻

C️⃣ Use a Step-Up / Step-Down Approach 🔄

⬆️ Step-UP:
When bioburden or infection risk is suspected or high → choose antimicrobial / antibiofilm dressings

⬇️ Step-DOWN:
When inflammation decreases & wound edges advance → transition to non-antimicrobial dressings

This approach ensures effective biofilm management without overtreatment ⚖️ 📚 Primary Resources
1. Wounds International. Integral Debridement. 2024
2. IWII. Wound Infection in Clinical Practice. Updated 2022
3. Atkin L, Bućko U, Montero EC, et al. Implementing TIMERS. 2019
4. Murphy C, Schultz G, Cullen B, et al. Wound Hygiene Recommendations. 2020 (Updated 2022)
5. Schultz GS, Bjarnsholt T, James GA, et al. Biofilm Identification & Treatment Guidelines. 2017

11/11/2025

Pamela Pearls 💎 with Pamela Scarborough,PT,DPT,CWS,FAAWC: Step 3 of the Wound Hygiene & Debridement Series

Step 3: Refashion the Wound Edge ✂️🩹

Focus: Rolled, macerated, or hyperkeratotic wound edges can stall healing. Edge refashioning = essential maintenance debridement to get epithelial migration moving again. 🚀

⸻

Key Points

• Maintenance Debridement 🧼
2024 International Consensus: Edge refashioning removes senescent / rolled (epibole) or non-advancing epithelium so new epithelial cells can migrate.

• Biofilm at the Edges 🦠🔥
Callused & hyperkeratotic rims often harbor biofilm + inflammatory proteases that prolong chronicity.

• Restore Edge Architecture 🔄
Refashioning corrects epibole, re-establishes edge → wound bed continuity, and promotes contraction & bridging.

• Tools & Methods 🛠️
Monofilament pads, curettes, fine scissors, and surfactant-assisted cleansing (e.g., poloxamer).
➡️ Use combined, per Integral Debridement principles.

⸻

Clinical Pearl 🌟

“No clean edge, no epithelial bridge.”
Edge care is not cosmetic — it’s biological activation for wound progression. 🎯

⸻

Evidence 📚

• Mayer et al., JWC International Debridement Consensus, 2024
• Percival et al., Biofilm & Healing, 2019
• Schultz et al., Stepwise Wound Bed Prep, 2020
• Wolcott et al., Debridement & Outcomes, 2010

11/06/2025

Join us on our healing mission! We are on the grill and are expanding in many areas. In person and remote options available. Check out the full details here. Know an ideal candidate? Shares are greatly appreciated!

11/05/2025

Celebrating 10 Years of Service 💙💚

This year, United Wound Healing celebrates a decade of advancing wound care through relationship-centered service across the communities we serve.

For 10 years, our teams have provided support, specialized wound management, limb preservation, and healing-centered care to patients in skilled nursing facilities, rehabilitation settings, assisted living communities, and homes.

We are here because of:
   •   Clinicians who lead with compassion, clinical excellence, and courage.
   •   Patients and families who trust us with their healing journeys.
   •   Healthcare partners who collaborate with us to improve outcomes and quality of life.
   •   Team members who support one another and strengthen our mission every day.

Our commitment remains clear:
To enhance quality of life through exceptional wound healing care — and to heal fearlessly, together.

Thank you to every teammate, partner, and community who has been part of this story.

Here’s to the next decade of service, innovation, and impact.

United Wound Healing
10 years strong — and just getting started.

11/05/2025

Please join us in giving a warm welcome to Heyk Viana PA-C, our new
Wound Management & Dermatology Fellow! You can learn more about this exceptional healer here:
https://www.unitedwoundhealing.com/specialist/heyk-viana-pa-c/

Learn more about our fellowship opportunity here:
https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=896f11a8-28a9-4fd5-b4af-631117256f47&ccId=2495025665_6754&type=JS&lang=en_US&jobId=524180

10/30/2025

Curious what we do?

https://m.youtube.com/watch?v=ikuOWhd-lJ4

Learn more about United Wound Healing, a health care company transforming wound care through education and encouragement!

10/28/2025

💎 Pamela Pearls: Wound Hygiene – Step 2
Debride Early, Often, and with Purpose

✨ Integral Debridement is the 2024 advancement in wound care — blending complementary methods for safer, faster, and more complete healing.

🩺 Debridement isn’t a one-time event — it’s an ongoing therapy that drives healing forward.

🔬 Learn how Active, Maintenance, and Biofilm-Targeted debridement work together to keep wounds progressing.

10/27/2025

🔬 Integral Debridement — A 2024 Advancement

✨ The new consensus introduces Integral Debridement — the intentional combination of complementary methods on the same wound to achieve optimal healing.

💧 For example:
   •   Autolytic or osmotic methods may soften devitalized tissue before sharp or mechanical debridement.
   •   Surfactant cleansing or HOCl irrigation can amplify the removal of residual biofilm.

💡 This patient-centered, step-up/step-down strategy tailors technique selection to wound characteristics, clinician skill, and setting—promoting safer, more effective, and continuous wound bed preparation.

⸻

📚 Key Concepts
   •   🔁 Debridement is an ongoing therapy—not a one-time event.
   •   🧠 The 2024 International Debridement Consensus outlines three core purposes:
1️⃣ Active (Initial) Debridement: Removes necrotic or infected tissue to convert a chronic wound into an acute healing state.
2️⃣ Maintenance Debridement: Repetitive removal of slough and biofilm to sustain healing opportunities.
3️⃣ Biofilm-Targeted Debridement: Combines mechanical/sharp methods with surfactant cleansing and antimicrobial dressings to disrupt and delay biofilm reformation.

📈 Frequent debridement (weekly or more) can double healing rates 🩹 (Wolcott et al., 2010; Nowak et al., 2022).

🪓 Conservative Sharp Debridement (CSD) bridges mechanical and surgical levels—removing non-viable tissue to the point of non-bleeding viable tissue.
(Providers, RNs, and PTs should perform CSD within their licensure and competency.)

🌱 Maintenance Debridement

Performed purposefully and integrally—it maintains a biofilm-free environment and drives granulation tissue formation.

📖 Resource:
Mayer DO, Tettelbach WH, Ciprandi G, et al. Best practice for wound debridement: an international consensus.
J Wound Care. 2024;33(6 Suppl C):S1–S29. doi:10.12968/jowc.2024.33.Sup6.S1

10/22/2025

✨ We’re Growing & Hiring! ✨

United Wound Healing is expanding rapidly as we continue our rich history of providing compassionate, specialized wound and skin care across communities. With new partnerships, advanced training programs, and an ever-growing team of providers, we’re proud to be making a real difference in patients’ lives. 💙

We’re looking for dedicated clinicians and support staff who are ready to and be part of something bigger. If you have a passion for patient care and want to grow in a supportive, innovative environment, we’d love to meet you.

🔹 Learn more about our open positions at https://www.unitedwoundhealing.com/about/careers/

🔹 Join a team that’s redefining wound care

🔹 Make an impact, every single day