My Wound Didn't Heal Right - Factors for Wound Healing or NOT Healing Right


I read a very nice mneumonic recently that is worth passing on to other doctors and patients - factors that impair wound healing.


D - Diabetes

I - Infection

D - Drugs (steroids)

N - Nutritional problems

T - Tissue necrosis from radiation injury


H - Hypoxia (inadequate oxygenation)

E - Excessive tension on wound edges

A - Another wound in the body

L - Low temperature as in the distal parts of the body (feet) or hypothermia


This mneumonic allows us to remember these factors easily - it was taken from an article written by Richard Stillman, MD FACS in accessed on September 30, 2008.



Article by
Buffalo Phlebologist