Living with a wound

Types of wound

By Mark Collier, Lead Nurse Consultant – Tissue Viability, United Lincolnshire Hospitals

Wounds may be classified as either being acute or chronic in nature.

Acute wounds may be defined as, ‘those healing as anticipated’ and chronic wounds as, ‘Wounds that are failing to heal as anticipated or that have been stuck in any one phase of wound healing for a period of six weeks or more’.

Some examples of chronic and acute wounds are given below:


Leg and Foot Ulcers

Ulcers are breaks in the layers of the skin that are failing to heal. Sometimes they don't heal after six weeks and are described as chronic ulcers.

People with diabetes - especially if having regular insulin injections - are at special risk of developing foot ulcers, and therefore meticulous foot care is an important part of diabetes management in general.

Poor blood circulation in the legs is also a common cause of ulcers – which again is why insulin dependant diabetic patients are particularly at risk as their circulation is often compromised by the disease process. The resultant ulcers are known as either arterial or venous leg ulcers - a specific diagnosis will be given to you by a qualified healthcare professional.

Find out more about diabetic foot ulcers in our new section.

Leg ulcers may also be noted as complications of other medical conditions such as accidental injuries, vascular disease (heart attacks, strokes etc), infection and tumours.

Find out how leg and foot ulcers are treated.

Dressing a leg ulcer


Pressure Ulcers

Areas of damage to the skin or underlying tissue caused by pressure, shear, friction and/or a combination of these. Such ulcers can commonly occur in those confined to a bed or wheelchair. They can develop on any part of the body, but areas such as elbows, knees, back of the head and heels are particularly susceptible due to the bone being nearer the surface of the skin and therefore there is an increased chance of the circulation being squashed/compromised as result of pressure.

Find out how pressure ulcers are treated.


Foam dressing on elbow wound


Skin Tears and Lacerations

Mainly caused by minor trauma to, in most cases, the arms, hands and legs. A skin tear occurs when the top layer of skin (epidermis) is separated from the lower layer (dermis) due to a bump or scrape.

Skin tears tend to heal reasonably quickly (20-30 days), depending on the severity. However, they can be painful and can occur frequently in those with fragile skin.

Find out how skin tears and lacerations are treated.