Living with a wound

How wounds are treated

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

The most common approach to the assessment, preparation and management of wounds is known as TIME. The TIME principle works as follows:

Tissue
Healthcare professionals will identify the types of tissue within the wound bed. All unwanted dead tissue will be removed.

Inflammation/Infection
Healthcare professionals will identify the cause of inflammation/infection if present and will administer the appropriate treatment.

Moisture
Research has shown that wounds heal better when the wound is kept moist by use of an appropriate dressing. The most effective treatment is to achieve a balance where the wound is moist but not saturated. Healthcare professionals will select the most appropriate dressing for the wound.

Edges
How can the skin edges be protected from further damage as a result of any excess exudate. It is important that the edges of a wound are kept healthy to reduce the risk of skin breakdown and infection.

In order to aid with the M and E parts of the TIME principle, various dressings products, dressings and skin protection may be used on a wound.