When Healing May Not be an Option - How to Effectively Manage Fungating Wounds

- Topics
- Exudate Management, Exuding Wounds, Hard-to-heal Wounds, Maceration, Moderate to Highly Exuding Wounds, Pain
Following two recent publications on the concept of Wound Balance (Wounds International, 2023; Blome et al, 2024), an adaptation review was conducted to assess the relevance of Wound Balance in the Australian healthcare context. A Wound Balance Advisory Board was created, consisting of Australian wound care specialists from a range of clinical settings. Two meetings of the Wound Balance Advisory Board took place between 2024 and 2025, with this publication reflecting the outcomes and outlining the journey of acceptance and adaptation of Wound Balance for healthcare professionals (HCPs) in Australia. The inaugural HARTMANN Wound Expert Advisory Board meeting took place in Sydney in August 2024. Participants engaged in pre-reading and surveys designed to explore the potential paradigm shift in mindset and clinical practice introduced by the Wound Balance concept (revolving around ‘patient’, ‘wound’ and ‘care’). The agenda and objectives for this day-long meeting were clearly defined, ensuring a structured discussion aimed at developing meaningful outcomes. The second HARTMANN Wound Expert Advisory Board meeting, held in March 2025, focused on refining the insights from the initial meeting to support this publication as an Australian adaptation of Wound Balance. The primary goal was to create a Wound Balance version tailored to include generalist HCPs in Australia and establish consensus on the content.
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