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Implementing TIMERS: the race against hard-to-heal wounds

Scientific Content

Implementing TIMERS: the race against hard-to-heal wounds

Complex Wounds, Wound Healing, Epithelialization, Exudate Management, Wound Infection
Publication Year
Leanne Atkin et al.
published in
Journal of Wound Care


This document addresses the challenge of long-term, hard-to-heal wounds - those that do not close after care for up to a year or more.

Key points:Hard-to-heal wounds affect the patient’s quality of life, as well as being a burden on the health-care system.

Incidence of hard-to-heal wounds is rising as the age of the population increases.

Patient-related factors that influence outcomes include comorbidities, severity of the underlying condition and adherence.

Correct treatment at an early stage could prevent many hard-to-heal wounds.

Provider-related factors include awareness of treatment options available, the influence of external wound-healing inhibitors such as biofilm and availability of products.

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The full document is available at Journal of Wound Care


Leanne Atkin et al.
Vascular Nurse Consultant. Mid Yorkshire NHS Trust/University of Huddersfield, England

Citation reference

Atkin L, Bućko Z, Conde Montero E, Cutting K, Moffatt C, Probst A, Romanelli M, Schultz GS, Tettelbach W. Implementing TIMERS: the race against hard-to-heal wounds. J Wound Care 2019; 28(3 Suppl 3):S1–S49

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