The burden of hard-to-heal wounds has been well documented over the past few years. Therefore, it is more important than ever to shift the focus from managing a wound to healing a wound to minimise the risk of hard-to-heal status, focusing on a holistic approach to achieve Wound Balance (Garten et
al, 2023). RespoSorb Silicone Border is an SAP dressing that can reduce the high abnormal levels of MMPs and bacteria that are often found in hard-to-heal wounds and that inhibit wound healing (Davies, 2017). RespoSorb Silicone Border is easy to use, conformable and comfortable for the patient, and it enables a non-traumatic dressing change and has a long wear time. The dressing provides a cost-effective (Velickovic et al, 2020; 2022) alternative to foam dressings for patients with exuding acute and hard-to-heal wounds. The case studies demonstrate how early assessment of wound risk factors and early appropriate intervention can improve patient outcomes. Case studies play an important role in developing an evidence base, but further well-designed studies are required to expand on this. BJN