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A wound is often considered “chronic” or “non-healing” when it does not show expected progress over several weeks despite appropriate basic care. These wounds can arise from diabetes, poor circulation, pressure, trauma, surgery, or other underlying conditions.

At BridgePointWound Care & Hyperbaric, we focus on identifying and addressing the factors that prevent wounds from healing, using a structured, evidence-based approach.

 

Common Causes of Non-Healing Wounds

Chronic wounds may be associated with:

  • Diabetes and neuropathy

  • Peripheral arterial disease or venous insufficiency

  • Pressure injuries related to immobility, friction or rubbing

  • Post-surgical complications

  • Autoimmune or inflammatory conditions

  • Malignancy or atypical etiologies

A thorough evaluation is often required to determine why a wound has not responded to standard measures.

 

Comprehensive Wound Assessment

Our assessment typically includes:

  • Detailed wound history and prior treatments

  • Measurement and documentation of wound characteristics

  • Evaluation of vascular status and perfusion

  • Screening for infection and osteomyelitis when appropriate

  • Review of systemic factors such as nutrition, glycemic control, medications, and mobility

  • Tobacco use hinders wound healing. Forming a plan to cut down and work towards cessation.

Based on this evaluation, a tailored treatment plan is developed.

 

Treatment Strategies

Management of chronic and non-healing wounds may involve:

  • Debridement of non-viable tissue to promote a healthy wound bed

  • Advanced dressings selected to optimize moisture balance and protect surrounding skin

  • Infection management, including topical and systemic therapies where needed

  • Offloading or pressure redistribution for foot and pressure-related wounds

  • Edema management and compression if venous components are present

  • Adjunctive therapies such as cellular/tissue-based products, negative pressure wound therapy, or hyperbaric oxygen therapy in selected cases

We also emphasize patient education, caregiver involvement when appropriate, and realistic expectations about healing time and follow-up.

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When to Seek Specialized Wound Care

Referral to a wound care center is appropriate when:

  • A wound has not improved after PCP evaluation & management with well-documented standardized care

  • There is concern for underlying vascular disease, infection, or osteomyelitis

  • The wound is associated with diabetes, prior amputation, or high risk for limb loss

  • The patient or caregivers are struggling to manage dressing care or offloading at home

  • When wounds have been recurrent & are affecting quality of life.

Our clinic routinely evaluates and treats chronic wounds for patients from across Davis and Weber counties.

 

Goals and Follow-Up

The goals of chronic wound management include:

  • Achieving stable wound closure when possible

  • Reducing pain, Controlling exudate, Eliminating  odor

  • Preventing infection and hospitalization

  • Preserving mobility and independence

Regular follow-up allows us to monitor progress, adjust the care plan, and coordinate with other members of the patient’s healthcare team.

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