The key: Establishing an early diagnosis

Authors

  • Natalia López Morán Redactora Enfermeir@s. SERGAS
  • Marta Gómez López SERGAS

Keywords:

Complex Wound, Professionals, Diagnosis, Treatment, Nursing

Abstract

Complex wounds are characterized by the loss of continuity of the epithelial surface, accompanied by tissue loss in any part of the body, with little or no tendency for spontaneous healing. Their healing process often requires extended periods and occurs through secondary intention. The loss of integrity can lead to severe disability or even death, depending on the extent of the wound or uncontrolled associated complications.

These types of wounds remain a prevalent issue today, affecting individuals across all levels of care and social classes. Their management demands a commitment from all healthcare professionals, focusing on prevention and care until complete healing is achieved. Healthcare professionals must drive advancements and acquire knowledge that enables a radical change in the approach to treating these lesions.

It is crucial to establish an early and differential diagnosis among the various types of complex wounds, as treatment varies depending on their etiology.

There is no single, effective treatment for complex wounds. Local care is provisional and must always be accompanied by the correction of the underlying cause, that is, the primary pathology. The clinical team must reach a consensus on the treatment to be applied and the course of action to follow. To assess its effectiveness, treatment should be maintained for a minimum of two to three weeks, unless adverse reactions or significant deterioration occur.

Specialized consultation should not be delayed. Early referral can prevent, in a high percentage of cases, diagnoses made too late, whose consequences can be catastrophic. Timely and adequate care is essential to improve healing outcomes and minimize the impact on patients' quality of life.

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Published

2025-08-30

How to Cite

López Morán, N., & Gómez López, M. (2025). The key: Establishing an early diagnosis. Revista Enfermeir@s, 1(38), 33–38. Retrieved from https://www.enfermerialugo.org/revista/index.php/enfermeiraos/article/view/180