References 1) It is estimated that 3. 5 per 1000 patient suffer from wounds. (Vowden et al . 2009). Vowden,K. ,Vowden,P. and Posnett,J. (2009). The resource cost of wound care in Bradford & Airdale PCT in the UK. Journal of wound Care 18(3):93-102. 2) Beldon (2010) highlights the lack of knowledge, individualised wound assessment and the construction and maintenance of effective management plans by nurses is seriously deficient. Beldon, P. (2010). Is wound management training in primary care good enough? British Journal of Community Nursing 15(9,Suppl):S28. ) A wound by true definition is a breakdown in the protective function of the skin; the loss of continuity of epithelium, with or without loss of underlying connective tissue, eg. Muscles, bone, nerves (Leaper and Harding 1998). It can be a result of many causes: pressure damage, cuts, shearing, puncture of the skin and also a result of surgery. Leaper, D. J and Harding, K. G. (1998). Wounds: biology and Management. Oxford University Press, Oxford. 4) It is critical to remember that wound healing is not linear and often wounds can progress both forwards and back depending on intrinsic and extrinsic forces at work within the patient. Hutchinson 1992). Hutchinson, J. (1992). The Wound Programme. Centre for medical Education, Dundee 5) Nutrition deficiencies impede the normal processes that allow progression through the stages of wound healing. Malnutrition has also been demonstrated to decrease the wound tensile strength and increase infection rates. (Stechmiller 2010). Stechmiller, J. K (2010). Understanding the role of nutrition and wound healing. Nutition in Clinical practice 25:61-68.