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Drawing on current guidance and clinical literature, the article examines the importance of holistic patient evaluation, accurate diagnosis and systems-based understanding of delayed wound healing. Factors such as age, comorbidity, lifestyle, medication and psychosocial context are discussed alongside the clinical characteristics of the wound itself. The role of timely diagnostic investigations and appropriate dressing selection is also considered. Emphasis is placed on improving assessment standards and promoting structured clinical reasoning to support recovery, prevent complications and reduce the burden on services. A comprehensive, person-centred approach is essential to improving outcomes in patients with complex wounds.<\/jats:p>","DOI":"10.12968\/bjon.2024.0395","type":"journal-article","created":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T17:57:17Z","timestamp":1762451837000},"page":"S18-S26","source":"Crossref","is-referenced-by-count":3,"title":["Assessment of non-healing wounds in clinical practice: towards a holistic and systems-based approach"],"prefix":"10.12968","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2784-8702","authenticated-orcid":false,"given":"Aby","family":"Mitchell","sequence":"first","affiliation":[{"name":"enior Lecturer in Nursing Education, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2013.22.8.407"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2016.06.012"},{"issue":"3","key":"B4","first-page":"159","volume":"101","author":"Bowers S","year":"2020","journal-title":"Am Fam Physician."},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1002\/j.2040-4603.2019.tb00063.x"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1186\/s13075-020-02300-1"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2020.1168"},{"issue":"2","key":"B8","first-page":"51","volume":"16","author":"Falknor GW","year":"1977","journal-title":"J Foot Surg."},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-1401"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12603"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1177\/0022034509359125"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.1995.4.16.959"},{"key":"B14","first-page":"l5509","volume":"367","author":"Li J","year":"2019","journal-title":"BMJ Case Rep."},{"issue":"1","key":"B15","first-page":"12","volume":"8","author":"Maroz N","year":"2016","journal-title":"J Am Coll Clin Wound Spec."},{"issue":"1","key":"B16","first-page":"2","volume":"5","author":"Maroz N","year":"2013","journal-title":"J Am Coll Clin Wound Spec."},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2020.29.20.S18"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2020.25.Sup3.S12"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2024.33.4.S24"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1002\/9781119908241"},{"key":"B21","volume-title":"International best practice statement: Optimising patient involvement in wound management","author":"Moore Z","year":"2016"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.15001"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0220577"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2015.08.068"},{"issue":"2","key":"B27","first-page":"51","volume":"10","author":"Nichols E","year":"2015","journal-title":"Wound Essentials."},{"key":"B28","volume-title":"Chronic wound care: a clinical source book for healthcare professionals","author":"Price P","year":"2012"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2020.1243"},{"issue":"1","key":"B31","first-page":"28","volume":"19","author":"Sharpe A","year":"2023","journal-title":"Wounds UK."},{"key":"B33","doi-asserted-by":"publisher","DOI":"10.1007\/s13671-016-0157-2"},{"key":"B34","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2023.32.Sup7.S6"},{"issue":"4","key":"B35","first-page":"1","volume":"7","author":"Vowden K","year":"2011","journal-title":"Wounds UK."},{"issue":"1","key":"B38","first-page":"48","volume":"15","author":"Young T","year":"2019","journal-title":"Wounds UK."}],"container-title":["British Journal of Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/bjon.2024.0395","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T17:57:22Z","timestamp":1762451842000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/bjon.2024.0395"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,6]]},"references-count":30,"journal-issue":{"issue":"20","published-print":{"date-parts":[[2025,11,6]]}},"alternative-id":["10.12968\/bjon.2024.0395"],"URL":"https:\/\/doi.org\/10.12968\/bjon.2024.0395","relation":{},"ISSN":["0966-0461","2052-2819"],"issn-type":[{"value":"0966-0461","type":"print"},{"value":"2052-2819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,6]]}}}