Wound bed preparation is a comprehensive approach to wound management that focuses on optimizing conditions at the wound bed, to encourage normal endogenous processes of healing, Shultz et al. (2005). The TIME paradigm was developed as a practical expression for the management of wounds, based on the principles of wound bed preparation. First published in 2003, it is a practical guide to wound management that relates clinical observations and interventions to the underlying wound pathology to each of four areas; T – tissue, non-viable or deficient, I – infection/inflammation, M- moisture imbalance, E – for edge of wound, non-advancing or undermined.

Like all chronic wounds, pressure ulcers do not follow the normal pattern of wound healing, Romanelli and Mastronicola (2002). They have a complex inflammatory nature and often produce substantial amounts of exudate, that can interfere with the healing process. The choice of the correct wound dressing is paramount. A dressing that has optimum exudate management is essential to correct any moisture imbalance (M) that may be present. Other performance parameters of the optimum dressing will be discussed.

The aim of this poster presentation is to demonstrate how the paradigm of TIME can be used systematically to provide the optimum care for our patients. A small case study series of patients presenting with heel pressure ulcers will be illustrated in the full poster presentation. The application of the principles of wound bed preparation and the systematic use of TIME in ‘real life' situations, has led to improvements in healing and quality of life.