Let the Wound Heal by Wound Care Experts It is bizarre that few doctors and nurses really know how to treat a wound. Most of them live by the clean-and-scrub principle. They clean and scrub the wound every time they change the dressing so there is nice clean-looking pink tissue. However, that wound will never heal because the initial stages of healing are at the cellular level, with healing tissue cells literally floating across the "lake" to implant themselves throughout the wound. This early stage of healing is very delicate. Any outside interference such as dabbing, touching, wiping, or irrigating will remove the granulation cells and retard or stop the entire healing process. Only people with adequate education and training in wound care should change the dressing. There is a nursing specialty called ET (enterostomal therapy). These are the wound care experts. They started as specialists in caring for patients with colostomies and are now involved in all wound care. You should insist that the hospital provide an ET nurse to consult with the staff on how to best handle the pressure ulcer that you are dealing with.