According to a survey of Medicare-certified home care agencies in the Northwest region, wound care was ranked as one of the top nine home care clinical problems. Earlier discharges precipitated by Diagnostic Related Groupings method of reimbursement meant that clients were sent home with newer, more complex and more difficult-to-care-for wounds. In addition, wound care technology has changed dramatically over the past ten years.This paper was designed to give home health nurses a thorough understanding of wound care. Psychosocial and physiological responses to wounds are reviewed including an analysis of factors that influence the healing process. The process of assessing and treating wounds is discussed along with methods and substances for cleansing and debriding and types of dressings with indications for their use.Those wounds reported to be especially problematic to.home care nurses are discussed: chronic skin ulcers, surgical wounds, and complex, draining wounds and fistulas.Multiple tables are presented to make it easier for the clinician to access needed information quickly.