This document describes the prevalence of various health and chronic illness risk factors among those with chronic wounds and how those factors influence healing.

The document is organised into two parts.
Part 1 covers stress, sleep, smoking, medication, illicit drug use, and alcohol consumption, all commencing with an understanding of pathophysiology as it relates to wound healing, followed by a review of the literature as it applies to chronic wounds.
Part 2 covers physical activity and nutrition.

The aim is to provide clinicians, policymakers and researchers with an updated resource, including:

• • recommendations for future research and indentification of areas of certainty and uncertainty.
  • recommendations, tailored for both healthcare professionals and patients, on how they may integrate different lifestyle factors and their implications for a wound management plan / wound self-management.