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Information about wounds for unsheltered people and service providers

People living homeless are at increased risk of developing wounds and face significant challenges in taking care of them. Even small wounds can worsen and lead to life-threatening infections under these conditions.

  • Higher risk of burns, frostbite, insect bites, and traumatic injuries
  • Circulation and vein problems in the legs from being unable to lay flat to sleep on a regular basis
  • Slower wound healing due to chronic stress and lack of sleep
  • Must prioritize immediate safety and survival over other needs
  • Difficult to keep wounds clean and obtain bandaging supplies
  • Exposure to bacteria in the environment
  • Lack of bathroom facilities and handwashing access
  • Difficult to get enough key nutrients for healing, such as protein
  • Transportation and logistical barriers to accessing care
  • Untreated chronic conditions, such as diabetes, that complicate wound healing
  • Experiences with stigma and discrimination in medical settings
  • Harm reduction information and sterile supplies are critical to preventing abscesses and skin infections, but unsheltered people face barriers to accessing these services.
  • Living unsheltered makes it difficult to implement infection prevention techniques, such as cleaning the skin prior to injecting.
  • Factors such as cold and dehydration increase the risk of vein scarring, leading to circulation problems that can cause chronic wounds.
  • Difficulty finding a vein also increases the likelihood that a person will inject into muscle or subcutaneous tissue, which carry a higher risk of abscesses and infections.

Information about where to get new, sterile injection supplies can be found at kingcounty.gov/needle

Wound care toolkit

This toolkit provides general public health information and education. It is not medical advice. Please see a licensed healthcare provider for individualized care and recommendations.

Wound care kit pilot program

The King County Street Medicine Team and Mobile Medical Vans began distributing wound care supply kits to unsheltered clients with chronic wounds in the summer of 2023.

We evaluated this project by conducting 1) focus group interviews of people with lived experience and 2) structured conversations with staff distributing the kits.

We found that wound care kits fulfill an unmet need, reduce barriers to care, and support increased client engagement.

This project evaluation would not have been possible without leadership, support, and facilitation skills of VOCAL-WA. VOCAL-WA is a grassroots membership organization building power among no and low-income people who are affected by war on drugs, substance use, homelessness, HIV/AIDS, mass incarceration, and other forms of systemic violence. Thank you!

We would also like to thank Aileen's, Recovery Café, People's Harm Reduction Alliance, and DESC for hosting focus groups.

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