Review the setting and wound concern
Gateway looks at the location, wound trajectory, current plan, practical barriers, and contacts already involved.
Wounds Gateway supports
Chronic wound care across Greater St. Louis and Metro East.
A wound that stalls or keeps returning may be affected by pressure, swelling, blood flow, diabetes, infection, nutrition, medications, mobility, repeated trauma, or a care plan that is difficult to carry out in the current setting. Gateway reviews requests for mobile wound care, home and facility follow-up, and coordinated communication with the clinicians and organizations already involved.
The wound and the person
What can make non-healing and chronic wounds difficult to heal.
A wound that stalls or keeps returning may be affected by pressure, swelling, blood flow, diabetes, infection, nutrition, medications, mobility, repeated trauma, or a care plan that is difficult to carry out in the current setting.
Wound treatment can fail even when the written order is reasonable. Transportation, mobility, pain, supplies, caregiver capacity, pressure, swelling, circulation, nutrition, chronic disease, and conflicting instructions can all interrupt follow-through. Gateway’s model is designed to bring those practical realities into the same plan as the wound itself.
The first question is not only what dressing is being used. It is whether the treatment matches the wound’s cause, whether the person can carry it out where they live or recover, and who is responsible for responding when the wound or the patient changes.
Coordinated clinical focus
Gateway looks at the wound and the larger context: current treatment, underlying conditions, who is helping, where the person lives, access to supplies, recent transitions, and which specialists or agencies need to stay connected.
See Gateway’s approach →A useful referral
Start with what is known.
A complete chart is not required to ask Gateway to review a request. A concise, accurate first message helps determine clinical fit, geographic availability, the responsible contacts, and which records should move through a secure channel.
- How long the wound has been present and what has already been tried
- Measurements, drainage, tissue, surrounding skin, pain, and recent change
- Medical conditions, mobility, nutrition concerns, care setting, and current clinicians
- Patient city or ZIP, care setting, urgency, and best direct contact
- Names of the physician, surgeon, facility, home-health agency, or other care team already involved
For professional referrals, identify who should receive confirmation and follow-up. For patient or family requests, plain language is enough. Do not put detailed medical records, full identifiers, insurance numbers, or wound photographs into the public form.
Changes that should not wait
Know when to escalate.
Rapid deterioration, fever, spreading redness, darkening tissue, severe pain, confusion, weakness, uncontrolled bleeding, or signs of systemic illness requires prompt medical review. Call 911 for emergency symptoms.
Gateway is not an emergency service.Call 911 for urgent or life-threatening symptoms. Contact the responsible clinician or emergency service promptly when a wound or the person’s overall condition is worsening.
Where care happens
Mobile non-healing and chronic wounds support across the region.
Gateway reviews requests for selected patients in private homes, assisted living communities, skilled nursing facilities, rehabilitation settings, and after hospital or surgical discharge. Availability depends on the exact care need, geography, provider scope, licensure, payer participation, provider coverage, and scheduling.
Mobile wound care does not replace emergency, hospital, vascular, surgical, podiatry, infectious-disease, or other specialty care when those pathways are needed. The goal is to make the appropriate next step visible, connect the people already involved, and reduce the chance that the patient becomes responsible for reconciling separate plans.
Determine fit and next documentation
The team reviews provider scope, licensure, payer participation, coverage, scheduling, and which records are needed securely.
Close the communication loop
The patient, family, or referring team receives a next step rather than leaving the request between organizations.
Related wound types
Continue with the next clinical question.
Many chronic and complex wounds involve more than one healing barrier. These pages cover related wound patterns and care needs.
Find local information:Choose a Gateway service areaRead practical wound-care resources
Common questions
Before contacting Gateway.
Start with the location, what is changing, the current setting, and the best person to contact.
Does Gateway support non-healing and chronic wounds?
Gateway reviews requests involving non-healing and chronic wounds for selected patients in appropriate home, facility, rehabilitation, and post-discharge settings across Greater St. Louis and Metro East Illinois.
What should be included in a first request?
Start with the patient’s city or ZIP, current care setting, the general concern about the non-healing chronic wound, what has changed, urgency, and the best direct contact.
Can records and wound photographs be uploaded through the public form?
No. Use the public form only for limited routing information. Gateway will provide a secure path if clinical records or photographs are needed.
Is Gateway an emergency service?
No. Call 911 for urgent or life-threatening symptoms. Rapid decline, uncontrolled bleeding, severe systemic illness, or an acutely cold or blue limb should not wait for a website response.
Start with Gateway
Need help with non-healing and chronic wounds?
Tell us where the person is, what is happening, and who should receive the next update.