A wound described as having no granulation tissue is best described as which?

• A. Non-healing or stalled wound lacking granulation tissue
• B. Fully healed
• C. Excess granulation tissue present
• D. Necrotic with surrounding tissues

Answer: (A)

A wound that has no granulation tissue signals that healing is not progressing; this describes a non-healing or stalled wound. Granulation tissue is the new connective tissue and tiny blood vessels that fill the wound bed as healing moves through the proliferative phase. When it’s absent, the wound isn’t moving forward toward closure, indicating stalled healing. If the wound were fully healed, you’d see epithelialization and a scar rather than a bed without granulation tissue. If granulation tissue were excessive, it would protrude above the wound bed (proud flesh), not be completely absent. If necrosis were present, you’d expect necrotic debris in the bed and surrounding tissue rather than simply a lack of granulation tissue.