# Integrity Wound Healing Solutions, LLC — full site content Healing with Integrity. Care with Purpose. Provider: Natalie Kahle, MSN, APRN, FNP-C, DAPWHc, CWHAP — Owner | Founder | Provider Website: https://integritywoundaz.com - Telephone: 844-50-WOUND — (844) 509-6863 - Fax: 844-40-WOUND — (844) 409-6863 - Referrals: referrals@integritywoundaz.com - General enquiries: info@integritywoundaz.com - Service area: Serving patients across the Phoenix metropolitan area and surrounding cities throughout the Valley. --- ## Who we are Integrity Wound Healing Solutions, LLC is an Arizona-based mobile wound care practice. We bring specialty-level wound management and wound medicine directly to homes, assisted living communities, group homes, and skilled nursing facilities. Chronic wounds do not fail to heal because someone was not trying hard enough. They fail because something underneath is unresolved — circulation, pressure, nutrition, blood sugar, infection, or a diagnosis that was never questioned. That is where we start. ## Why the practice exists A weekly wound clinic appointment sounds simple. In practice it means arranging a ride, a caregiver taking time off work, a transfer in and out of a vehicle, a waiting room, and hours away from home — every week, for months. For patients with limited mobility, dementia, oxygen dependence, or no transportation, it often means the appointment simply does not happen. So the wound stays open. Dressings get changed by whoever is available, with whatever is in the drawer. Small problems become infections. Infections become hospitalizations. And a wound that could have closed in eight weeks is still open at eight months. This practice is built the other way around. The specialist travels. The assessment, the debridement, the dressing changes, the compression, the offloading, and the teaching all happen where the patient already lives — and the family and care staff who do the daily work are part of every visit. ## Services ### Mobile Wound Management Full-service wound healing delivered at the bedside — private homes, assisted living, group homes, skilled nursing, and long-term care. No transportation, no waiting rooms, no missed appointments. - In-home and in-facility visits on a set schedule - Communication with your primary care provider and specialists - Direct communication with family and facility staff ### Advanced Wound Medicine Wound medicine looks past the wound bed to the reason the wound exists. Perfusion, pressure, nutrition, glycemic control, infection, and medication effects are all part of the diagnosis. - Comprehensive wound and lower-extremity assessment - Coordination with mobile diagnostic companies for bedside vascular screening when perfusion is the suspected barrier - Biopsy and workup for wounds that are not as they appear to be ### Debridement & Dressing Selection Healthy tissue cannot grow across non-living cells. We perform debridement as clinically indicated and match the dressing to the wound appearance, then update the plan as the wound changes. - Autolytic, mechanical, and conservative sharp debridement - Advanced dressings and antimicrobials - Negative pressure wound therapy management ### Compression & Offloading Venous leg ulcers and diabetes-related foot wounds often persist when the underlying mechanical forces are not adequately addressed. We use compression when vascular status supports it and individualized offloading strategies to reduce pressure, shear, and repetitive tissue stress. - Multi-layer compression wraps based on vascular assessment and clinical findings - Individualized offloading plans using removable devices and pressure-relieving strategies when appropriate - Pressure redistribution, positioning, and seating recommendations based on wound location and patient needs ### Infection & Antimicrobial Stewardship Wound infection is identified through clinical assessment, not culture results alone. We evaluate the patient and wound for signs of local, spreading, or systemic infection, obtain cultures when clinically indicated, and use targeted antimicrobial therapy when treatment is warranted. - Assessment for local, spreading, and systemic signs of infection - Culture when clinically indicated using an appropriate specimen and collection technique - Evaluation for deeper infection or osteomyelitis, with timely escalation when needed ### Facility & Home Health Partnership We partner with facility and home health teams to strengthen prevention, for early identification, and consistent wound management between provider visits through practical education, communication, and clinical support. - On-site education for nursing and care staff based on identified needs - Support for skin and pressure injury prevention, wound observation, documentation, and escalation - Case-based education and routine communication to support continuity between nursing staff and provider visits ## Wound management versus wound medicine **Wound management** is the treatment happening at the wound itself, week to week: measurement and objective progress tracking, selective debridement of non-viable tissue, dressing selection matched to exudate and tissue type, periwound skin protection, negative pressure wound therapy oversight, and supply coordination. **Wound medicine** is the diagnostic and systemic work: arterial and venous assessment with vascular referral, neuropathy and biomechanical evaluation, nutrition and protein status review, glycemic control coordination, osteomyelitis evaluation and antimicrobial decisions, and biopsy or workup for atypical, non-healing wounds. A wound is a symptom. If the cause is not identified and addressed, no dressing on the market will close it. Complex wounds need both halves. ## Where we practice Private homes, assisted living communities, group homes, skilled nursing facilities, long-term care, and post-acute transitional settings across the Phoenix metropolitan area and surrounding Arizona communities. ## Conditions managed Diabetic foot ulcers, venous leg ulcers, arterial ulcers, pressure injuries, surgical wounds and dehiscence, skin tears, moisture-associated skin damage, burns, traumatic wounds, and atypical or non-healing wounds. ## What to expect 1. **Referral.** A patient, family member, case manager, discharge planner, or facility makes contact. Insurance is confirmed and records gathered. 2. **Scheduling.** The first visit is scheduled at the home or facility, usually within a few business days, at a time that works for caregivers. 3. **Full assessment.** Wound measurement and photography, circulation screening, nutrition and risk review, and a look at everything currently being used on the wound. 4. **Plan and teaching.** The visit ends with a written plan, the right supplies identified, printed education, and a follow-up schedule. ## Values - **Integrity** — we recommend what the wound needs, not what is easiest to bill. If a wound needs a specialist we do not provide, we refer out. - **Presence** — wound care happens at a bedside, not over a portal. - **Evidence** — debridement technique, dressing choice, compression, offloading, and antimicrobial use follow current wound healing evidence. - **Dignity** — nobody in our care is made to feel the wound is their fault. ## Patient education library 11 free, printable, plain-language handouts. Each explains what the wound is, why it happened, how it is treated, what the patient can do at home, and exactly when to call. Every handout carries a disclaimer that it is general education and does not replace the care plan from the patient's own provider. ### Caring for Your Wound at Home Why your dressing stays put between visits, how to keep it dry in the shower, and when to call us instead of changing it yourself. PDF: https://integritywoundaz.com/education/wound-care-basics.pdf ### Diabetic Foot Ulcers Why they form, why they often do not hurt, how offloading heals them, and the daily foot check that catches the next one early. PDF: https://integritywoundaz.com/education/diabetic-foot-ulcer.pdf ### Venous Leg Ulcers The most common leg wound in adults. Why compression is the treatment, how to elevate correctly, and how to keep it from returning. PDF: https://integritywoundaz.com/education/venous-leg-ulcer.pdf ### Arterial Ulcers Wounds caused by blocked arteries. Why these need a circulation workup first, and why the usual advice about elevation and compression does not apply. PDF: https://integritywoundaz.com/education/arterial-ulcer.pdf ### Pressure Injuries Staging explained in plain language, the four forces that cause them, turning and positioning, and the mistakes that make them worse. PDF: https://integritywoundaz.com/education/pressure-injury.pdf ### Skin Tears Common in older adults and largely preventable. What to do in the first few minutes, how to protect the skin flap, and how to prevent the next one. PDF: https://integritywoundaz.com/education/skin-tears.pdf ### Moisture-Associated Skin Damage Incontinence-associated dermatitis and skin fold rashes — how to tell them apart from a pressure injury, and the skin care routine that resolves them. PDF: https://integritywoundaz.com/education/moisture-associated-skin-damage.pdf ### Surgical Wounds What normal incision healing looks like, why some surgical wounds open or become infected, and exactly when to call. PDF: https://integritywoundaz.com/education/surgical-wound.pdf ### Burns Burn depth explained, first aid for a thermal burn, which burns belong at a burn center, and caring for a healing partial-thickness burn. PDF: https://integritywoundaz.com/education/burns.pdf ### Traumatic Wounds Cuts, scrapes, punctures, bites, and crush injuries — what to do first, when to go to the emergency department, and how these are managed. PDF: https://integritywoundaz.com/education/traumatic-wounds.pdf ### Atypical Wounds When a wound is not what it first appears to be. The clues that point to pyoderma gangrenosum, vasculitis, calciphylaxis, or skin cancer — and why biopsy matters. PDF: https://integritywoundaz.com/education/atypical-wounds.pdf ## Events The practice runs community wound screenings, caregiver education sessions, facility staff in-services, and online sessions. The current calendar is at https://integritywoundaz.com/events. Facilities can request an on-site in-service on pressure injury prevention, staging, dressing selection, and documentation. ## Referrals Referrals are accepted directly from patients and families — no physician referral is required to call — as well as from physicians, case managers, discharge planners, home health agencies, and facilities. Visit notes are sent back to the referring provider after every encounter. ## Important qualifications - This site is not an emergency service. Call 911 for heavy bleeding, rapidly spreading infection, high fever, chest pain, difficulty breathing, or a limb that is cold, blue, or numb. - Educational material here is general health information, not individualised medical advice, and does not replace assessment by a clinician. - Email is not a secure channel for protected health information. Copyright 2026 Integrity Wound Healing Solutions, LLC. All rights reserved.