A wound shield (220) including a conformable frame (221) to circumscribe a wound and warm water circulating system to maintain a warm environment. Any suitable dressing (223) may be secured over the conformable frame (221) providing separation between the wound and the dressing. The wound frame may provide pressure relief around a wound or pressure sore to permit healing. A conformable frame may be composed of one or more layers of any suitable material and may include adhesive on one or more surfaces to secure the frame to the wound site and or to secure the dressing to the conformable frame.