A wound shield to manage repetitive access stress may include a conformable substrateto circumscribe a wound. Any suitable dressing may be secured to the conformablesubstrate providing separation between the wound and the dressing. The woundsubstrate may provide a site for attachment of adhesive dressings to shield thepatient's skin from the pain of repetitive access and or removal of the dressings.A conformable substrate may be composed ofone or more layers of any suitable materialand may include adhesive on one or more surfaces to secure the substrate to thewound site and or to secure the dressing to the conformable substrate A conformablesubstrate (440) may be spiral wrapped around a wound 400. This technique providesincreased skin shielding using only a single substrate and a simple applicationtechnique.