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When the wallet says “no”

In NSW the price of electricity rises by 20% this month. Wage and pension increases are at all time lows and have been for some time. However the cost of utilities, vehicle registration, insurances, pharmaceuticals, council rates and food continue to increase. People are either

Technology enhancing clinical practice

http://www.smith-nephew.com/news-and-media/media-releases/news/smith-nephew-signs-exclusive-worldwide-distribution-agreement-for-the-revolutionary-moleculight-ixtm-imaging-device/   Point of care technologies which make a real time difference to clinical decisions are a holy grail which is gradually being realised.  

Podoconiosis

Until recently I had never heard of Podoconiosis. It presents in a very similar fashion to the better known Elephantitis or Filariasis, which produces chronic oedema with its accompanying skin changes and limb deformity. Filariasis is mosquito bourne and involves the habitation of a round

Risk factors for infection in Caesarean Section wounds

Smoking Drugs - opioids, steroids, anticoaggulants, illicit Diabetes Obesity (BMI >40 there is a 51% chance of infection within 6 weeks of the surgery) Pre-eclampsia Prior C-section Poor nutrition Ischaemia (normally intra, peri and post-op) Retained foreign bodies - sutures, clips, drains, dressing materials

Problems with condom catheter long term use

A Turkish report states that up to 40% of long term condom catheter (urodome) users will develop a UTI. As many as 15% will experience skin injuries including inflammation, ulceration and necrosis. Ozkan,HS; Irkoren,S; Sivrioglu,N  Penile strangulation and necrosis due to condom catheter. Int Wound J 2015;12:248-249  

My Aged Care Roadshow

Having concluded my most recent education roadshow for the aged care sector, I have learned that theorectical content is of greatest value when linked to a real clinical story. Then in reliving the story nurses are more likely to recall the factual data, which is then

Falls prevention is also wound prevention

The NSW Falls Prevention Program is a practical resource for every patient and resident care facility which when implemented may well reduce both the number and severity of falls. The link is : http://www.cec.health.nsw.gov.au/__data/assets/pdf_file/0006/258468/hosp-falls-prevent-strategies-june-2013.pdf The image is of an injury to the knee of a patient on

A wholistic view of biofilm management

Jennifer Hurlow and colleagues recently wrote in Advances in Wound Care an excellent overview of the current understanding of biofilms and their management. I particularly enjoyed the section on "take-home messages" where the following statement was made