Pressure injury is recognised as commencing in deeper soft tissues and by the time that skin changes are visible it is generally too late to avoid tissue damage. Visual inspection of skin over bony prominences is an important assessment and care activity. However, an objective
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.
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
Gary Sibbald and James Elliott eloquently describe their clinical mantra for treating a patient with neuropathic foot ulceration. They refer to the process as the "VIPs of care". V = ensuring an adequate vascular supply. Examine pulses, systolic arterial pressures (including in the great toe) and
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
Dr Aletha Tippett is a member of the Advanced Wound Team with the Hope of Healing Foundation in the USA. She recently reported on the modern day utilisation of leech therapy and described this modality being used for the following indications : surgical flap salvage,
In collaboration with the Australian College of Nursing, I am presenting a two-day "Wound Management Update" at the John Hunter Hospital on April 10&11, 2017. This CPD short course (12 hours) is designed for registered and enrolled nurses who provide wound care in the acute
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
It is my great pleasure to anounce the commencement of a collaboration between Ausmed Education and The Wound Guy. Keep an eye on both the Ausmed and Wound Guy websites for wound management education training dates.
Ibuprofen is known to reduce collagen cross-linking in those individuals repairing their wounds - potentially weakening the tensile strength of the skin. The effect is dose dependent and usually resolves once the medication has been ceased. In recent years there has been an increase in