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wounds Tag

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

Objective point of care measurement of pressure trauma

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

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

The VIPs of diabetic foot care

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

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

Leech therapy … a new age?

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,

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