‘Diabetic foot’ is a term used to describe a group of syndromes in which neuropathy and/or ischaemia lead to tissue breakdown and reduced resistance to infection in a patient with diabetes mellitus. Foot ulceration is a serious and potentially limb-threatening complication of diabetes that can lead to pain, tissue necrosis and amputation, and may significantly affect an individual’s well-being and mobility. To read the full article, log in using your MPFT NHS OpenAthens details.
A new team from Shropshire Community Health NHS Trust has celebrated a successful first year by being shortlisted in the prestigious Nursing Times Awards.
Telford Wound Healing Service was established in April 2018 to improve the quality of life for patients living with chronic wounds.
The next step after classification is treatment and the successful management of venous leg ulcers (VLUs) and chronic venous insufficiency (CVI) is considered to be compression therapy. Section 4 of the best practice statement (BPS), Holistic management of venous leg ulcers (Wounds UK, 2016), examines compression. To read the full article, log in using your MPFT NHS OpenAthens details.
Objective: To analyse the treatment of pressure ulcers (PU) in long-term care. To read the full article, log in using your MPFT NHS OpenAthens details.
Almost 1,300 new pressure ulcers are reported each month in the NHS in England, according to NHS Digital. To read the full article, log in using your MPFT NHS OpenAthens details.
Objective: To evaluate the methodological approaches used to assess the cost consequences of diabetic foot ulcers (DFUs) in published scientific papers. To read the full article, log in using your MPFT NHS OpenAthens details.
The prevalence of venous leg ulcers is expected to increase, due to an ageing population and sedentary lifestyles. Marie Todd emphasises the importance of well-trained staff, effective wound management and adequate compression. To read the full article, log in using your MPFT NHS OpenAthens details
A pressure ulcer prevalence of 17.3% at Odense University Hospital in Denmark in 2010 prompted action and a quality improvement project was planned. This had two aims: to reduce pressure ulcers at the hospital by 50% and to have no pressure ulcers at or above category 3. ...Six years later the pressure ulcer prevalence was down to approximately 2% and in 2018 only one stage 3 pressure ulcer occurred in the hospital. To read the full article, log in using your MPFT NHS OpenAthens details
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In July 2018, the authors of this document met in the Royal Borough of Windsor to discus hard-to-heal wounds. The two-day meeting resulted in this consensus document....Over the two days, these questions and many others were examined at length. Here we are going to try and summarise the main points of this consensus. To read the full article, log in using your MPFT NHS OpenAthens details.
Compression therapy is the main method used in the treatment and management of lymphoedema and chronic oedema. The increasing prevalence of the condition, which has multiple causes, such as genetic factors, age and external factors, require the effective management of the condition, and to enhance the management methods used to contain the condition. The use of exercise alongside the mainstay method of treatment (compression therapy) has been an underutilised area. The application of a structured exercise programme in conjunction with multi-layer lymphoedema bandaging combined with an adjustable velcro wrap-based systems led to a decrease in limb volume in one case study. The results of the programme indicate that the approach is beneficial and requires embedding further in Walsall lymphoedema service, due to improved patient outcomes, and cost effectiveness in terms of resources. To read the full article, log in using your MPFT NHS OpenAthens details.
A clinical case series of patients with a hard-to-heal DFU treated with NCM were recruited between March and June 2017 in a specialised diabetic foot unit. DFUs were treated daily with NCM over four weeks, although the health professional could decide to continue NCM treatment in some patients. Cases were followed up for 12 weeks. Wollina score (granulation, colour and consistency tissue), wound area (cm2), percentage reduction and wound closure (%) were measured. To read the full article, log in using your MPFT NHS OpenAthens details.
Products that provide a protective skin barrier play a vital role in defending the skin against the corrosive effect of bodily fluids, including wound exudate, urine, liquid faeces, stoma output and sweat. There are many products to choose from, which can be broadly categorised by ingredients. This article describes the differences in mechanisms of action between barrier products comprising petrolatum and/or zinc oxide, silicone film-forming polymers and cyanoacrylates, and compares the evidence on them. To read the full article, log in using your MPFT NHS OpenAthens details.
The National Institute of Health and Care Excellence (NICE) and the Social Care Institute for Excellence (SCIE) have jointly produced a guide to prevent pressure ulcers in care homes (NICE, 2019). This guide is based on the NICE (2014) guideline and quality standards on pressure ulcers.
The NICE guideline covers prevention and treatment of pressure ulcers in people of all ages and across care settings. To read the full article, log in using your MPFT NHS OpenAthens details.
Pressure ulcer prevention plans are most effective when all care staff are informed and involved. Siobhan McCoulough explains which training should be provided and what organisational changes are required to make prevention more effective. To read the full article, log in using your MPFT NHS OpenAthens details.
R. Frotscher, and M. Staat. 4th International Conference on Computational and Mathematical Biomedical Engineering - CMBE2015, 29 June - 1 July 2015, Cachan (Paris), France, CMBE Zeta Computational Resources Ltd., Swansea, UK, (2015)