Following an article on the principles of wound debridement in the previous Tissue Viability Supplement (Lumbers, 2018), this article describes some of the debridement strategies to consider in the care of diabetic foot ulcers (DFUs).
Foot-ulcer-related problems account for 20% of hospital admissions due to their effects on pain, mobility and systemic infection (Papanas et al, 2013). This article will cover broad concepts with the aim of improving understanding of the prevalence and outcomes of diabetic foot disease, why those with diabetes develop foot wounds, why such wounds can be difficult to heal and the evidence for various debridement techniques to support DFU healing. To read the full article, log in using your MPFT NHS OpenAthens details.
Objective:
To explore the need for an extended diagnostic workup in patients with venous leg ulcers (VLUs) and to establish the prevalence of the underlying causes of VLU. To read the full article, log in using your MPFT NHS OpenAthens details.
Objective:
To provide a synthesis of the best available, recent primary or secondary research evidence on early preventative activities taken to increase skin health, and reduce the incidence of facility-acquired skin tears and pressure ulcers (PUs) in community, residential and health-care institutions. To read the full article, log in using your MPFT NHS OpenAthens details.
This article aims to enable readers to understand the difference between moisture damage and pressure damage when inspecting skin. It aims to enable staff to provide effective care and treatment. To read the full article, log in using your MPFT NHS OpenAthens details.
Objective:
To evaluate the role of platelet-rich plasma (PRP) in healing diabetic fool ulcers (DFUs), and to compare the rate of healing and final outcome with conventional therapy. To read the full article, log in using your MPFT NHS OpenAthens details.
- Quick access to the Royal Marsden online via the library website homepage: library.sssft.nhs.uk
- Sign-in using your Open Athens username and password (if you don't yet have an Open Athens account, register at: openathens.nice.org.uk)
- Do a quick keyword search of all procedures
- Browse all chapters, clinical procedures and illustrations
- View custom MPFT procedures including: infection control skin preparation, medicines management.
The article discusses various issues related to wound debridement, and it mentions how to select the most suitable type of debridement for a patient, as well as wound healing and information about the removal of devitalised human tissue and slough. To read the full article, log in using your NHS OpenAthens details.
There is growing evidence that medical device-related pressure ulcers (MDRPUs) are an increasing healthcare concern. Prevention and management is complicated, as they are caused by devices that are often an essential part of treatment. All clinical staff have a duty of care to do no harm. Damage caused by medical devices is iatrogenic, that is, caused through treatment, and may be exacerbated by a lack of assessment and care. To read the full article, log in using your NHS OpenAthens details.
Management of patients with VLUs can be cyclical and lifelong, which highlights the importance of helping patients to understand the rationale for management strategies so that cooperation in self-care is achieved. To read the full article, log in using your MPFT NHS OpenAthens details. SSOTP (legacy account) - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
We're expanding our Be Aware updates and want to know what physical health topics you'd like to keep updated on. Let us know your ideas by replying to this email with 'physical health topics' followed by your suggestions
The second in this four-part series exploring leg ulcer management and understanding compression therapy examines the role of assessment as the basis for optimal clinical practice. The authors explore how the findings of thorough assessment can influence treatment choice. To read the full article, log in using your NHS OpenAthens details.
Understanding the differential diagnosis between moisture-associated skin damage (MASD) and pressure ulcers (PU) ensures appropriate management and interventions are instigated at the earliest opportunity.
To read the full article, log in using your NHS OpenAthens details.
The aim of this study is to: (a) develop and evaluate a model to predict severe pain during wound care procedures (WCPs) so that high‐risk patients can be targeted for specialized dressings and preventive pain control; and (b) identify biological factors associated with severe pain during WCPs so that novel pain control strategies can be developed.. To read the full article, log in using your MPFT NHS OpenAthens details. SSOTP (legacy account) - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Objectives
To assess the effects of (1) dressings and (2) topical agents for healing venous leg ulcers in any care setting and to rank treatments in order of effectiveness, with assessment of uncertainty and evidence quality.
Smoking is known to have a deleterious effect on health in general and on wound healing in particular. Poor oxygenation and the impact of the impurities contained in cigarette smoke interfere with wound healing. It is the role of the nurse when caring for a person with a wound to treat them in a holistic manner, which includes encouraging and supporting patients who smoke to stop doing so. This paper looks at the evidence surrounding disrupted wound healing in patients who smoke and identifies why nurses should help them quit. It also identifies some of the strategies nurses might employ to aid smoking cessation.
To read the full article, log in using your NHS OpenAthens details.
The article discusses prevention and management strategies for the treatment of pressure ulcers that occur in the heel of the foot. It provides information on offloading methods of preventing pressure on the Achilles tendon, pressure redistribution surfaces, and prophylactic treatments such as dressings, creams, and barriers.
To read the full article, log in using your NHS OpenAthens details.
The author reflects on research and focus dedicated to improving the diagnosis and treatment of leg ulcers. She discusses the need for attention on leg ulceration both at a national and local level in England's medical services sector in order to provide the most effective treatment for patients.
To read the full article, log in using your 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)