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Practice

Evidence Generation for Wound Care Dressing Selection: reviewing the issues

Consequently, many wound care studies are of small scale and observational, constituting an immature body of knowledge with little transferability potential..

Securing cellular and tissue-based products using a soft silicone wound contact layer

After applying a CTBP, as per manufacturer recommendation, to a variety of wound aetiologies and locations, a soft silicone wound contact layer was applied over the CTBP with overlap extending at...

Effect of continuous diffusion of oxygen on pain in treatment of chronic wounds

Comparison of oxygen delivery therapies (not shown to scale). Hyperbaric oxygen treatment is given in a high-pressure chamber delivering 90 minutes of oxygen per day, five days per week. Topical...

Wound healing outcomes in a diabetic foot ulcer outpatient clinic at an acute care hospital: a retrospective study

A retrospective chart review of patients with DFUs who attended the FTA clinic at a large, inner-city, tertiary care, academic hospital between January 2008 and January 2013 was conducted. Patients...

Fungating Wounds: management and treatment options

The location of fungating wounds can vary widely and the most common site is the breasts.12 In women fungating wounds often occur in the chest, where breast tumours have metastasised. In men fungating...

Managing the nutritional needs of palliative care patients

There are a number of factors that can affect the nutritional status of palliative patients and these vary according to their diagnosis. Although palliative patients are a heterogeneous group,...

Malignant tumours arising in chronic leg ulcers: three cases and a review of the literature

Malignant transformation is a rare and often misdiagnosed complication of chronic leg ulcers..

Pyoderma gangrenosum demographics, treatments, and outcomes: an analysis of 2,273 cases

The NIS database, developed for the Healthcare Cost and Utilization Project (HCUP), is maintained by the Agency for Healthcare Research and Quality (AHRQ). It is the largest publicly-available...

Hyperspectral imaging of tissue perfusion and oxygenation in wounds: assessing the impact of a micro capillary dressing

The aim of the study was to assess the potential of a micro capillary dressing to increase oxygenation, improve perfusion and reduction of oedema (tissue water index) in patients with therapy...

Outpatient negative pressure dressing therapy for pretibial lacerations in a patient with high anaesthetic risk: a case study

A 49-year-old female patient was diagnosed in infancy with pulmonary atresia, a ventricular septal defect and major aortopulmonary collaterals. The patient underwent a Blalock-Taussig shunt at aged 18...

The deteriorating DFU: prioritising risk factors to avoid amputation

The three risk factors for amputation illustrated as three intersecting rings of dominance (adapted from Armstrong and Mills)1.