Many wounds seen by wound care specialists can be ascribed a vascular etiology, including arterial, venous, and diabetic wounds. In order to successfully manage wounds of this type, the underlying vascular dysfunction must first be addressed. A number of tests and measures are available for detecting arterial insufficiency, the simplest of which is an assessment…
Because of the known importance of good nutrition in improving healing in chronic wounds, an appropriate program of nutritional intervention should be implemented as quickly as possible once any nutritional deficit has been identified.1–4 Exploring why a patient is not eating or drinking properly can be an important first step in addressing any nutritional deficits….
Over the past few weeks, we have considered the use of support surfaces in redistributing pressure and preventing the build-up of excessive pressure in vulnerable areas. We have looked at the different methods used for this purpose, and at the effectiveness of different support surface systems. However, we have not considered until now the safety…
Despite their importance in patient care and their ubiquity in many chronic care settings, support services have neither performance standards nor functional criteria that can be tested against clinical outcomes.1 For this reason, selection of the appropriate support surface can be left to individual healthcare professionals and institutions on the basis of their own judgment…
Welcome to the first article in a new series on support surfaces. The use of support surfaces is a critical component of any wound care plan, essential to prevent and treat skin breakdown. What is a Support Surface? A support surface is a specialized device that redistributes pressure to achieve optimal management of tissue loads,…
More than 40,000 species of spiders have been identified worldwide, although there are actually thought to be four times as many that have not even been classified.(1) Most spiders can accurately be described as venomous,(2) although this is not as alarming as it sounds. Spiders use venom to subdue their prey before bathing them in…
Necrotizing fasciitis (NF), or the ‘flesh-eating bug’ as it tends to be known in the press, is an extremely rapidly progressing infection that is difficult to manage and can lead to significant morbidity and mortality. Risk Factors of Necrotizing Fasciitis While anyone with an infection may, in theory, develop NF, in practice the majority of…
Necrotizing fasciitis (NF) is a life-threatening soft tissue infection a condition, often referred to in the press as the ‘flesh-eating bug’ on account of the speed with which the infection spreads. The condition was first described by Hippocrates around the fifth century, and the term “necrotizing fasciitis” was coined by Joseph Jones, a former Confederate…
This week sees the start of a new topic as we turn our attention to the condition known as vasculitis. Vasculitis is an inflammation and necrosis of the blood vessels, leading to hemorrhage, ischemia, and infarction. While vasculitis can be triggered by a number of conditions, including diseases of the connective tissue, malignancy, or a…
Sickle cell leg ulcers are a common manifestation of sickle cell disease, affecting around 75% of patients over the course of their disease.(1) Sickle cell ulcers can be both painful and debilitating, and tend to heal only slowly. It has been shown that most ulcers will eventually heal on their own following a prolonged period…
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