Wound Care Today | December 2020

Wound Care Today; for all things wound care

Welcome to Wound Care Today; the place for you to share your successes and concerns and learn about what is happening in wound care, globally, nationally, locally, politically and clinically.

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Wound Care Today

The use of an online non-prescription ordering service (ONPOS) to drive efficiency, waste reduction and cost savings in wound dressing procurement in an acute NHS Foundation Trust

Victoria Warner, reports on the use of an Online Non-Prescription Ordering Service (ONPOS) for wound dressing procurement in an acute trust for the first time. She describes how implementing the system has resulted in many benefits including increased efficiency and formulary compliance, and a reduced number of dressings purchased and used inappropriately, resulting in significant cost savings.

Cavity wounds

Wound Care Today

Addressing the challenges of cavity wounds in clinical practice

Cavity wounds can be very challenging in practice and often require adaptation of the clinical skills required for the management of most other acute and chronic wounds. Failure to manage cavity wounds effectively can result in delayed healing and an increased risk of associated complications. This in turn can place increased demands on a clinicians’ case load and increase costs for health services, as well as impacting negatively upon the patient’s quality of life. This article describes cavity wound presentation, the adaptations required in their assessment and management, and includes identifying appropriate cavity wound dressings to optimise local wound care. The importance of considering the physical and psychological wellbeing of the patient is also discussed, along with the importance of engaging them in decisions about their care and enabling self-management where appropriate. 

Product of the month

Wound Care Today

Kliniderm® foam silicone

The delivery of wound care in the current climate is challenging so effective solutions are more important than ever. It is vital that you are aware of the latest products and innovations that have the potential to improve outcomes.
 
Kliniderm® foam silicone is a gentle, conformable and comfortable dressing range, that can help to minimise pain at dressing change.
 

Comment

Wound Care Today

The future of wound care Question Time: an industry response

The Woundcare Industry Group provide further comment on the Facebook Live Question Time event that was held to facilitate discussion amongst key stakeholders about the future of wound care in England.

Report

Wound Care Today

What does the future hold for Tissue Viability? A Facebook Live Question Time

A Facebook Live Question Time event was held in February 2020 to facilitate discussion among stakeholders of the future of wound care services in England, which is summarised here.

Comment

Wound Care Today

Optimising therapeutic compression remains an essential activity

Throughout the COVID-19 outbreak, community nursing services continue to deliver care to the vulnerable. Leg ulcer management is a significant part of this caseload. Alison Hopkins provides some practical advice on how to maximize efficiency in applying compression to this patient group, in order to reduce nurse workload and maximize outcomes for patients.

Comment

Wound Care Today

Resources to protect your mental health and wellbeing at work during the Covid-19 outbreak

Kate Upton, registered adult nurse and fellow of the Higher Education Academy; representative for Nursing Professions on the Crisis, Disaster and Trauma Psychology Section of the British Psychological Society; independent nursing/medical tutor and medical writer; PhD student at the University of Birmingham

Have your say

Wound Care Today

Are we asking general practice nurses to become wound care experts?

While many general practice nurses (GPN) are already used to managing patients with multiple comorbidities, the need for complex wound care that can accompany patients with long-term conditions is on the increase, and has been for some time. So is now the time for GPNs to become experts in wound care?

Clinical study

Wound Care Today

Clinical emergencies in the diabetic foot: what you need to know

Andrew Sharpe discusses three of the clinical emergencies seen in the diabetic foot — peripheral arterial disease, infection and Charcot neuro-osteoarthropathy (Charcot foot) — with the aim of enhancing knowledge and clinical skills in the management of diabetic foot disease.

Clinical study

Wound Care Today

Using an online non-prescription ordering service to drive efficiency and reduce unwarranted variation in wound care product use and spend

Lorraine Jones describes how dressing spend was increasing year on year at the Royal Wolverhampton NHS Trust, and in order to drive efficiency, procurement of dressings was switched from supply chain to ONPOS. The process and outcomes are described.
 

Comment

Wound Care Today

Why are we still not getting compression ‘dosage’ right?

Alison Hopkins MBE questions why, as a profession, nurses are allowing the normalisation of non-healing leg ulcers, and why proven treatments are still not being used to maximum effect. 

Comment

Wound Care Today

Standardising wound assessment and documentation

Libby Gray asks can technology help to standardise the collection and documentation of wound measurement data?

Comment

Wound Care Today

Do you employ different treatments for patients with chronic oedema and those with lymphoedema? If so it’s time to reconsider

Do you use different approaches for patients with lymphoedema and chronic oedema? If so, it may be time to rethink says Rebecca Elwell.

Product of the month

Wound Care Today

PROSHIELD Skin Care

As a clinician, it is important that you are aware of the latest products and innovations that have the potential to improve outcomes for you and your patients. Each month, WCT will highlight a product that is new, improved or innovative in order to keep you up to date.

Comment

Wound Care Today

Compassion fatigue

Kate Upton describes compassion fatigue, an increasingly reported form of stress associated with the demands of nursing in the current NHS, and questions what can be done to overcome it. 
 

Comment

Wound Care Today

The role of the nurse in providing wound management at the end of life

Jayne Livesey highlights the key goals and principles of delivering wound care at the end of a patient’s life.  

Editorial

Wound Care Today

Tissue viability services and nurses in crises

Alison Schofield asks if tissue viability is in crisis, and explains how WCT and TVN2Together aim to offer support.

Education

Wound Care Today

Educational resources for link workers to improve wound care delivery

Rachel Reece describes the development of educational resources to support 140 link workers in the efficient delivery of wound care across a large 1200 bed acute trust.

Product of the month

Wound Care Today

OSKA Series5-V4L lateral tilt pressure care mattress

Do you find it difficult to appropriately reposition patients with complex needs using traditional pressure-relieving products? A lateral tilt pressure case mattress may be the answer to your problem.  The OSKA Series 5-V4L lateral tilt pressure care mattress uses an alternating air and foam combination to provide both comfort and support to people with pressure ulcers. It is suitable as an aid in the prevention, and treatment of, pressure ulcers up to and including category 4.

Product of the month

Wound Care Today

AQUACEL® Ag+ dressings

The delivery of wound care in the current climate is challenging so effective solutions are more important than ever. It is vital that you are aware of the latest products and innovations that have the potential to improve outcomes.

If you have patients on your caseload with long standing wounds, it is likely that biofilm is the cause. Here, we present AQUACEL® Ag+, an innovative dressing range that has been specifically designed to disrupt and destroy biofilm to help progress hard-to-heal wounds.
 

Comment

Wound Care Today

National Wound Care Strategy Programme Update

Una Adderley gives an update on progress of the NWCSP to date.

Editorial

Wound Care Today

The use of innovative approaches to enhance learning

We are all aware of staff shortages and the challenges they present to the NHS in all areas of practice.

Product of the month

Wound Care Today

eKare inSight®

As a clinician, it is important that you are aware of all the latest new products that have the potential to improve outcomes for you and your patients. Each month, WCT will highlight a product that is new, improved or innovative to keep you up-to-date with what is available. This month, we focus on eKare inSight®, a unique and easy to use wound management platform that enables standardised, accurate wound assessment at the point of care. In addition, inSight® allows the sharing of real-time data and the generation of reports, giving it a valuable role in telehealth and improving efficiency in wound care services. 

Personal development

Wound Care Today

Presenting for the first time at a national conference

At the Wound Care Today event in February 2019, three clinicians presented on the main stage for the first-time as part of an initiative offering support for first-time presenters. Here, they share their experience.  

Personal development

Wound Care Today

Becoming a tissue viability nurse specialist

The transition from experienced nurse to tissue viability nurse specialist (TVNS) is challenging, with numerous hurdles to overcome. Here, Ali Hill reflects on her experience to date, transitioning from the management of chronic wounds in the community to specialist management of oncological wounds in a hospital setting.

Editorial

Wound Care Today

Is the role of the tissue viability nurse specialist under the threat of extinction?

Welcome to Wound Care Today. I was equally surprised and proud to be asked if I would take the role of editor-in-chief for the journal.

Editorial

Wound Care Today

The National Wound Care Strategy Programme

The National Wound Care Strategy Programme (NWCSP) has been developed to address the use of sub-optimal wound care. Here Una Adderley outlines how the NWCSP works, progress to date and how you can become involved as a stakeholder.

Have your say

Wound Care Today

The courage to compress

It's fair to say that 2018 has been the year of the leg. Lower limb conditions are mainly managed using compression therapy as part of an evidence based approach to care. However, it seems that there is a gap between theory and practice. Here we ask specialists are some clinicians fearful of applying compression?

Cost savings and efficiency

Wound Care Today

Implementation and use of ONPOS to drive efficiency and cost-savings in an average-sized CCG

Brighton and Hove Clinical Commissioning Group (CCG), which serves a patient population of approximately 285,000, identified a number of problems around the prescribing and supply of wound dressings to the community. The use of an online non-prescription ordering service (ONPOS) by Coloplast was therefore implemented to drive efficiency and cost savings. 

Leg ulceration

Wound Care Today

Understanding the differential diagnosis of leg ulcers: focus on atypical ulcers

Most leg ulcers seen in practice are venous in aetiology. However, there are several atypical causes that you may come across from time to time. These should be considered if a leg ulcer is failing to heal as expected, despite best practice. Here atypical leg ulcer presentations are detailed.

Reflective practice

Wound Care Today

Pressure ulcer prevention; reflections of co-production in practice

In this article, three members of The Royal Marsden Pressure Ulcer Multidisciplinary Collaborative Group co-publish their personal reflections on the process of co-producing a new bedside document to prevent pressure ulcers.

Have your say

Wound Care Today

Two-hourly repositioning for pressure ulcer prevention. Good practice or institutional abuse?

A recently published paper in the journal Bioethical Inquiry by Sharp et al (2019) posed the provocative question in its headline ‘Two hourly repositioning for prevention of pressure ulcers in the elderly. Patient safety or elder abuse?’ Here some of you have your say.

Patient perspective

Wound Care Today

Living with a chronic pressure ulcer: a patient/clinician perspective

Patient-clinician dialogue is important when delivering care to patients with chronic wounds. Here, a patient’s feelings relating to her management are detailed, and how the clinicians involved worked with her to accommodate them into her care.

Education

Wound Care Today

The theory-practice gap in wound care: effective ways of embedding your learning into clinical practice

Woundcare training is accessible to most healthcare professionals, but putting what is learnt into practice remains a challenge. This article presents some creative and practical approaches to helping staff translate what they have learnt into practice.

Series

Wound Care Today

Writing for publication

Writing for publication is now unavoidable for healthcare professionals who want to progress their career. However, it can feel like a daunting process on top of the demands of the day job and home life. This first part of our writing for publication series, provides guidance on what you need to do before you even begin to write.

Clinical study

Wound Care Today

Hydro-Responsive Wound Dressings: A new approach to wound debridement in the community

A study was carried out to assess the performance of a HRWD dressing to cleanse, debride, and deslough wounds in a community setting. Read the findings here.

Clinical evaluation

Wound Care Today

The use of LQD® spray dressing in patients with acute and chronic wounds in two mental-health settings

There has been an increase in the number of people with severe mental illness, and in the incidence of self-harm (WHO, 2019; Morgan et al, 2017). These patient groups have difficulty in accessing health services, including wound care, so standards of wound management can vary. The problems associated with delivering wound care to patients with mental-health problems includes difficulties in them understanding treatment regimens, removing dressings, and is some cases, using them to inflict further self-harm. All of these factors put the patient at risk of wound enlargement, infection and delayed healing.

Editorial

Wound Care Today

Wound Care Today; a new journal for you

Welcome to Wound Care Today; your new digital journal for all things wound care.