n itch is defined as an irritating cutaneous sensation that produces a desire to scratch. The term ‘pruritus’ has also been used to refer to itching, and the terms are often used interchangeably, although it has been argued that pruritus is a condition in which itch is present without a specific cause.
People with diabetes have a 12-25% lifetime risk of developing a foot ulceration, while about 6% of people with diabetes have had foot ulceration in the UK. Diabetic foot ulcers (DFUs) have been associated with higher mortality and reduced quality of life.
An audit of wounds in Bradford and Airedale showed that wound management is an issue in all health-care settings, particularly in nursing homes, where access to specialist wound-care services is often difficult owing to funding issues, and the underlying care needs and mobility problems of the patient population.
Two symptom clusters were identified in this sample of patients with venous leg ulcers. Further research is needed to verify these symptom clusters and to evaluate their effect on patient outcomes.
One in six people in acute hospitals experience UPAR pain on ‘at risk’ or PU skin sites; one in every 8 people without PUs and, more than 2 out of every five people with PUs. The results provide a clear indication that all patients should be asked if they have pain at pressure areas even when they do not have a PU.
Published reports are limited to small retrospective and case studies, with no reports of NPWT being used as a prophylactic treatment. Larger prospective RCTs of NPWT are needed to support the current evidence that it is effective in treating spinal wound complications. In addition, future studies should investigate its use as a prophylactic treatment to prevent infection and report data relating to safety and health economics.
“I’D RATHER DIE than have a colostomy,” he said.“What about me? Would you rather I die than have a colostomy?” I asked.“Of course not,” my husband replied, rather automatically. My feelings were hurt. “I think I’m going to wear an ostomy pouch for a week; just to see what it’s like,” I said. “Would you have sex with me if I had one?”“We’d have to work things out,” he responded, not realizing the impact of his words.
Routine care of non-healing acute and chronic wounds often comprises either cleaning or debridement. Consequently, debridement is a basic necessity to induce the functional process of tissue repair, which makes it a central medical intervention in the management of acute and chronic, non-healing wounds.
Non-healing wounds are a significant
problem for health-care systems
worldwide. In the industrialised world,
almost 1-1.5% of the population will have a
problem wound at any one time. Furthermore,
wound management is expensive; in Europe,
the average cost per episode is 6650 euros for leg
ulcers and 10 000 euros for foot ulcers, and wound
management accounts for 2-4% of health-care
budgets. These figures are expected to
rise along with an increased elderly and
Wound exudate is an essential component of the normal wound healing process. In chronic wounds, however, the exudate produced can be detrimental to the process. Effective exudate management is a central tenet of any personalised wound care plan. Despite this, it can be one of the biggest practitioner challenges. Managing wet wounds is costly in terms of dressing materials and nursing time (Bianchi, 2013). The key to success is aiming to achieve a moist, but not wet, wound bed (Winter, 1962).