HOLIDAY FEET: MANAGING A SUNBURNT FOOT USING
THE RIGHT DRESSING AT THE RIGHT TIME-
A CLINICAL EVALUATION OF A NEW FOAM &
H...
Background
• The risk of people with diabetes having foot
problems resulting in an amputation is 20 times
greater than tho...
Introduction
• Case study illustrating sun burnt foot
• Male paraplegic
• Wound:
▫ History of impaired healing
▫ Challengi...
Pre & Post BioSurgery
Per 11th July 2012 Post 13th July 2012
4
poster EP590
Criteria of dressing choice
• Provide moist wound environment
• Promote healthy granulation tissue
• Prevent peri-wound ma...
Initial dressing change (17th July 2012)
Hydrofiber® Foam dressing*
insitu
On removal.....
6
poster EP590
* AQUACEL® Foam ...
Separated into two (31st July 2012)
Hydrofiber* Foam dressing
insitu
On removal.........no
debridement required.
7
poster ...
Dressing change (24th August 2012)
On removal........!!!!!!
8
poster EP590
* AQUACEL® Foam Dressing
Hydrofiber* Foam dress...
Outcomes & findings
30th October 2012 Patients views
9
poster EP590
• Fear of amputation
• History of previous ulceration
...
Discussion
(photo October 2012)
• Foot ulcers are challenging
especially on paraplegics.
• Thorough holistic assessment of...
Upcoming SlideShare
Loading in …5
×

EWMA 2013 - Ep590 - HOLIDAY FEET: MANAGING A SUNBURNT FOOT USING THE RIGHT DRESSING AT THE RIGHT TIME- A CLINICAL EVALUATION OF A NEW FOAM & HYDROFIBER® DRESSINGS

877 views

Published on

ROSALYN THOMAS,

Published in: Health & Medicine, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
877
On SlideShare
0
From Embeds
0
Number of Embeds
5
Actions
Shares
0
Downloads
7
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

EWMA 2013 - Ep590 - HOLIDAY FEET: MANAGING A SUNBURNT FOOT USING THE RIGHT DRESSING AT THE RIGHT TIME- A CLINICAL EVALUATION OF A NEW FOAM & HYDROFIBER® DRESSINGS

  1. 1. HOLIDAY FEET: MANAGING A SUNBURNT FOOT USING THE RIGHT DRESSING AT THE RIGHT TIME- A CLINICAL EVALUATION OF A NEW FOAM & HYDROFIBER® DRESSINGS ROSALYN THOMAS, D.Pod.M., PG Dip. (WHTR) ABMUHB Deputy Head of Podiatry Diabetes Centre Morriston Hospital Swansea SA6 6NL. Email:rosalyn.thomas@wales.nhs.uk 1 poster EP590
  2. 2. Background • The risk of people with diabetes having foot problems resulting in an amputation is 20 times greater than those without diabetes (Kerr, 2012) . • Timely referral to specialised services when foot complications occur can reduce amputation rates. • This project evaluated the cost-effectiveness of a new Hydrofiber® foam dressing* on a challenging wound. • blank poster EP590 2 Kerr M (2012) Foot Care for People with Diabetes: The Economic Case for Change. NHS Diabetes. Available at: http://www.diabetes.nhs.uk/our_publications/ * AQUACEL ® Foam Dressing
  3. 3. Introduction • Case study illustrating sun burnt foot • Male paraplegic • Wound: ▫ History of impaired healing ▫ Challenging large necrotic wound (19cms X 8cms) ▫ Hydrated with hydrogel ▫ Debridement utilising BioSugery ▫ Application of appropriate dressing combination of Hydrofiber® ** & Hydrofiber® Foam dressing* poster EP590 3 * AQUACEL® Foam Dressing ** AQUACEL® Extra™ Dressing
  4. 4. Pre & Post BioSurgery Per 11th July 2012 Post 13th July 2012 4 poster EP590
  5. 5. Criteria of dressing choice • Provide moist wound environment • Promote healthy granulation tissue • Prevent peri-wound maceration • Minimise dressing changes • Non-traumatic removal • Ease of use • Remains in situ • Highly absorbent • Improving the patients quality of life 5 poster EP590
  6. 6. Initial dressing change (17th July 2012) Hydrofiber® Foam dressing* insitu On removal..... 6 poster EP590 * AQUACEL® Foam Dressing
  7. 7. Separated into two (31st July 2012) Hydrofiber* Foam dressing insitu On removal.........no debridement required. 7 poster EP590 * AQUACEL® Foam Dressing
  8. 8. Dressing change (24th August 2012) On removal........!!!!!! 8 poster EP590 * AQUACEL® Foam Dressing Hydrofiber* Foam dressing insitu
  9. 9. Outcomes & findings 30th October 2012 Patients views 9 poster EP590 • Fear of amputation • History of previous ulceration of 4 years duration • Confidence restored in two weeks of treatment • Alternate days dressing to twice weekly within 2 weeks • Rapid reduction in wound size • Healed within 4 months not 4 years!!
  10. 10. Discussion (photo October 2012) • Foot ulcers are challenging especially on paraplegics. • Thorough holistic assessment of patients and wounds are paramount to healing. • No further debridement after initial debridement • Cost-effective dressings supported by clinical evidence & rational, guides clinicians to choose appropriately. • Hydrofiber® Foam dressing in this case undoubtedly supports work of Drew and Possnett¹ as it reduced clinicians time spent on dressing changes which is a key driver of costs. 1. Drew P, Posnett J, Rusling L. The cost of wound care for a local population in England. Int Wound J. 2007;4:149- 155. 10 poster EP590 * AQUACEL® Foam Dressing ®/TM indicates a trade mark of ConvaTec Inc.. Consent was given to use all photographic images AQUACEL® Foam Dressings were provided to the author free of charge for the purpose of this evaluation.

×