Wounds UK E-Newsletter for May 2010
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May 2010


Advancis Medical Triumphs at East Midlands Innovation Awards

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Molnylycke Wound Academy Scholarships and Awards 2010

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This will be John Timmons' final E Newsletter as he is leaving Wounds UK to join Smith&Nephew and take up the role of Clinical & Education Manager - NPWT. John has been an integral part of the success of Wounds UK and has contributed enormously to all of our activities initially as a Consultant and for the last 4 years as Clinical Manager and Editor of both the E Newsletter and Journal. John has made a huge contribution to the field of Tissue Viability during the last 15 years and I have no doubt that this will continue as he moves into his new role. John will remain an Honorary Clinical Nurse Specialist in the Department of Tissue Viability in Aberdeen We would like to thank John for his contribution to Wounds UK and wish him the very best for the future. Simon Beard, Smith&Nephew General Manager - UK & Ireland commented "We are delighted that someone of John's talent, knowledge and experience is joining Smith&Nephew. In his role as Clinical & Education Manager - NPWT, John will develop our clinical research strategy, support the continued training and development of our team and build on our commitment and focus to continually improve our education platforms we deliver to our customers across the UK & Ireland".

David Gray, Clinical Director, Wounds UK

 
Editorial

It would now seem that we have a coalition government which at least on the surface looks like a strong force to take the country forward. I have two misgivings, one, is that the exit poll was almost right and I could have gone to bed a lot earlier than I did, the other is that both parties have vowed to make substantial cuts in public services, which will undoubtedly hit healthcare at some point.

In some respects, the NHS is used to cuts being made year on year, but to implement large scale cuts to funding which would impact on jobs, services and will result in huge changes to the services we provide.

My thoughts go back in time to when I started out as a tissue viability nurse, and my main roles were to improve patient care and reduce expenditure. Hopefully I did both, without compromising the quality of care. Once in post, a rather worrying report by Touche- Ross (accountants), suggested that pressure ulcers were more costly to prevent than to treat. My job then was to convince management teams that we should not consider this an option and that prevention, although costly, was the only way to provide quality care. I also remember a number of managers asking why we were spending so much on prevention when treatment was cheaper. I decided to create a presentation using some images of patients with pressure ulcers I was treating and present them to the management team. Each individual gasped in horror as I worked my way through the images, describing the patients, the pain, the dressings they needed, the time spent dressing the wounds and the risks of significant infection. By making the argument real, about real people, there was a huge change in the opinion of the management team.

A recent study known as the VULCAN trial, examined the role of topical silver antimicrobial dressings in the care of leg ulcer patients compared with standard dressings (Michaels et al 2009). The study outcomes had shown that silver dressings were no better than standard treatments in terms of patient healing rates. The fundamental flaw in this study was that the silver dressings were applied to wounds which were not infected, which is not standard practice, and silver would not be routinely used on non infected wounds.

The problem with studies such as this, is that management and procurement staff may feel justified in suggesting that silver dressings use should be cut to reduce costs. The problem being that some patients with wound infection may not receive the appropriate dressing on their wound due to staff being more concerned about budgets than patient care.

We must therefore ensure that those involved in procurement and decision making, are aware of the costs of wound infection to the patients’ quality of life, the mortality and morbidity that are associated with infection and not merely on the costs to the NHS.

John Timmons
Editor

Michaels J A , Campbell B, King B Palfreyman SJ, Shackley P and Stevenson M (2009) Randomized controlled trial and cost-effectiveness analysis of silver-donating antimicrobial dressings for venous leg ulcers (VULCAN trial) British Journal of Surgery Volume 96, Issue 10 (p.1147-1156)

Forthcoming Events

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Useful References     

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Keep reading for:
Advancis Medical Triumphs at East Midlands Innovation Awards
Molnylycke Wound Academy Scholarships and Awards 2010
Forthcoming Events
Useful References

Download this newsletter in PDF format

 

Advancis Medical Triumphs at East Midlands Innovation Awards

Advancis Medical has walked away with the Innovation award in this year's Medilink East Midlands Innovation Competition. Mark Allatt collected the prize on behalf of the company based in Kirkby-in-Ashfield, Nottinghamshire, at the Innovation Day awards' evening that was held at Pride Park Stadium in Derby, last night.

Mark AllatMark Allatt, Sales and Marketing Director Advancis Medical said "The new products have had a fantastic reception in the market and demonstrates that close collaboration with our customers is the way ahead. With a number of exciting projects underway, I am very excited about the next few years for Advancis Medical".

Advancis Medical focuses on designing innovative and advanced wound care products, offering clinicians and wound care specialists the opportunity to heal patient's wounds efficiently and effectively whilst providing the health services with cost effective wound care solutions. When tissue viability professionals called for a super absorbent dressing to cover the whole leg, Advancis came up with the Eclypse Boot, the first product of its kind.

Helen Johnstone for sponsor Potter Clarkson LLP (patent and trade mark attorneys) said: "Advancis Medical have implemented their ideas across a range of products and we have good reason to expect further product extensions of this technology. Ideas, products and commercialisation equal innovation in action".

Six companies won awards in five categories in this year's competition, further evidence of the East Midlands' impact and influence in the healthcare and bioscience business sector. The creativity and innovation shown by these companies has created jobs, profits and business growth which should contribute to the region's continued climb out of recession.

 
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Keep reading for:
Molnylycke Wound Academy Scholarships and Awards 2010
Forthcoming Events
Useful References

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Molnylycke Wound Academy Scholarships and Awards 2010

The 2010 Scholarships and Awards winner's lunch was held in the Wren Suite, St. Paul's cathedral.

The Scholarships and Awards were presented by David Foster, Deputy Chief Nurse. David's speech clearly reflected the admiration he has for the practitioners who take part in the programme, and spent much time talking with clinicians about their role.

We are delighted to announce the winners for 2010 are as follows:

Experienced Practitioner Scholarship
The judges did not make an award this year.

Novice Practitioner Scholarship
Vanessa McDonagh, Tissue Viability Nurse, University Hospital, Coventry

Vanessa has been working to implement trust guidelines on the prevention and management of pressure ulcers. One element of their strategy involved a 'Pressure Ulcer Prevention Week' project, comprising education of, and feedback from, staff, patients and the local community. Posters were used to raise awareness of PU prevention, along with study days and a newsletter. Link nurses, the TV team and equipment staff sported 'Ask me about preventing pressure ulcer' badges to encourage staff and patients to find out more.

In addition, education programmes have been developed that include all clinical staff. Success of the project will be evaluated through staff and patient interviews, documentation audit and pressure ulcer incidence monitoring.

Team Award Winners
Helen Shoker and team, Walsall Hospitals NHS Trust

The team implemented a multi-faceted review of the trust's tissue viability service, equipment contracts and pressure ulcer policy. The review was supported by the chief executive, chief nurse and medical director and sought the views of patients, carers and staff. They worked closely with their clinical governance and risk unit, who have included the strategy in their patient safety first initiative.

The team has developed a credit card sized information card for patients at risk of pressure ulcer development to allow health professionals to implement prevention strategies as soon as possible. Awareness raising events such as quizzes and competitions are held in outpatient departments as part of the strategy, and links have been made with local supermarkets to explore their role in promoting good nutrition.

There have been some difficulties with staffs who are intimidated by sharing what they perceive to be 'poor practice', but the team hopes to address this by outlining the long-term outcomes of such a strategy.

This project so far has led to a decrease in the severity of pressure ulcers, increased awareness amongst staff and prompter management of those admitted with ulcers. In future, the team would like to include service users as part of the team.

Barbara Pils and team, Parklands hospital, Basingstoke

The team explored the feasibility of providing a leg ulcer service in the community for patients with ulcers that have not healed after four weeks of treatment. Funded by the local primary care trust in 2006, the team undertook a pilot study, based in a local community hall.

To facilitate referral, bookings are made through an internet appointment system. Patients are contacted by telephone within 48 hours and an appointment offered within 15 days. Patients are assessed using Leg Ulcer Telemedicine. Progress is monitored and information shared with the community and practice nurses, the GP and carers. Patients are given 'healing progress' graphs and other documentation as required. Care plans are detailed enough to be used as educational tools for the non-specialist nurses caring for these patients.

Over a 7 month period, 121 referrals were received. Average ulcer duration was 36 weeks, and after referral to the clinic, healing time averaged 7 weeks, and healing rate was 46% at 12 weeks.

The project has now developed into a fully-fledged wound care service, where specialist treatment is provided. The team works closely with the podiatry, vascular and dermatology services, and a 'well-leg' service has been implemented. It has demonstrated that working with commissioners in an innovative way can lead to positive, cost-effective patient outcomes.

Highly commended
Heather Hodgson and team, Greater Glasgow and Clyde acute trust TV team

This team of seven covers 5100 beds in 25 acute hospitals and 10 regional specialist units. Previously, the TV nurses practiced independently of each other, only occasionally liaising. However, they realised that they would achieve more working collectively. The first project they worked on together centred on the equipment supply contract. While it is fair to say that this first attempt wasn't a great success, the team began to explore their strengths and weaknesses and how these respectively might be utilised and improved.

Over the past year, the team has developed a TV policy, devised a training schedule for staff, implemented new documentation and participated in audit and research. The have also developed a wound care formulary and are currently auditing their effectiveness as a team.

Tissue Viability Champion Award Winner
C. Jane Banwell, Llanfyllin Group Practice medical Centre, Newton Powys

Jane was nominated for this award for the work she has undertaken in providing community based care for those with chronic lower limb oedema and lymphoedema. Jane developed this service in response to an identified need. She undertook a diploma module in lymphoedema care and has shared her knowledge and skills with her team so that the patients receive the best care possible.

She is working to develop a practice guideline and teaching other community teams how to care for such patients. They are working with the local hospice to provide care for those patients with end-of-life oedema.

As a result of Jane's work, patients no longer have to travel from Powys to South Wales (or even England!) for lymphoedema treatment.

For more information on the Wound Academy Scholarships and Awards please visit Molnlycke.com

 
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Forthcoming Events
Useful References

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Forthcoming events

- Wound Essentials Summer Conference
30 June 2010 at Manchester City Football Stadium
Click here for more information on this FREE event

- Palliative Wound Care Conference
30 June 2010 at Manchester City Football Stadium
Click here for more information on this FREE event

- JCN Roadshows
Click here to visit the JCN website
Click here to download the 'Current issues in wound care' powerpoint

- 4th International Interdisciplinary Conference on Posture and Mobility
7 - 9 June 2010 at SECC Glasgow
Click here to visit the Mobility 2010 website
For more information download the flyer

- Avoidable Pressure Ulcers - Implementing the High Impact Action: Your Skin Matters
9 June 2010 at Manchester Conference Centre, Manchester
Click here for more information

 
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Useful References

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References

Bolton, L. (2010)Improving Wound and Lymphedema Treatment Outcomes in Limited-Resource Environments: An Integrated Approach. WOUNDS VOL 22; NUMB 3; 2010 pp. 52-54

Macdonald, J.; Asiedu, K. (2010) WAWLC: World Alliance for Wound and Lymphedema Care. WOUNDS VOL 22; NUMB 3; pp. 55-59

Post, E.; Geyer, M.J. (2010) Design of a District-level Pilot Project Model for the Prevention and Care of Chronic Wounds and Lymphedema in Settings With Limited Resources. VOL 22; NUMB 3; pp. 60-65

Stephen Percival and Keith Cutting have been involved in Editing a new book entitled The Microbiology of Wounds, for more details follow the link below:
www.amazon.co.uk/gp/product/142007993X/ref=sib_rdr_dp

 

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May 2010

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