Issue 14
Practice

You've done it again! Not content with merely trying to deliver a service in the face of swingeing cuts, more patients and less staff, you've been innovating, creating and generally making life easier for your patients.

So in what looks like becoming the annual 'must be there' event, awards were presented to those of you whom your peers had decided were worth a prize!

In issue 13, we presented some of the winners' stories. Here we present the rest.


Issue 14
Out of the Ordinary

The NHS is going through what some say is a most diffficult time. That may be putting it mildly!

We may have to learn a lesson or two from the Dakota Indians…

As many variations of these pearls of wisdom are available, I cannot credit this particular version to anyone. But I am eternally grateful for the laughs it produced.


Issue 12
Practice

In the last issue, we presented the 2019 Molnlycke Wound Academy Scholarship and Award Winners. Here is Kate Cooper's winning entry for the Innovations in Care (Radiotherapy) Award. While we would usually place the winning entries into the Out of the Ordinary section, as this was such a good case study, we wanted to include this in Practice. So we did.


Issue 12
Out of the Ordinary

In the last issue, we presented the 2016 Molnlycke Wound Academy Scholarship and Award Winners. Here, we take a look at the winning entry in the Innovations in care: Pressure Ulcer Care Award. The UHCW NHS Trust Tissue Viability Team, Amy Verdon, Viola Sidambe and Rachel Reece are using a dolll, Sally Sore as an innovative way of teaching and demonstrating pressure ulcer prevention srategies.


Issue 11
Practice

The NHS is facing increasing demands to provide excellent care with fewer resources. This article outlines the authors worked together with a colleague to develop a set of product criteria that they consider wound dressings should meet in order to include on their WMFs.

The work that the authors have undertaken dovetails with the work currently being undertaken on the development of a suggested national wound formulary.  Indeed, it has been seen by a member of the working group who is taking it to them for consideration for use in their processes.


Issue 8
Practice

Exudate management is one of the most challenging aspects of wound care. In this article, Sylvie Hampton outlines why managing exudate is important and how dressings contribute to effective healing.


Issue 7
Practice

Using suction to remove toxins or to stimulate wound perfusion is not new. However, the therapeutic use of mechanical negative pressure for wound management has developed exponentially over the past three decades, with a consequent rise in the number of therapies available. In this article, Sylvie Hampton guides us through the use of negative pressure.


Issue 6
Comment & Opinion

Well, it’s finally here. The Code (2015) became effective from 31st March.  Many believe it was sorely needed. Others believe it is just more ‘gumpf’. Yet this version will have more impact upon registrants as revalidation depends on adhering to and demonstrating where you have applied its principles. In this opinion piece, Brian Booth and Deborah Glover share their thoughts about the new Code.


Issue 6
Out of the Ordinary

Whistle-blowing is the act of reporting a concern about a risk, wrongdoing or illegality at work, in the public interest.

Raising concerns about such poor practice should be the norm, accepted as an important part of people’s day-to-day work, as they reflect on their professional practice and work to improve their service. 


Issue 4
Practice

A large part of neuropsychiatry consists of medicines management. Patients may have been prescribed medicines for signs and symptoms which turn out to have no physical cause. Psychoactive drugs tend to need careful management, so there is often a lengthy process of weaning off one drug whilst introducing new ones (whose dosage needs titrating), all the while monitoring the patient carefully.

Changes in prescriptions may take some time to filter down to the pharmacists, who might continue to dispense repeat prescriptions for a lengthy period before they become aware of any changes. This article outlines how one nurse found a simple answer to this problem.


Issue 4
Policy & Management

Differentiating between sacral pressure damage and moisture lesions is not always straightforward. Fortunately, help is at hand.


Issue 3
Education and Societies

The Lindsay Leg Club Model (LLC) was conceived as a unique partnership between the district nursing team and the local community, in which patients are empowered, through a sense of ownership to become stakeholders in their own treatment. This article gives a brief overview of the model, and concludes with a blog, written by David Foster Deputy Director of Nursing and Midwifery Advisor at the Department of Health, after his visit to Mottingham Leg Club.


Issue 2
Practice: peer reviewed

In this case-study, the highly commended entry in the Molnlycke Wound Cademy Scholarship and Awards, Wendy Luke outlines the care of a patient with Chronic Obstructive Pulmonary Disease. It shows how Wendy and the team had worked together to find a suitable dressing that would both maintain the seal on her ventilation mask, and allow treatment to be applied to the small pressure ulcer on her face.

 Mepitel One as a primary dressing was used as it could be removed without pain or trauma. The wound healed, and the patient continue to use the dressing prophylactically.


Issue 2
Education and Societies

Following on from our interview with Crystal Oldman, Chief executive of the Queen’s Nursing Institute (QNI), Sharel Cole, a Queen’s Nurse (QN) gives us some insight into why she applied to be a QN and what she feels this has helped her achieve.


Issue 1
Product Focus & Reviews

Within three short months of their daughter Florence’s birth, Judith and Chris Parsons’ world was turned upside down. Eczema was diagnosed and standard creams and emollients for symptom control prescribed.


Issue 1
Out of the Ordinary

An introduction to Lipoedema Ladies by Michelle Ellis

I found out I had Lipoedema when it was too late. I was 30 and had already developed Lipo-Lymphoedema. I am lucky I was diagnosed at all: there are 3.2 million women in the UK with undiagnosed Lipoedema.