Hi all
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I just want some reassurance that I am doing things right! I attended, by request, a lady at a care home. I am a private practitioner and generally don't get involved in wound care, however I knew the lady some years ago when she was living at home.
She has DM II and has had several toes amputated since I knew her. She has an ulcer on her foot about 5 x 2 cm which was heavily calluses. I checked with the nurse matron who told me that a tissue viability nurse recommended to leave the ulcer alone callus and all.
I felt this to be wrong, and said that the NICE guidelines suggest sharp debridement along with other therapies to ensure wound healing. Am I right on this? The CG10 guidelines do not appear to have changed, and a 2013 cochrane review recommends sharp debridement as being necessary for wound healing.
I just wondered why a tissue viability nurse woud recommend leaving the callus intact?
Any thoughts?
Many thanks
Clair
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Cuts in podiatrist care are hurting diabetics
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Training to Measure Ankle–Brachial Index at the Undergraduate Level; Can It Be Successful?
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Cuts in podiatrist care are hurting diabetics
|
Training to Measure Ankle–Brachial Index at the Undergraduate Level; Can It Be Successful?
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