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Principles of Wound Debridement

Discussion in 'General Issues and Discussion Forum' started by Leigh Shaw, Nov 17, 2008.

  1. Leigh Shaw

    Leigh Shaw Active Member

    Members do not see these Ads. Sign Up.
    Hi, some of you will know I was on the look out for a debridement video as part of a workshop I have been asked to do - thanks to thoses that replied.

    The organisers are so excited that they would like me to also include autolytic, enzyme and larval with a new group of 20 rotating through every 25 min.
    If anyone has run one of these before or attended one and has any tips for organisation or what they liked or disliked during there own attendence I would be grateful for your insights.

    I have attended different workshops myself at conferences and been left cold by the lack of hands on oppotunities. Look forward to your ideas.

    Last edited by a moderator: Nov 17, 2008
  2. Hi Leigh

    It is like finding a needle in a haystack, hands on workshops for Podiatrist's or very expensive.
    I am a member of NZ Wound Care Society and that is about my extent of workshops and look foward to hearing some new ideas. I wonder if there will be some topics in the Australasian Conference next year?

    Is the surf up Leigh? it is another brillant day in Auckland.
  3. Leigh Shaw

    Leigh Shaw Active Member

    Thanks Carleen
    The workshop is for NZWCS so what have you thought of the ones yopu have been too?

    Surf is up - 24 knot winds 19 deg.

  4. The NZWCS workshop was very good Leigh and it is well worth its membership.
    They keep you well updated and magazine reading is valuable.
    As I dont have many high risk diabetes clients I dont always feel like I have my finger on the pulse with wound dressing selection.

    Any ideas for over the counter dressings for young active, healthy 10 year old, that mum can buy,with bad heel fissure, not compliant with morning and night moisturing, need a hydrocolloid, but found the biggest problem is the regulation sandals required for school. At present debrided back and looks fine but recurring with activities as one would expect in barefeet, foot loose and fancy free.
    Trying to get him into shoes and socks, tried strapping with sleek.

    Thanks, Carleen
  5. blinda

    blinda MVP

    Hi Carleen,

    It`s quite unusual for a 10 year old to present with xerosis, or fissures without an underlying dermatological problem. Does the patient have a history of allergic rhinitis, hayfever or dermatitis? Does he have any other rashes/dry skin areas on his hands or other parts of the body? The fissure could well be a result of dryness associated with atopic eczema.

    If it is atopic eczema then over the counter preparations and low potency steroids do not fare well for treatment, but recommendations for maintenance do include using a hydrating cream such as eucerin. It should be applied by first pat drying the affected dry/fissured area and then rubbing the cream into the skin within two minutes of getting out of the bath.

    Of course, wearing shoes and socks will be a big help, best of luck with that!

  6. Leigh Shaw

    Leigh Shaw Active Member

    Hi Carleen, agree that its unusual for this age group to have this condition with out an exsisting skin disorder. Hyrocolliods would be the way to go and she should be able to purchase a 10x10 ( either cut in half for strip or 4 corners for full heel cup) sheet. Both S&N and Convatec do a product.
    Tough age for compliance so at least it can stay on for up to 5 days and he can swim etc.
  7. Tuckersm

    Tuckersm Well-Known Member

    Try Histo Acryl Wound Glue. Usually used in ED instead of sutures, but I have found it can work quite well on heel fissures (not over the counter though). Water proof and stays in place for at least a week
  8. Leigh Shaw

    Leigh Shaw Active Member

    A similar product here in NZ is Dermabond, I have tried it on a few of my heel fissure pts too but havent had much luck. Its great for areas tghat arnt under stress. A few GPs are happy to spread super glue around!

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