Aim A growing body of evidence supports the use of topical oxygen to reverse hypoxic conditions in non-healing wounds thereby promoting faster healing. The aim of this case study was to observe the effect of continuous topical oxygen therapy (cTOT) as an adjunct to Standard of Care (SoC) on a recalcitrant pressure ulcer. Method This […]

Background This 76-year-old female suffered a trauma on her leg. A deep skin tear treated with honey-web and foam dressing turned into a very painful and infected wound. The size of the wound was 5cm x 6cm and treated with antibiotics and the dressing was changed daily. Seen with massive oedema, moderate exudate, and less […]

Background This 62-year-old male suffered a trauma whilst playing football to his left lateral malleolus. On day 21 after the trauma, the skin was deteriorating with necrosis evident. Debridement and assessment identified a wound measuring 5.5cm x 2.5cm in size with moderate levels of exudate. The initial self-treatment of the wound was a foam with […]

Background A 44-year-old male suffered multiple traumatic wounds (up to 6.5x7cm in size) after falling from a height of 2.5 meters, where he hit a barbed wire fence with his left leg. Wounds described as painful, with necrotic tissue, swollen granulation tissue, exposed tendon/muscle, extensive oedema, and moderate exudate levels, with a suspicion of seroma. […]

Background This patient was referred to the complex multi – professional Tissue Viability Clinic with chronic lower limb ulcerations to both medial malleoli. The wound to the right malleolus had been present for 12 years and left malleolus 2 years. Both wounds presented with thick recalcitrant slough and moderate purulent exudate. Both Lower limbs exhibited […]

Background of clinical issue A 77-year-old male with hypertension and vascular Parkinson’s presented with a 3.7x3cm pressure ulcer on his left heel, discovered during orthotic fitting. The wound had 80% unhealthy granulation tissue with macerated edges and 20% slough, producing moderate exudate. The patient reported a pain level of 6/10, impacting his sleep and mobility. […]

Aim To summarise clinical evidence for the effective use of PHMB Foam dressings* in the treatment of infected chronic and acute wounds, and wounds at risk of infection. Introduction The use of antimicrobial wound dressings is an important aspect of wound care to treat wounds with an existing infection, as well as reducing infection risk. […]

Introduction Breast cancer and its treatments can result in lymphoedema which presents as by swelling in the breast, arm, back and trunk due to lymphatic system impairment. This usually occurs after lymph node dissection but can also be caused by additional treatments such as radio or chemotherapy. These treatments can damage and removal lymphatic drainage […]

Aims This evaluation aimed to improve patients’ quality of life (QoL) and promote the healing of stagnant wound beds using a novel copper-impregnated dressing. Background Copper is an essential trace element that plays a crucial role in multiple physiological processes, including red blood cell production, nerve cell maintenance, and immune system support. More specifically, copper […]

Background Venous leg ulcers (VLUs) are a prevalent hard-to-heal wound type in the UK, posing significant challenges in management due to prolonged healing times, high recurrence rates, and associated pain. In November 2023 to meet the needs of our local population, a lower limb clinic opened at Tessa Jowell Health Centre, Southwark, following consultation with […]

Background of Clinical Issue Skin tears are traumatic injuries caused by mechanical forces, such as adhesive removal, that separate the epidermis or dermis without penetrating the subcutaneous layer1. Individuals with fragile skin, particularly care home residents, are highly susceptible2. A dressing remedies project in Sunderland and South Tyneside aimed to empower caregivers through training and […]

Background A 66 years old lady presented in acute hospital after fall, long lie on the floor. Known to Psychiatric team due to her Depressive disorder and Obsessive Compulsive Disorder. Episode of self- neglect and hoarder with multiple falls at home and fracture her ankle twice. Comorbidities : Asthma , Huntington’s Chorea. First assessment of […]