The social and psychological impact of hard-to-heal wounds.

Hard-to-heal wounds typically present a huge challenge to the clinical team charged with their treatment. Wounds that are extremely painful and/or unsightly can have an extreme psychological impact on the patient, and this can be as crucial a consideration as the complexities involved in managing the physical healing. While resource expenditure on hard-to-heal wounds can be quantified, quality of life is less easy to evaluate, but is clearly of paramount importance to the patient. This article examines the experience of a woman treated for basal cell carcinoma of the scalp--both the immediate emotional impact of the individual stages of treatment and the wider impact on her lifestyle and her family. In addition, it considers the case from the perspective of a key member of the clinical team in order to present a rounded account of the cae study from a human perspective. The woman was finally healed using an advanced wound care product, Xelma®. The objectives of the study were to revisit a case study featured in a recent article (Bond et al, 2009) to provide an update on outcomes and to examine the case from the human perspective; to consider the impact of key clinical decisions on the patient's state of mind and emotions,and on the practicalities of everyday life; and to examine the ase from the perspective of a key clinician.

Setting up a training course to improve care for burn and plastic surgery patients.

The National Burn Care Review recommended that the care of all inpatient burn injuries should be provided by specialists trained in burn care. This article outlines an initiative by The Newcastle Upon Tyne Hospitals Foundation Trust to deliver a university accredited course for practitioners in its burn service.

Successful treatment of non-healing wounds with Xelma(R).

Chronic wounds come in all shapes and sizes and may be associated with co-morbidities that have a direct impact upon healing and the quality of life of patients, their families, carers, and even co-workers. Cosmetic appearance is important to both genders but especially so to female patients and unsightly wounds that are difficult to hide cause extreme problems that may have psychological implications. In addition to the effect that they have on patients, these wounds are associated with considerable resource requirements, which impact heavily on the already burdened NHS. This article presents three case studies of patients with chronic wounds that have shown a positive response, in terms of healing and impact upon the patient's quality of life, to an advanced wound care product - Xelma(R).