Treatment Notes

[Guest guest]

Dear ,

 

Thank you for your reply which is helpful to see what you would want in

treatment continuation notes.

 

A/ 'Wound Toilet' is the cleaning of the wound area prior to applying the dry

dressing, main purpose for a Venous Ulcer is to keep it moist and clean.

 

B/ Venous Ulcers are most frequently located on the lateral aspect of the

ankle, as a result of the mechanism causing them.

 

C/ The cause is age - venous wear & tear - varicose veins - gravity, as a

gradual process.

 

D/ Size of ulcer will take time to change once treatment starts with healing it

generally gets bigger first - in ideal circumstances a specialised dressing is

done once a week - in remote location with circumstances of work bd is OK -

can take a month to change - so daily there is no need for measurements.

 

E/ Venous ulcers would rarely be bilateral - the oedema is venous fluid under

pressure from gravity so stays in lower region of ankle around the laterall

malleous  - part of the treatment is periods of foot elevation during the day

and at night - while the principle healing comes from compression of

the venous system - tubi-grip - reinforcing natural venous return, which will

encourage a reduction in the oedema.

 

F/ As this is a long term treatment then bed rest and restricted duties for a

cook are excluded and as this is not a debilitating problem, when treated, so

full duty is OK.

 

It is an interesting condition and as mentioned the treatment is long term and

quite specific unless infection gets in then anti-biotics are included,

sometimes NSAIDs for pain from exposed nerve endings.

 

The points you raised are appreciated but being now familar with

the situation would you require that degree of information, twice daily, to

have an appreciation of the progress, or could you be comfortable with - '

Varicose Ulcer - clean - moist', treatment, 'Wound toilet - dressing -

tubigrip', considering that usually you would have a verbal hand over to your

relief as well.

 

There has been a discussion re this and we are interested in other points of

veiw.

 

Brgds

 

P.