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Wound healing is usually taken for granted; however, there are many factors that can affect this complex process, such as medications, infection, and lack of oxygen. Age and diabetes are considered the top risk factors for impaired or delayed wound healing. Diabetes and aging can result in blood and other body fluids that accumulate in the lower limbs and feet owing to damaged valves or stretched veins, and therefore prevent these fluids from being pumped back to the heart. When more and more fluid accumulates, it increases the pressure which, in turn, causes the accumulated fluids to seep through the skin. This triggers a venous stasis ulcer. Read More
For wound care nurses, in particular, making a difference in the lives of our patients requires a holistic approach. Our relationships often span many years, as we care not only for patients' chronic and difficult-to-heal wounds over time, but also address their nutrition, ability to function, and lifestyle habits. We offer reassurance, guidance, and education as they endure complicated and frequently painful procedures and surgeries. We serve as their advocates, cheerleaders, health and wellness educators, and weight loss coaches. Good nursing care is the science of treating the problem at hand and the art of understanding the big picture regarding a patient's individual needs. Read More
Two frequent features of diabetes are peripheral vascular disease leading to ischaemic lower limb extremities, and sensory neuropathy, which renders the patient prone to foot injury and vulnerable to the development of diabetic foot ulcers. The diabetic foot results from an interplay between a number of factors: vascular disease, neuropathy, trauma and infection - the two main ones being peripheral neuropathy and peripheral vascular disease (PVD). Read More