Here - EWMA 2013

POSTER PRESENTATIONS
P 333
Poster: Pressure Ulcer
Pressure Ulcer Assessment:
Wound Measurement using a «clock Tool» Is their consistency?
Elaine Gibson 1 , Glenn Smith 2
1 Aspen Medical (Redditch, United Kingdom);
2 St Marys Hospital (Isle of Wight, United Kingdom).
Introduction: Safeguarding patients who develop pressure ulcers from harm, improving
their experience and clinical outcomes has been a key focus from the Department of
Health (DoH) since 2010.1 It is essential that wound measurement is recorded in a
consistent way.2,3, A clock system3, has been utilised which gives a total wound
measurement score.
Method: The use of a probe and paper rule are all the equipment required, using the
body as compass point head 12.oclock, feet 6 o’clock the widest perpendicular width
between 9 o’clock to 3 o’clock. the calibrated probe to measure the depth. The unique
aspect of this tool is that the same measurements are taken for sloughy, necrotic tissue,
extending erythema all devitalised tissue is added together. 15 patients wound
measurements using the clock tool. the patient were assessed and measured by the
authors, repeated meausrements were taken by health care professional the repeated
sxcores were then checked for accuracy and reliability.
Discussion: Focus on prevention/ consistency The measurement of wound dimension
is an important component of successful wound management.3.The wound score has
the ability to aid safeguarding, and prevention as early detection of skin changes are
encouraged to be observed and measured.
Clinical relevance: The clock system and wound score can offer a consistency of
measurement as length and width are aligned anatomically. The wound score can
support vital documentation that is reproducible when faced with safeguarding care of
our patients A simple how to measure guide with supporting wound measuring document
will be available.
POSTER: PREVENTION
P 334
IMPACT OF DISTURBED WOUND HEALING AFTER SURGERY ON
THE PROGNOSIS IN MARJOLIN’S ULCER
Poster: Prevention
Bae Yong Chan 1 , Choi Jae Yeon 1 , Nam Su Bong 1 , Bae Seong Hwan 1
1 Pusan National University School of medicine (Busan, Korea)
Aim: Marjolin’s ulcer is known to present high rate of recurrence and bad prognosis
compared to other kinds of skin cancer. Based on our experience that Marjolin’s ulcer
patients who received reconstructive surgery displayed higher rate of recurrence when
there was a disturbed wound healing after the surgery. Impact of disturbed wound
healing after the surgery on the prognosis was examined in this study.
Methods: A retrospective study was carried out on 26 patients who were diagnosed with
Majolin’s ulcer and received the surgery in this hospital from 1996 to 2011. Histologic
grading, lymph node metastasis at diagnosis and wound healing process were evaluated
and chi-square analysis applied in order to determine the correlation with recurrence
Results: The rate of recurrence increases when patients with the decrease in histologic
grade or with lymph node metastasis at diagnosis. And the rate of recurrence increases
when the problem occurs during the wound healing process after the surgery.
Conclusions: Disturbed wound healing after the surgery could be used as a sign to
foresee the recurrence of carcinoma. Therefore, in case a problem occurs in the wound
healing after surgical removal of the carcinoma, one should keep in mind that there is
possibility of recurrence and assist the treatment of patient by conducting active
diagnosis and treatment through additional physical examinations, general x-ray test, CT,
MRA, etc without wasting time to get the diagnosis for the recurrence.
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