Here - EWMA 2013

E-POSTER: CASE STUDY
E-Poster: Case Study
EP 570
USE OF HYDROFIBER FOAM DRESSING SIMPLIFIES SHARED CARE IN THE
TREATMENT OF DIABETIC FOOT ULCERS
Duncan Stang 1
1 Hairmyres Hospital (Eat Kilbride, United Kingdom).
Aim: To simplify the choice of dressings used in the management of diabetic foot ulcers.
To improve cost effectiveness, continuity of dressing choice and improve patient
outcomes when a shared care model is implemented.
Method: A series of diabetic foot ulcer case reports using the new hydrofiber foam
dressing*. All patients detailed in this case study series had their treatment regime
initiated in the acute multidisciplinary foot ulcer clinic and a shared care model of
continuing care with treatment room nurses and district nurses implemented following
their initial visit according to normal clinical practice. Depending on depth of wound and
presenting levels of exudate, patients were treated using the new hydrofiber foam
dressing* as either a primary or secondary dressing in combination with a sheet
hydrofiber dressing.
Results: Within a 2 week period, a reduction in size of all the ulcers, along with little or
no peri wound maceration was noted. The patients reported improved comfort and less
traumatic removal of the dressing, which minimised patient anxiety about painful
dressing changes. All clinicians were familiar with the use and benefits of the
technology**, hence the hydrofiber foam dressing* proved to be simple to use thus
promote a seamless model of care.
Conclusion: Application of the new hydrofiber foam dressing* demonstrated positive
patient outcomes and helped to simplify dressing choice. This wound care treatment
regime proved to be a cost effective and clinically effective component of the shared
care model in the management of diabetic foot ulcers.
Reference: * AQUACEL Foam Dressing
** Hydrofiber technology
EP 571
An Experience of diabetic foot Ulcer in Saudi Arabia
E-Poster: Case Study
Saleem Syed 1 , Awaji Al-Naemi 1
1 Ministry of health (Sabiya, Saudi Arabia).
Introduction: Diabetes Mellitus is a common metabolic disease all over the world and
starts very innocently and progress very vigorously. It is the global disease of the body,
but adversely effect the feet. Like the disease itself the feet problem also starts with
small innocent ulcer and progress to lethal gangrene that ends with amputation. In our
area the weather is very hot almost round the clock and the people also have special
habit of living. They use special sandals as a foot wear. In addition, emotional belief and
poor understanding of the disease even more worsens the situation. We studied all our
patients who consulted our hospital in the year 2011-2012, and found significant
avoidable factors that needs to be address, which does not exist in advance world.
Aim: To know the pattern of diabetic foot ulcer in our community and to identify the
avoidable factors if any.
Methods: Every patient coming to Sabiya General hospital from 2011-2012, were
registered in the study after informed consent, who was suffering from diabetic foot ulcer.
All thirteen variables were entered in a proforma designed for the study and filled both
pre and post treatment. Patients were followed every week.
Exclusion Criteria
Concomitant cardiac/nephropathy patient
Patient refusal
Result: Total number of patients were 119 in the study period 111 patients mainly
effecting 40-70 years of age with almost equal sex involvement and having disease for
more than five years in majority of cases. The right and left foot involvement were the
same with significant involvement of fore foot and mid foot. Patient had history of ulcer
more than 4 weeks. The foot was changed by 79% of patients who got significant
healing in 4-8 weeks time as compare to non change of foot wear.
Conclusion: Diabetic foot cause long stay in hospital, consume big resources. Mere
educating the patients and avoiding the use of local customize sandal may reduce the
incidence of diabetic foot ulcer.
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
321