A brighter path ahead

Deep tissue injury: a narrative review on the aetiology of a controversial wound

‘purple or maroon localized area of discoloured intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. The area may be preceded by tissue that is...

The role of nutrition in wound healing: an overview

As defined by the British Association of Parenteral and Enteral Nutrition (BAPEN), malnutrition is a state where there is an imbalance (either deficiency or excess) of energy, protein and other...

Maintaining our vision for tissue viability beyond the pandemic

The assessment and management of hypergranulation

Granulation tissue forms in the proliferation phase of wound healing (Figure 1). Granulation comprises newly growing capillaries from the base of the wound and leads to the formation of new blood...

Safe care and fair pay

Supporting patients whose first language is not English

Challenges and opportunities identified for lymphoedema services in Wales during the COVID-19 pandemic

Initial scoping of staff perceptions regarding the impact of the pandemic on services, patients and roles as well as the acceptability of study method shaped the study. Four scoping questions were...

Guidelines for managing people with lymphoedema remotely: a post-COVID-19 response document

This document presents pragmatic guidance for lymphoedema services. It is based on analysis of the national response of Lymphoedema Network Wales (LNW) during the first few months of the COVID-19...

Faecal incontinence: a healthcare taboo

FI is the term used to describe the inability to control the bowels (ICS, 2015). Benezech et al (2016) defined FI as the involuntary loss of flatus (wind) and/or solid or liquid stool through the anal...

Central venous pressure monitoring in critical care settings

The Frank-Starling law states that the force or tension developed in a muscle fibre depends on the extent to which it is stretched..

Undertaking consultations and clinical assessments at advanced level

Communication with patients is key to all aspects of clinical practice. Seminal NHS frameworks and policy drivers place effective communication at the core of providing a person-centred approach in...