WCET Journal - Chinese Edition

Background Chronic wound management in low-resource settings deserves special attention. Rural or underresourced settings (ie, those with limited basic needs/healthcare supplies and inconsistent availability of interprofessional team members) may not be able to apply or duplicate best practices from urban or abundantly resourced settings.

Objective The authors linked world expertise to develop a practical and scientifically sound application of the wound bed preparation model for communities without ideal resources.

Methods A group of 41 wound experts from 15 countries reached a consensus on wound bed preparation in resource-limited settings.

Results Each statement of 10 key concepts (32 substatements) reached more than 88% consensus.

Conclusions The consensus statements and rationales can guide clinical practice and research for practitioners in low-resource settings. These concepts should prompt ongoing innovation to improve patient outcomes and healthcare system efficiency for all persons with foot ulcers, especially persons with diabetes.

Skin complications in ostomates are widely reported and can cause physical and emotional challenges in everyday life. Chronic parastomal skin complications can be difficult to heal and cause significant pain.

Two patients presented to the stomal therapy clinic for treatment and were diagnosed with chronic parastomal skin ulceration. Following standard treatment of wound management, topical corticosteroid ointment and appliance review, the ulcers were either not improving or had reoccurred. Treatment with a combination cream consisting of 0.2% Hyaluronic acid (HA) and 1% Silver sulfadiazine (SSD) was initiated and both patients demonstrated complete healing.

Treatment of parastomal skin ulceration with dual action cream 0.2% HA and 1% SSD was successful for these two patients, with a reduction in pain and purulent fluid noted throughout treatment, in addition to a reduced cost of treatment when compared with standard protocols.

In the midst of Akron, Ohio’s industrial prowess and profound social unrest, Norma N Gill emerged not merely as a pivotal figure in Enterostomal Therapy (ET) but as a beacon of hope and innovation amidst personal and societal struggles. This narrative seeks to weave the threads of Gill’s life, her personal battles with health, and her unwavering faith, into the broader tapestry of a society grappling with racial inequality and social injustice. While her professional collaboration with Dr Rupert Turnbull has been celebrated in medical annals, it is the intersection of her work with the societal dynamics of her era that this exploration seeks to illuminate. By delving deeper into Gill’s life and work, we aim to shed light on how her personal experiences and societal context merged into her ground breaking contributions to medicine and stomal therapy, thereby offering a nuanced understanding of her enduring impact.