Avsnitt
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Wound Education, the subject everyone wants, from novice to expert, but where so many barriers exist to getting it just right. In this episode we burrow down into a recent Australian publication discussing recommendations for undergraduate wound education. This is another prickly concept our listeners will have dealt with and have opinions on, no matter what your discipline, experience level or clinical setting. So let's know what your thoughts are because we will talk more in future episodes about the status of wound education.
Timestamps:
00:00 Intro
00:34 Wound education for novice clinicians
01:34 Novices desperate for education
03:35 The needs of wound management education for medical staff
05:15 The assumption that everyone in the healthcare workforce has basic wound care knowledge
06:45 Critiquing research on wound education
09:32 How is the term wound expert defined
10:36 Academic wound education models versus clinical realities and the needs of clinicians
11:10 Irony of clinicians requesting advanced wound education when the basics are not understood
12:08 Fragmented, illogical, or misrepresented content
14:02 Polysemy in healthcare
14:32 What is a simple wound?
14:44 What is a wound?
15:34 Challenges of developing clinically realistic educational wound frameworks
15:47 A tiny wound
17:15 Sterile versus clean technique. Really really?
17:39 Coveting and naval gazing
19:35 Translating academic wound educational models into clinical practice
20:42 When “new” evidence is based on superseded guidelines
21:59 Clinically relevant undergraduate education
22:26 What about foundational content for consistent safe practice
23:04 What’s on the wall of your treatment room that can guide you
23:31 When foundational content is advanced in clinical reality
24:44 Recommended foundational content
26:54 Need for real-world research
28:10 Opportunities for nurse coaching/mentorship
29:10 Are wound management standards and expectations too high?
30:35 When non wound “experts” talk on expert wound topics
31:31 Profiling what wound management experts do
33:06 Read the antibiofilm and International Wound Infection documents for clinical pearls
Resources mentioned:
The Australian Guidelines for the Prevention and Control of Infection in Healthcare 2019 are published on the MAGICapp allowing for ‘point of care’ use where the guidelines can be viewed on any tablet, phone or computer (updated multiple times a year).Haesler E. and Carville K. (2023). Australian Standards for Wound Prevention and Management. Australian Health Research Alliance, Wounds Australia and WA Health Translation Network. -
Compression, the topic everyone has experience with, an opinion on, and something to learn - including us. This will be the first episode of many on compression because there is so much to unwrap. We would love to hear your feedback on this one as we touch on so many points.
Timestamps:
00:00 Introduction
01:00 How lymphoedema training has informed our practice as wound consultants
02:11 Looking wholistically at hard-to-heal wounds through a lymphoedema lens
02:33 Clearing oedema in proximal body parts first before moving oedema in the legs
03:10 Assessing oedema
03:32 The problem of less research and experience in non-cancer related chronic oedema than cancer-related
04:14 Location and distribution of fibrotic tissue composition
05:05 Lymphoedema wound nurses the outliers
06:42 Where are the compression companies at wound management events?
07:55 Wound clinicians without lymphoedema training do not understand compression prescription in chronic oedema
08:09 Prioritising lymphatic function and compression over wound hygiene, including debridement
10:12 Reluctance of some allied health professionals to apply lower limb compression in the presence of wounding
11:22 Practice gaps in wounds and compression prescription
12:54 Motivation to understand more about lymphoedema
13:51 Myth of venous oedema being different to lymphoedema
14:00 More on reluctance to treat chronic oedema when wounds present
14:48 Lymphoedema escalation pathway
15:11 Becoming a lymphoedema mentor
15:43 Self-care in lymphoedema
16:18 The gaps in staging lymphoedema
16:40 Inadequate compression prescription, application and troubleshooting leading to bad patient experiences and money down the drain
17:36 What do we mean by the term “tolerating” compression?
21:34 Using the term” they don’t tolerate” compression when it is the healthcare system that is intolerable
22:09 The S.T.R.I.D.E. document to guide compression selection
23:11 Practical considerations when using S.T.R.I.D.E. principles
25:36 Round versus flat knit garments
27:31 Wound lymphoedema clinicians have two computers of formulary open simultaneously
28:52 More on round versus flat knit
30:47 Muffin-topping a red flag that compression needs to be applied into the thigh or higher
32:19 The Australasian Lymphology Association resources and courses
32:56 When nurses speak the same language around wounds and chronic oedema
34:38 Prioritise leg hygiene, understanding chronic oedema before debridement and dressings
36:38 The influence of industry on the science, education and clinical practice of wound management
Resources mentioned:
STRIDE document https://lymphoedemaeducation.com.au/wp-content/uploads/2019/07/S.T.R.I.D.E.-Professional-Guide-to-Compression-Garment-Selection-for-the-Lower-Extremity.pdf (if you’re curious what STRIDE stands for, it’s Shape, Textile Type, Refill, Issues, Dosage, aEtiology)Australasian Lymphology Association https://www.lymphoedema.org.au/If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.
Connect with us at:
Email [email protected]
TikTok https://www.tiktok.com/@twoechidnae
Connect with Donna's resources and sign up for the Woundy Wisdom's newsletter at https://goodwoundcare.carrd.co/
Disclaimer:
The views expressed in this podcast are our own. This podcast is intended specifically for healthcare professionals. Always follow...
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Saknas det avsnitt?
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Join Mon and Don as we burrow into our journey's to wound consultancy. We hope you learn a little more about what has shaped us as individual wound clinicians, as we share some of our defining professional experiences as nurses.
Timestamps:
00:00 Get to know us
00:56 Mon’s journey
02:38 High value education and training
02:38 Benefits of lymphoedema education and training in wound management
03:09 How the podcast started
03:59 Alternative pathways to wound consultancy
07:20 The complexities of wound management across the sectors
09:52 Don’s journey
10:33 The fundamentals of wound care
10:45 Advanced practice in the community setting, going back to basics and helicoptering
12:25 High value, low-cost benefits of washing legs
14:36 Takes time to save time
15:25 Advantages and opportunities in community nursing and wound management
17:01 The value of the helicopter view in wound consultancy
17:22 Workplace culture as a barrier to best practice wound care
18:30 More benefits of lymphoedema education and training in wound management
19:19 Trauma-informed and weight-neutral care
19:58 Can’t get to the wound unless you go through the head
20:24 Wound management is not about the dressing and it’s not even about wound care
20:59 I should be a psych nurse with skills in chronic disease
23:00 Changing the language of wound consultancy
24:08 Recommended PhD topics for hard-to-heal wounds
25:19 The trauma stories of wounding
25:29 Misunderstanding the term non-concordant
26:23 Wound care is not always about looking at the wound
28:44 The importance of networking and future episode topics
If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.
Connect with us at:
Email [email protected]
TikTok https://www.tiktok.com/@twoechidnae
Connect with Donna's resources and sign up for the Woundy Wisdom's newsletter at https://goodwoundcare.carrd.co/
Disclaimer:
The views expressed in this podcast are our own. This podcast is intended specifically for healthcare professionals. Always follow your organisation's policies and procedures. Please consult your own healthcare provider for individual wound advice.
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We celebrate reaching 3 episodes with a lot more prickly topics affecting anyone attending woundcare. Join Mon and Don as we burrow into the issues inherent in reaching a wound aetiology - or is that a mechanism of injury? How confident are we? What are the barriers and pitfalls and are we setting unrealistic expectations for the everyday clinician in documentation that informs the care planning?
Timestamps:
00:00 Celebrating making the third pancake
04:31 Not as simple as just telling someone what to put on the wound
10:53 Wound aetiologies and broader issues
12:03 Siloing aetiology and treatment
13:09 Unrealistic expectations of general and wound care clinicians to determine aetiology
17:49 Mechanism of injury vs aetiology, do humans fit into a box?
18:56 When wound charts don't support complexity
20:13 What is a hard to heal wound
20:48 Limitations of wound documentation systems including EMR
25:45 Wound education is not a panacea
27:43 Health economics and healthcare systems affecting wound outcomes
28:15 Raising awareness and reflections for future episode topics for emerging and more advanced clinicians
If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.
Connect with us at:
Email [email protected]
TikTok https://www.tiktok.com/@twoechidnae
Connect with Donna's resources and sign up for the Woundy Wisdom's newsletter at https://goodwoundcare.carrd.co/
Disclaimer:
The views expressed in this podcast are our own. This podcast is intended specifically for healthcare professionals. Always follow your organisation's policies and procedures. Please consult your own healthcare provider for individual wound advice.
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Let's continue burrowing down into prickly conversations. Join Mon and Don as we unpack caring for the carers including the array of clinicians (nursing, allied, medical) plus formal and informal carers. Everyone plays a role in determining what happens to the person's wound.
Timestamps:
00:00 Caring for clinicians and carers
06:56 The community nursing team, does it match the needs of the person with a wound?
12:45 The challenges of a depleted workforce and lost skills
14:58 When complex skills are required such as debridement and compression, the cons of a risk averse, task-oriented system
17:10 When caring for the team sometimes means saying 'no' when foundational interventions aren't being attended. Challenges when clinicians disagree
23:58 Puggles (baby echidnas). Clinicians seeking a career in wound management. Using foundational versus advanced treatments
26:01 Is puggle-ise a word?. Infantilising concepts in wound management
26:52 Reflective practice. Passing on the mantle of knowledge.
28:33 Future prickly topics
If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.
Connect with us at:
Email [email protected]
TikTok https://www.tiktok.com/@twoechidnae
Connect with Donna's resources and sign up for the Woundy Wisdom's newsletter at https://goodwoundcare.carrd.co/
Disclaimer:
The views expressed in this podcast are our own. This podcast is intended specifically for healthcare professionals. Always follow your organisation's policies and procedures. Please consult your own healthcare provider for individual wound advice.
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Are you a clinician interested in wound care?
Maybe you're just starting or know a little about hard to heal wounds?
Or are you more seasoned in your career?
Perhaps you work in the community, aged care, a hospital or a subacute setting.
Join Monika and Donna, 2 advanced practice nurses and lymphoedema
practitioners, as we kick off and introduce our wound care podcast.
In our first episode, we discuss why we're here and why the name 'Two
Echidnae'.
We are so excited to be sharing with other clinicians (not just nurses), our
experience and frustrations inherent in the discipline of wounds.
Humour is essential.
We will be burrowing down into some prickly conversations, digging up myths and
chewing over real-world evidence.
Timestamps:
00:00 Intro
00:40 Who we are
02:22 Why a wound podcast?
07:55 Why the name Two Echidnae?
10:20 Why a wound care nurse is like an Echidna?
24:50 What to expect from our podcast
If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.
Connect with us at:
Email [email protected]
TikTok https://www.tiktok.com/@twoechidnae
Connect with Donna's resources and sign up for the Woundy Wisdom's newsletter at https://goodwoundcare.carrd.co/
Disclaimer:
The views expressed in this podcast are our own.
This podcast is intended specifically for healthcare professionals.
Always follow your organisation's policies and procedures.
Please consult your own healthcare provider for individual wound advice.
