Biomedical subjects
Martyn Butcher
Publications and source records attributed to Martyn Butcher.
Change: the opportunity for wound care?
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Prevention and management of superficial pressure ulcers.
Superficial pressure ulcers--those involving the upper layers of skin--are currently the object of academic controversy, in particular regarding the influence of moisture in their formation. This article aims to steer nurses round these debates with a practical approach to preventing pressure damage, placing a strong emphasis on skin care and reduction of friction.
The Plymouth skin and wound care service goes stateside.
In 2002 the authors were successful in bidding for an Innovations in Healthcare Travel Award donated through the British Journal of Nursing, in association with J&J Medical. With this grant they were able to travel to the USA and study health care in Boston Massachusetts. The trip was not without problems, both in arranging and subsequently visiting the area. However, both authors have learnt from the experience and have returned with lessons that can be implemented in their healthcare setting. The following is a personal account of that trip and the lessons learnt.
What constitutes a chronic wound? PROMOGRAN series: Part 4.
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Treatment of an atypical leg ulcer: pyoderma gangrenosum.
Mrs B was referred to the Skin and Woundcare Department at the start of January 2002 with a chronic non-healing ulcer to her lower right leg proximal to the medial aspect of her right knee. The ulcer was diagnosed as pyoderma gangrenosum, a condition which Mrs B had suffered from previously. Assessment and management of this atypical ulcer are discussed. Once the progression of the lesion was halted, conservative treatment could be undertaken, and led to a successful outcome.
Pressure ulcers and a lesson from the car industry.
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Rationalization of dressings on the NHS contract is not patient choice.
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Election fever: TVNs must make their voice heard.
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Are we getting "value for money" in tissue viability?
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Films or fabrics: is it time to re-appraise postoperative dressings?
Post-operative wounds healing by primary intention are often seen as the simplest areas of modern wound care. However, have we overlooked the problems that can exist and are we really looking at postoperative dressing selection with the same vigour we attach to other areas of wound care? This article outlines the development of modern post operative dressings, both fabric and film-based and raises the question 'if postoperative wound infection is a problem should we consider more effective barrier dressings?'
A guide to emollient therapy.
Although the benefits of emollient therapy have been widely acknowledged in dermatology treatments (Cork 1997), emollients have tended to be undervalued and under-used in general care and wound management. Healthy skin is an essential part of patient wellbeing, and emollient therapy is integral to the management of skin problems. The integration of tissue viability and dermatology services in the Plymouth Hospitals NHS Trust provided an opportunity to evaluate how and why emollient therapy is implemented. In practice, the authors have identified that healthcare practitioners need guidance and advice on emollient therapy to improve their care delivery. This article is based on the emollient therapy currently used in the authors' trust.
Risk of pressure damage for women using maternity services.
Pressure ulcer prevention and maternity services are areas of health care that are rarely linked. However, anecdotal evidence appears to support the view that increasing numbers of women develop pressure damage during childbirth (Malone, 2000; Newton and Butcher, 2000). This is becoming an area of concern for clinicians and risk managers (Butcher, 1999).
Change: the opportunity for wound care?
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