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I am delighted to introduce the JCN

supplement,‘Start exploring the reality

of wound healing’, which focuses on the

importance of providing patient-centred

care based on thorough holistic assessment,

and accompanies a series of JCN study days

supported by Urgo Medical.

The prevalence of lower limb ulceration,

lack of evidence-based care, and poor healing

outcomes, as found in Guest et al’s seminal study (2015), have

highlighted the need for investment and focus in this area of care.

Current challenges involve ensuring effective holistic assessment,

diagnosis, treatment and prevention of wound care complications

to improve outcomes and patient experience, while also minimising

costs. For leg, diabetic foot, and pressure ulcers this necessitates acting

early (i.e. from day one) to reduce healing times.

This supplement provides a clinical practice update on these

issues. Leanne Atkin gives an overview of the findings from Guest et

al (2015) and looks at why variations in practice need to be avoided

both to reduce costs and to ensure optimal patient outcomes.

Evidence-based practice, together with following clinical care

pathways based on good quality evidence, are vital to ensure that care

is standardised and of the best quality possible, as is shown in the

papers on these topics. The supplement also looks at the introduction

of the minimum dataset for wound assessment (introduced in

2017), and how one trust has audited initial findings in line with the

Commissioning for Quality and Innovation (CQUIN) scheme.

I hope that you enjoy reading this supplement and find it both

informative and useful in your day-to-day practice.

Lorraine Grothier,

head of clinical services, Urgo Medical

Let’s shift the focus to

wound healing

©Wound Care People Limited 2018

Unit G, Wixford Park, George’s Elm Lane,

Bidford on Avon, Alcester B50 4JSISSN 0263 4465

Journal of Community Nursing

is indexed with CINAHL and

British Nursing Index (BNI)

t: +44(0)1789 582000

e:

binkie@jcn.co.uk http://www.jcn.co.uk

All rights reserved. No part of the this

Journal of Community Nursing

supplement may be reproduced, stored in a retrieval system or transmitted

by any means electronic or mechanical, photocopied or otherwise without

the prior written permission of Wound Care People Limited.

Printed in England by Blackmore Ltd, Shaftesbury

i

Contents

4 Burden of wounds: are we causing harm to our patients? Leanne Atkin 7 Evidence-based practice in wound care Caroline Dowsett 12 What should a clinical care pathway look like in wound care? Jacqui Fletcher 15 Wound assessment CQUIN Jeanette Milne

JCN supplement

2018,Vol 32, No 2

3

Journal of Community Nursing

EDITORIAL

Managing director

Nicola Rusling

nicola@woundcarepeople.co.uk

Publisher/editor

Binkie Mais

binkie@woundcarepeople.co.uk

Business director

Alec O’Dare

alec@woundcarepeople.co.uk

07535 282827

Sales manager

Sam Ciotkowski

sam@jcn.co.uk

Opinions expressed in the articles are those of the authors and

do not necessarily reflect those of Wound Care People Limited.

Any products referred to by the authors should only be used as

recommended by manufacturers’data sheets.