Volume 13 - Issue 12 - December, 2001

Predicting Patient Outcome

Dear Readers:

What if your patients could tell you whether or not they would respond to your current wound therapy by healing? Would you listen? How would you use this information? A growing body of information suggests that patients are telling us they are likely or unlikely to heal, and we are learning how to listen to their messages. Below are two recent articles that illustrate two different ways of “listening” to your patients to identify diabetic foot ulcers at risk of nonhealing and those likely to heal during 12 weeks of care. As you read them, ask yourself, “What would I do

Diabetic Foot Ulcers

Dear Readers: Foot problems are the most frequent cause of hospitalization in diabetic patients. Peripheral neuropathy leads to loss of protective sensation, and unheeded trauma results in ulceration with a high potential for infection and amputation. Consistent offloading has reportedly healed up to 80 percent of diabetic foot ulcers within 10 weeks,1 but patient adherence to the offloading protocols is inconsistent, and the total contact casts, which assure adherence to achieve these sterling results, require skill to apply.

Department Editor's Message: Veterinary Wounds

The inclusion of a department dealing with veterinary wound management is a new departure for Wounds, and it does give me great pleasure to be involved with such an exciting innovation. Interest and research into the management of soft tissue injuries in animal species other than man has, until recently, been very much the Cinderella section of wound management. This situation is improving rapidly due to the realization by many members of the veterinary profession that historically too many assumptions have been made about the similarities between the wound healing processes of man and the