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

27:31Wound 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 twoechidnae@gmail.com

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

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

If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.

Connect with us at:

Email twoechidnae@gmail.com

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.

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

33:00 Raising awareness 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 twoechidnae@gmail.com

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.