Tissue Viability
We provide support and advice on all aspects of complex wounds, pressure damage and leg ulcer management through telephone or email advice or face-to-face consultations with the patient and/or their healthcare professional. We accept referrals from community nurses, practice nurses, GPs in Medway, nursing homes or local prisons. We see patients in clinics, nursing homes, residential homes or at the patient’s home (housebound patients only).
Following a comprehensive assessment, we will discuss and advise on possible treatment for patient’s condition and can arrange referral to other services if necessary
- conservative sharp debridement (removal of dead skin with a scalpel)
- advice and allocation of specialist dynamic pressure relieving equipment (air mattress/air cushions)
- advice and provision of topical negative pressure equipment to aid in the healing of complex wounds
- advice for all healthcare professionals and carers caring for patients in Medway who have complex wounds and/or pressure damage
- training packages and education for healthcare professionals including trained staff, non-trained staff and students
- training events for carers in Medway to educate and raise awareness regarding pressure damage
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Advice for patients and families
Pressure ulcer
Leg ulcer
- Leg ulcers and exercises
- Legs Matter – https://legsmatter.org/
- Circulation Foundation – https://www.circulationfoundation.org.uk/patient_info/
- NHS advice – https://www.nhs.uk/conditions/leg-ulcer/
- Advice for patients venous leg ulcers
- How to apply emollients
- Fire alert: Skin creams
Wounds
- Understanding your wound
- skin tears and pretibial wound advice
- Nutrition to aid wound healing
- Recognising infection
Foot wounds
Self-referrals
Mental health/self-harm
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Advice for carers/ residential home
- Finger foods
- Food fortification
- Hydration
- Infection prevention and control – Sepsis information MCH359.1
- Medway CoSKIN TEAR PROTOCOL Mepitel One Mepilex Border comfort
- SCALE leaflet MCH441
- High energy high protein diet
- High energy high protein recipes – drinks only
- How to apply emollients
- skin tears and pretibial wound advice
- BAGST poster
- Moisture pathway
- Fire alert: Skin creams
- Pressure Ulcer Prevention
- Wound clinic service
- How to apply proshield foam and spray
- How to apply proshield barrier cream
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Advice/ referral links for health care professionals
- Circulation Foundation – https://www.circulationfoundation.org.uk/patient_info/