When I tell people I have a hybrid plastic surgery practice, I am not talking about a fuel efficient car. I am talking about the fact that I do both cosmetic surgery and medically-necessary surgery. Part of the medically-necessary surgery includes the repair of pressure wounds (also called decubitus ulcers.)
Not only is this type of surgery not cosmetic, it can be pretty ugly. It is surgery to assist often long standing wounds in healing in often significantly ill patients. If possible such a wound is repaired using tissue from adjoining areas of the body called fasciocutaneous and musculocutaneous flaps after scar and debris is cut away. This isn’t pretty, but Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
I’d like to recommend this article (full reference below) to anyone involved in the care of palliative care patients, as well as anyone who does wound care. It is a thoughtful and well written consensus paper from the National Pressure Ulcer Advisory Panel.
The article begins by pointing out the difference in goals between palliative care patients and the usual patients with pressure ulcers (PrU).
Usual care of a PrU is designed to promote healing; however, healing or closing the ulcer in patients receiving palliative care is often improbable. Therefore, the focus of care is better directed to reduce or eliminate pain, odor, and infection and allow for an environment that can promote ulcer closure, as well as improve self-image to help prevent social isolation.
Read more »
*This blog post was originally published at Suture for a Living*