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Cara listening to your story was just like reliving my birth, I to had an induction that took 4 days and needed the fetal heart monitor eventually I was given an epidural and not moved at all or checked for 4 days I had a grade 3 pressure sore at the age of 30 and I took missed all of those special firsts there was a lot more too my story the birth unit was terribly understaffed and my birth and c section were horrendous I wasn't offered the pain relief instead told to sniff lavender essential oil and given paracetamol 😮 can I ask do you still suffer weakness in the buttock? I do and after being admitted to hospital for a week in 2022 and despite explaining to everyone involved in my care or not care as I call it no one took me seriously they then performed an e 8 hour surgery on me ignoring my worries of being lead on my back and buttock for any amount of time and I came round and sure enough they had re opened the exact same sore I was in agony and still now I can sit or lie for any amount of time I have nightmares about hospital and the awful treatment I received and it has wrecked my life not once but twice I can't do normal things with my children the cinema is an absolute impossibility driving for more than 10 mins is a no no I can never rest and I suffer with fibromyalgia and chronic pain which renders my exhausted most of the time. I just wondered if you have ongoing problems xx best wishes to you.

Absolutely pressure areas count. Despite a lymph nurse, I promote pressure areas check. and promote with leaflet to everyone and especially my most vulnerable patients. Yesterdaythe daughter of one of my patents said I'm an 😇 when we discussed and I gave her info to take home for reference. Educating family members, carers and significant is the way to go because they have wveryday contact with the person. Reaching out to care agencies to cascade and providing simple leaflet in differnt languages are important. When I was a community nurse I worked closely with many care agencies and carers and I can say they areally do want to learn and do best for their patients. I did discuss zoom sessions for care agencies and they were on board. However, I left that post. I hope someone is driven to help and educate our carers and care agencies. They do want to do their best. Going beyond your remit does make a difference. I love when we practice with our head, hands and hearts. Thank you so much for keep promoting this. Thank you all.

This is vital to learning. Please promote this on social media platforms so others are aware. Thank you.

Wonderful session, hyperpigmented skin and pain on ethnic skin can be a sign of pressure damage !

May I please share? Thank you in advance.

Thank you for highlighting this. I've been told by patients that pain killers are not being because they will become addicted. It must be balanced bur since pain is subjective and prescribers should understand how painful compression bandaging is. I had them one day and one night and they hurt 😢😢.

Thank you. I appreciated this information. Keep them coming, please. Very educational.

Thank you this information on atypical wounds and how to distinguish from typical wounds.

This is very informative.thank you.

You are correct about using the products correctly. One thing I learnt is that the pad need to be activated by folding longsided and squeezing to ensure even distribution of microbeads for optimum absorption. Thank you for highlighting about the barrier cream and occlusion. I quite agree about increasing continence as a recognised and need it needs more attentions.

This is quite informative and I will be sharing with care agencies staff. Thank you.

Really interesting discussion, raises lots of things you may not think about - well worth a watch.

What is a skin Cancer surgeon doing with leg ulcers ? Unless the ulcer is actually caused through skin cancer then I fail to see how she is qualified to comment on any other type of ulcers. People presenting with leg ulcers should be referred to a Vascular Service and offered a FULL Endovenous Duplex Vein Mapping Scan and if Venous should be referred to a Phlebologist (not Phlebotomist) and an Interventional Radiologist. Why is the NHS spending 3 to 5 billion per year on wound clinics only treating the underlying cause. There are now fantastic treatments out there that can cure or at least greatly improve venous insufficiency. Why is our NHS decades behind in the treatment of venous disease and leg ulcers ? She hasn’t a clue what she’s talking about. What about Endovenous Laser Ablation Therapy and if Perforator damage isn’t present Transluminal Occlusion of Perforators followed by Ultrasound Foam Guided Sclerotherapy. I went right through the NHS seeing people like this doctor and was also sent to Dermatologists, basically being referred to all the wrong services. I eventually got all of these treatments but had to pay for them. Was the best money I ever spent and haven’t looked back since 2018. Mine were caused by a long misdiagnosed DVT aged only 36 through the contraceptive pill, which was easily treated, but caused catastrophic damage to my left leg. I lost 7 years of my life to the wrong treatment from the NHS before I researched and realised there were fantastic treatments out there that could cure me.

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Why didn't they prescribe her antibiotics or anti inflammatory drugs?

I have realised, there are some incorrect or rather missing information, when it comes to rolled edges and failing epithelisation process. The person stated that it not understood why it didnt progress and it should be surgically removed to stimulate the process. It should be pointed out that rolled edges can and very often are the sign of wound infection ( critical colonisation being present in the wound interfering with healing processes or possibly wrong dressing( wound get used to dressings and become after immune to its effects if one dressing is used too long, or incorrectly, which eventually leads to wound misbehaving or showing signs of abnormal behaviour... Surgical interference should always be the last result, unless it's done under close supervision and care post surgery by TVN for minimum to 2- 3 weeks, The problem is that if you let general nurses perform dressings without training and advanced wound training- you reduce the wound healing and patients recovery by 90%. Sorry I am not, I have seen beautifully healing wounds only if patients were looked after by well educated and knowledgeable nurses who were honest and responsible enough to recognise their limitations and seek on going advise and support from those more experienced. I understand this gentlemen couldn't speak of everything, due to time limitation. It could be worth adding the complexity of pain management , isolation, lack of psychological support, inappropriate social support or none, lack of cooperation due to lack off good relationship building between patients and their carers or nurses...poor late assessement and delayed preventative measures being implemented in patients care...hospitals , their homes or care homes and reasons for them. I think we need to be really honest now...to get full support...and to do this right...if we carry on making such painful mistakes, not only NHS will suffer but the nurses and patients feel pain too...unnecessarily... Research of 30 years into wound care, and we still get this wrong why?

great presentation. interesting comments re compression in PVD