Therapeutic Guidelines: Ulcers and wound management. Version 2
- Kanthi Vemuri
- Aust Prescr 2019;42:206
- 2 December 2019
- DOI: 10.18773/austprescr.2019.064
Melbourne: Therapeutic Guidelines Limited; 2019.
Also available at www.tg.org.au
This latest edition is a brilliant, informative guide to managing ulcers and wounds. It provides a succinct summary and a practical, easy-to-follow framework for managing these challenging conditions. The tables, boxes, figures and illustrative photos help to easily navigate through the important facts, in a timely fashion.
I think the best aspect of this book is that it highlights the importance of early establishment of an aetiology of the ulcer in tailoring the management. This edition has a chapter on skin tears which are so common in older people. It provides information on prevention, assessment and how to avoid complications such as infection and conversion into a chronic ulcer. The chapter on wounds in the high-risk foot describes the importance of prevention and the need to focus on revascularisation and pressure-redistribution strategies during the early assessment.
The emphasis on non-pharmacological measures for ulcer healing such as foot care, foot wear, compression stockings and appropriate dressings highlights the vast experience the expert group has in this field. The well-designed tables provide an excellent guide to choose the appropriate dressings depending on wound characteristics. There is also a new section about a palliative approach to ulcers that are not expected to heal, including pain management and dressing choice.
I highly recommend this latest edition, which incorporates all the known successful strategies, to every clinician involved in ulcer and wound management, both in the hospital and community.
Infectious diseases advanced trainee, Sunshine Coast University Hospital, Queensland