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This case study summarises the treatment of a patient with diabetic foot gangrene. By undergoing irrigation and negative pressure wound therapy (INPWT) with moist dressing, foot amputation was avoided. The treatment process included: the comprehensive assessment of systemic and local condition; choosing suitable debridement such as sharp surgical debridement; preventing the spread of infection; applying INPWT to reduce endotoxin absorption; and active treatments of primary disease such as controlling blood sugar and blood pressure, and improving microcirculation and nutrition. After 2 months of vigorous INPWT, the patient's wound bed improved. After the application of a moist dressing, the wound closed and healed successfully at 3 months. [ABSTRACT FROM AUTHOR]

Objective To evaluate the effect of training for enterostomal therapists (ETs) based on Kirkpatrick's Four Levels of Training Evaluation model. To understand ET trainees' work status after completing the Enterostomal Therapy Nursing Education Program (ETNEP) course as well as the ET students' satisfaction of teachers and studying conditions when completing the Wenzhou ETNEP. Methods One hundred and sixty-nine students who had completed the Wenzhou ETNEP were evaluated by Kirkpatrick's Four Levels of Training Evaluation model from four perspectives, namely the Reaction, Learning, Behaviour and Result levels. Results The overall satisfaction of the Wenzhou ETNEP was high in the Reaction level. In the Reaction Level the average matrix score of training programs and teachers was: >1.4. In the Behavioural level, 103 ETs participated in stoma and wound clinics, with 99.2% of them actively promoting ET nursing knowledge and 18 ETs (13.2%) serving as teachers of ETNEP schools. One hundred and sixteen ETs (85.3%) conducted ET-related nursing courses for other nursing staff and 58.8% of ETs had conducted continued education courses. Of the ETs, 22.8% participated in the hospital's outpatient or outreach stoma and wound care services. In the Result level, 58.8% of ETs participated in nursing research of the specialty, 29.4% of ETs had obtained scientific research funds and 136 ETs had published papers. Conclusion Students are satisfied with the ETNEP training they received. Their ability to work and function as ETs has improved on completion of their training. In addition, their professional standing has improved, with all ETNEP participants having achieved good results in the fields of specialised nursing, extended nursing, scientific research and teaching. However, in reviewing the survey results and aligning these with current standards of practice and employment of ETs in China, there is the need to modify parts of the ETNEP (such as raising the degree of ET students' entry criteria), standardise teaching materials and establish communication processes with mechanisms for exchanging ET teachers nationally and internationally, to ensure the quality of teaching and improve the quality of specialised ET nursing. [ABSTRACT FROM AUTHOR]

A common complication associated with pre-term infants in neonatal intensive care units are extravasation injuries (EI), which are a significant cause of iatrogenic morbidity and mortality. This case study describes the management of severe extravasation injuries in a premature infant. The theories and principles of wound bed preparation such as debridement of necrotic tissue, infection control through reduction of wound bioburden, moisture balance and promotion of epithelial migration were employed to facilitate wound healing. After two months of careful wound care, the wound healed completely. There was no functional or cosmetic impairment and no scar formation: an excellent result overall. [ABSTRACT FROM AUTHOR]

Our team introduces a case of a huge pressure injury in the sacrococcygeal region with systemic infection, which was successfully cured by Chinese medicine for half a year after debridement. The method is economical and effective. [ABSTRACT FROM AUTHOR]