TY  - INPR
T1  - Combining nursing and podiatry for successful outcomes in a community setting
T5  - Poster presented at Wounds Australia National Conference 2021
LA  - English
AU  - Mann, Rebecca
AU  - Moloney, Jill
AB  - Situation
76 year old lady with systemic pneumococcal infection was in ICU for 6 weeks and now being treated in community nursing and podiatry care. 9 toes were affected with necrosis.

Action(s) taken/ treatment provided
Patient had black, hard necrotic toes which required debridement of tips, nail beds and removal of exposed dead bones. Toes are difficult to dress and required moisture for autolytic debridement. Patient also required a solution which will relieve pain.
It was decided that a combined treatment of community nursing and podiatry would deliver the best outcome for this patient.
•	Podiatry: Sharp debridement, removal of nails and removal of protruding dead bony toe phalanges
•	Community nursing: Debridement with monofilament fibre pad (in combination with sharp debridement) and dressings for autolytic debridement and pain relief.

Outcome(s)
After 2 weeks of treatment on the left foot, black necrotic tissue has been softened to allow for further debridement. After 4 weeks of treatment, big toe almost healed and small amount of nail bed regrowth.
After 2 weeks of treatment on the right foot, evidence of granulation and epithelialisation of toes and nail bed areas.

Lesson(s) learned
Working as a multi-disciplinary team alongside allied health is vital for the healing process and can help to achieve the best possible clinical and patient outcomes, particularly for complex wounds.
CY  - Virtual Conference, Australia
Y2  - 1620079200
ER  -