Viewpoints Resources

Wound care specialist and NHS supplier, Daylong Direct, is introducing the world’s first adhesive-free, wearable wound care solution specifically designed for people living with hidradenitis suppurativa (HS), HidraWear, to the UK.

Hidradenitis suppurativa (HS) is a chronic, inflammatory skin disease that causes recurrent and painful nodules, boils, abscesses and lesions of the skin (Revuz, 2009). This recurrent and often painful disease is frequently overlooked and can have a profound impact on a patient’s quality of life (Matusiak, 2018).

The founder of HidraWear, Suzanne Moloney, has been living with HS for decades. She and her team have successfully listed HidraWear for reimbursement through the public health service in Ireland, making it the first country in the world to make HS specific dressings available through its public health provision. She is now working with Daylong Direct towards making HidraWear available for patients on prescriptions in the UK. Here, she talks about the difficult journey to getting her diagnosis, the daily struggles of living with HS, and the importance of raising awareness of the condition.

One in five people in the UK has asthma, chronic obstructive pulmonary disease (COPD) or another longterm respiratory illness. Half of them are currently on treatment (mainly inhalers) for lung disease and they account for more than 700,000 hospital admissions in the UK each year (British Lung Foundation [BLF], 2021). Positive images of adults, children and young people using inhalers correctly will go a long way to help improve the care and outcomes for the population.

All too often patients subjected to radiotherapy (RT) will develop skin burns. These are accepted by many clinicians as being an unfortunate sequel of a lifesaving treatment; however, evidence is beginning to show that they need not be regarded as ‘inevitable’ (Bray et al, 2016). There are treatment options which can help avoid, or ameliorate them that merit consideration. After specialist RT centre treatment, skin burns become the responsibility of the community nurse to address. They can cause serious reduction in patient quality of life, or even delay further radiotherapy owing to pain and exudation (Singh et al, 2016).

The Queen’s Nursing Institute (QNI) is one of a number of charities that will receive additional support from the Covid-19 Healthcare Support Appeal (CHSA) this year. The funding allocated to the QNI will be used to support community nurses in financial need over the next 12 months. The new money from CHSA is specifically for nurses whose financial circumstances have been impacted by the pandemic and is one of several initiatives it is supporting across the voluntary sector.

Covid-19 has had a severe impact on everyone’s lives, but the past year has been exceptionally challenging for nurses and healthcare workers battling the pandemic on the frontline.

There are striking parallels between the experiences veterans faced in conflict to those which healthcare professionals continue to face in the fight against Covid-19. Any traumatic event — whether a global pandemic or experience of war — takes its emotional toll. Repeated exposure can overwhelm the nervous system and lead to burnout and trauma fatigue.

Hourglass is the only charity in the UK focused on the abuse of older people and safer ageing. The charity rebranded from Action on Elder Abuse in March 2020 and receives around 8,000 calls from those affected by older abuse throughout the year. Currently, Hourglass is calling for amendments to the Domestic Abuse Bill, so it better reflects the challenges and reality faced by older people throughout the UK. The seriousness and level of abuse taking place has been pulled into harsh focus by recent lockdowns. Hourglass wants to ensure that all victims, especially from older groups, receive the legal and

World Continence Week (WCW), taking place from 21–27 June, is an annual health campaign run by the World Federation for Incontinence and Pelvic Problems (WFIPP). The campaign highlights the impact that urinary incontinence can have on people’s lives and encourages sufferers to seek help to improve their quality of life.

Malnutrition (or undernutrition) affects at least three million people in the UK (1.3 million are over the age of 65), with 93% of these living in the community (British Association for Parenteral and Enteral Nutrition [BAPEN], 2018). Malnutrition has an estimated cost of £19.6 billion in England, with older adults (≥65 years) accounting for over 50% of this cost (Stratton et al, 2018). Malnutrition has adverse effects if unidentified and untreated.

A chronic leg ulcer is defined as a defect in the skin below the knee that has persisted for more than two weeks and shows no sign of healing after three or more months (NHS, 2019). Lower limb and leg ulcer management presents a number of global health challenges in terms of nursing resources, wound care dressings and high recurrence rates. Also, the persistence and recurrence of lower limb conditions can lead to physical and emotional distress for individuals and their families, contributing to depression, lack of esteem, self-neglect, social isolation and loss of income.

The nutritional consequences of Covid-19 are not yet fully understood, but knowledge from acute respiratory distress syndrome (ARDS) suggests that patients are likely to experience skeletal muscle dysfunction, which can persist for weeks to years (Files et al, 2015) and impede return to pre-illness status. Many of the signs and symptoms noted to frequently persist after acute Covid infection, such as breathlessness, fatigue, loss of smell and taste and inflammation, can impact oral intake and potentially worsen nutritional status (Arnold et al, 2020; Carfi et al, 2020; Doykov et al, 2020; Mandal et al, 2020; Sudre et al, 2020).