Two Echidnae Podcast from Advancing Wound Care

Inspired by a quote from Dr Brad Robinson, Monika and Donna share real cases where palpating and probing wounds revealed what photos, reports and even specialist reviews had missed, from exposed bone behind a tiny hole to undiagnosed osteomyelitis. They cover pressure injuries, foot wounds, oedema and lymphoedema assessment, tissue texture, boggy heels, friable tissue, and practical ways to build the confidence to probe gently and safely. A must listen for nurses, OTs, physios and podiatrists who want to sharpen their hands on assessment skills.

Chapters

00:00 Introduction

01:40 The quote that inspired this episode

04:55 What photos miss that fingers find

07:10 Teaching OTs and physios to palpate

07:55 A sneaky stage four

08:40 How shear and position change what you feel

09:20 When photos replace proper assessment

10:35 Size does not matter

11:35 Getting comfortable with probing

12:00 Undermining measurements that differed by centimetres

13:40 Wounds hide n seek

14:15 Palpating skin

18:10 Toe to groin palpation

19:30 Striking lymph node gold

20:15 Palpating pathology

21:30 Touch v AI

22:20 Assessing mixed aetiology through touch

25:05 Turning probe findings into precise care plans

27:20 Get to know your friendly podiatrist

28:10 Education by relationship building

29:15 A reflection on probing

33:40 Consistent positioning for consistent measurement

37:00 Wrap up and where to follow the podcast

Resources mentioned:

Dr Brad Robinson quote https://www.instagram.com/reel/DXiMTnYj8Is/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA==

Endnotes

If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.

The Two Echidnae Podcast is part of Advancing Wound Care, our online education platform for clinicians. Reach out to us on our other Advancing Wound Care Socials, where you’ll also find hints, tips and resources.

For more value, connect with us at:

Website https://www.advancingwoundcare.com.au to join our newsletter mailing list to be the first to hear about online education opportunities

Email [email protected]

TikTok https://www.tiktok.com/@twoechidnae

Instagram https://www.instagram.com/advancingwoundcare

Facebook https://www.facebook.com/advancingwoundcare

YouTube https://www.youtube.com/@TwoEchidnae

Apple Podcasts https://podcasts.apple.com/nz/podcast/two-echidnae-wound-care-podcast-with-monika-and-donna/id1773976095

Spotify https://open.spotify.com/show/7EpR6vaSM6jPSRaPMvLVZS

The views expressed in this podcast are our own and is intended specifically for healthcare professionals. Always follow your organisation's policies and procedures or refer to your healthcare provider for individual wound advice.

In this enlightening episode, the hosts engage in a rigorous exploration of the intricate interplay between lymphoedema and wound care management. They articulate the crucial role that an understanding of lymphatic health plays in the healing processes of various wounds, particularly in patients presenting with chronic conditions. The dialogue transitions fluidly through their personal clinical experiences, emphasising the need for clinicians to adopt a holistic view of patient care - wherein the assessment and management of swelling take precedence over the mere treatment of visible wounds. The hosts advocate for a paradigm shift in clinical practice, suggesting that clinicians should first interrogate the causes of swelling before attending to the wounds themselves.

Timestamps

00:00 Introduction

01:20 Wound consultancy though the eyes of an accredited lymphoedema practitioner

01:55 Swelling the inflammatory soup

02:50 Wounds, lower priority than managing chronic oedema

03:30 The acetic acid, chronic oedema/lymphoedema and pseudomonas conundrum

06:40 Unwounding yourself

09:24 Exudate v lymphorrhoea

10:15 Understanding the overlap of wounds and lymphoedema

12:09 The importance of understanding lymphoedema management in wound management

13:21 Moving the big paradigm ship around (link to Wounds Australia, Australasian Lymphology Association, Beat the Swell, Australasian College of Phlebology, Roelene Faihst, Matt Cash)

17:12 Howler to industry. Is it lymphorrhoea?

19:20 Marketing dressings for lymphorrhoea handling, not just exudate

19:47 When the lymphatics are excluded in wound research

22:14 Why aren’t wound clinicians attending phlebology conferences?

23:58 The emotional lability of wound consultants who understand lymphoedema

31:01 Shout out Matt Cash from Lily Clinic

32:20 More clinicians are talking about lymphoedema

32:42 Don’t forget to refer on to a lymphoedema practitioner

34:00 Call to action for managers to support accredited lymphoedema education

Resources mentioned:

• Matt Cash – Lily Clinic, Virginia Lily Clinic - YouTube https://www.youtube.com/@LilyClinicforlymph
• Roelene Faihst – Durbanville MediClinic, Cape Town https://www.instagram.com/lymph_draining_plus/
• Australasian Lymphology Association https://www.lymphoedema.org.au/education-&-resources/lymphoedema-training-courses/
• Beat The Swell https://www.beat-the-swell.org/
• Wound Australia https://woundsaustralia.org/
• Therapeutic wound and skin cleansing: Clinical evidence and recommendations https://woundsinternational.com/wp-content/uploads/2025/03/IWII_2025_Wound-cleansing-web-3.pdf
• The Australasian College of Phlebology https://www.phlebology.com.au/
• Australasian Lymphology Association socials https://www.facebook.com/ALAlymphoedema#

Endnotes

If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.

The Two Echidnae Podcast is part of Advancing Wound Care, our online education platform for clinicians. Reach out to us on our other Advancing Wound Care Socials, where you’ll also find hints, tips and resources.

For more value, connect with us at:

Web https://www.advancingwoundcare.com.au to join our newsletter mailing list to be the first to hear about online education opportunities

Email [email protected]

TikTok

Instagram

Facebook

LinkedIn

YouTube

Apple Podcasts

Spotify

The views expressed in this podcast are our own and is intended specifically for healthcare professionals. Always follow your organisation's policies and procedures or refer to your healthcare provider for individual wound advice.

This episode critically examines the use of foam, combine, crepe and skin closure strips in wound management, addressing their potential misapplications and the resultant complications that may arise from such practices. Our discussion encompasses the phenomenon of “foam fights” among clinicians, reflecting the confusion stemming from the myriad of products available, which often appear deceptively similar yet serve varying purposes.

Timestamps

00:00 Introduction

00:51 WTFoam and the C word

01:47 Foam fights and confusion

04:24 Financial and clinical governance confusion

06:59 Are foams a panacea?

11:36 Foam fantasy

12:05 C words

15:34 Crepe alternatives

16:38 Combine maybe but then there’s that green dressing?

18:40 What ifs, clinical governance and risk reporting.

22:24 Enter and exit stage left – skin closure strips

25:35 Challenges and enablers of reporting harm

28:57 Summary Don’ts and Dos

Resources mentioned:

• Edwards–Jones V, Idensohn T, Westgate S et al (2025) Dialkylcarbamoyl Chloridecoated wound dressings: An evidence review and position document. Wounds International. https://woundsinternational.com/wp-content/uploads/2025/09/ESS25_PD_DACC_WINT-web-v2.pdf
• Nokaneng E et al. Best practice recommendations for the prevention and management of skin tears in aged skin. Wounds International 2025. (p26). Available to download from www. woundsinternational.com https://woundsinternational.com/consensus-documents/best-practice-recommendations-for-the-prevention-and-management-of-skin-tears-in-aged-skin-2nd-edition/

Endnotes

If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.

The Two Echidnae Podcast is part of Advancing Wound Care, our online education platform for clinicians. Reach out to us on our other Advancing Wound Care Socials, where you’ll also find hints, tips and resources.

For more value, connect with us at:

Web https://www.advancingwoundcare.com.au to join our newsletter mailing list to be the first to hear about online education opportunities

Email [email protected]

TikTok

Instagram

Facebook

LinkedIn

YouTube

Apple Podcasts

Spotify

The views expressed in this podcast are our own and is intended specifically for healthcare professionals. Always follow your organisation's policies and procedures or refer to your healthcare provider for individual wound advice.

This episode delves into the essential components that constitute effective referrals to wound consultants. Monika and Donna, advanced practice wound consultants and accredited lymphoedema practitioners, articulate the critical nature of comprehensive and precise information in wound referrals, emphasising that inadequate details can significantly impede the healing process. They explore the myriad factors influencing wound care while also lamenting the frequent absence of this vital data in referrals. The conversation serves as a clarion call for clinicians to prioritise clarity and completeness in their referrals, thereby ensuring a more streamlined and effective patient care journey.

Timestamps

00:00 Introduction

00:26 Competing echidnas and fun facts

03:56 Ponderings on what makes a good referral

06:30 Negligible value of a wound management chart

07:04 High value high impact information on a referral

09:45 The dream of an accurate and up-to-date medical summary

12:16 High value of knowing who is or was on the team

13:59 Yes patient/client goals by why did you want me there in the first place?

16:04 The systemic barriers to the perfect referral in non-acute settings

19:10 What do the key clinician think that they can’t say out loud or document?

21:30 Never too early to refer

22:10 Initial appearance of wound and rate of deterioration as a reference point

23:50 Bare essentials on a referral

20:15 How not to send a wound photo

26:33 When the quality of the referral reflects the quality of care

29:40 What other medical specialists have consulted

32:16 Does the wound probe to bone?

34:00 Presence and extent of cognitive impairment?

35:22 Foot wounds then who is the podiatrist?

35:46 Diagnostics

38:19 The golden elements of a referral

Endnotes

If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.

The Two Echidnae Podcast is part of Advancing Wound Care, our online education platform for clinicians. Reach out to us on our other Advancing Wound Care Socials, where you’ll also find hints, tips and resources.

For more value, connect with us at:

Web https://www.advancingwoundcare.com.au to join our newsletter mailing list to be the first to hear about online education opportunities

Email [email protected]

TikTok

Instagram

Facebook

LinkedIn

YouTube

Apple Podcasts

Spotify

The views expressed in this podcast are our own and is intended specifically for healthcare professionals. Always follow your organisation's policies and procedures or refer to your healthcare provider for individual wound advice.

In episode 10 of the Two Echidnae podcast, we say hello to double figures and welcome in Advancing Wound Care. While we are still burrowing down into prickly conversations in wound and oedema management, we are launching our new logo, website and socials as we build out online education and resources to further equip clinicians with clarity and confidence.

Timestamps

00:00 Introduction

01:23 The Big News

02:40 The evolution of Advancing Wound Care

02:55 Advancing Wound Care filling the gaps in wound education

03:51 Hop on hop off

04:44 Click on the Advancing Wound Care website for updates and don’t forget the au

05:56 The arrow, the face, the heart and the star

11:23 Advancing Advancing Wound Care

11:36 The socials

12:16 We get it

14:42 Being caught in the middle and not knowing what to do

17:14 Future episode topics

19:59 Recap of our collective experience in the context of real-world clinical practice.

22:43 Both Accredited Lymphoedema Practitioners as well

22:55 Addressing the gaps between wound and lymphoedema/chronic oedema management

26:54 Shout out to current and future followers and links to all the places we hang out

Resources mentioned:

• Advancing Wound Care https://www.advancingwoundcare.com.au
• Australasian Lymphology Association https://www.lymphoedema.org.au/education-&-resources/lymphoedema-training-courses/

Endnotes

If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.

The Two Echidnae Podcast is part of Advancing Wound Care, our online education platform for clinicians. Reach out to us on our other Advancing Wound Care Socials, where you’ll also find hints, tips and resources.

For more value, connect with us at:

Web https://www.advancingwoundcare.com.au to join our newsletter mailing list to be the first to hear about online education opportunities

Email [email protected]

TikTok

Instagram

Facebook

LinkedIn

YouTube

Apple Podcasts

Spotify

The views expressed in this podcast are our own and is intended specifically for healthcare professionals. Always follow your organisation's policies and procedures or refer to your healthcare provider for individual wound advice.

Everyone (hopefully most clinicians) undertake wound images and measurements. Don’t get us wrong, these are important. But from our prickly position, they aren’t as robust in our clinical practice as many would like to think.

In this episode Monika and Donna provide an experience informed conversation on the common issues with digital photography and unpack the reasons why these affect quality practice and decision making for patients with wounds.

Episode 9 is jam packed with practical pearls for all clinicians to take and use no matter what their experience or setting. This episode is valuable for:

• novice to experienced healthcare professionals
• nurse, doctors and all clinicians involved in wound care
• managers focused on quality of care and practice improvement

Timestamps

00:00 Introduction

00:49 Wound measurement and photography as a component of wound documentation

02:40 Argggh rulers

04:51 Photos as important medico-legal documentation

05:10 Ban the Ruler!

07:37 If you really feel compelled to use rulers

09:15 Controversies and lack of standardisation in wound measurement

12:43 Is your photo a true and accurate record?

13:53 Photography tips

14:33 Wound chart v photos

16:05 Flash v natural light

16:35 Doing a retrospective on your photography

17:23 When it is important to use a flash

18:27 How to make wound measurement more consistent

19:36 Best time to measure and take a photo

21:06 How often should wounds be measured?

22:03 Do the world a favour

22:50 Context of wound measurement and questions that should be answered

24:16 Circumferential wounds and shout out to managers

29:06 Measuring depth

29:51 Probing wounds

31:16 Measuring pressure injuries within an interdisciplinary team

33:00 Wound measurement and photography in Chronic Oedema

34:12 Wound Hygiene consensus resource

34:35 Do you measure the height of hypergranulation?

35:19 Don’t just look at the numbers

37:52 Photographing pitting test

38:20 The value of clinicians undertaking a lymphoedema course accredited by the Australasian Lymphology Association

Resources mentioned:

• Murphy C, Atkin L, Swanson T, Tachi M, Tan YK, Vega de Ceniga M, Weir D, Wolcott R. International consensus document. Defying hard-to-heal wounds with an early antibiofilm intervention strategy: Wound Hygiene. J Wound Care 2020; 29(Suppl 3b):S1–28 https://convatec.showpad.com/share/NlEvPxvvOe4SF5SzTaRnK
• Australasian Lymphology Association - Accredited Training Courses https://www.lymphoedema.org.au/education-&-resources/lymphoedema-training-courses/

If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.

Connect with us at:

Email [email protected]

TikTok https://www.tiktok.com/@twoechidnae

Connect with Donna's resources and sign up for the Woundy Wisdom's newsletter at https://goodwoundcare.carrd.co/

Disclaimer: The views expressed in this podcast are our own. This podcast is intended specifically for healthcare professionals. Always follow your organisation's policies and procedures. Please consult your own healthcare provider for individual wound advice.

We are back continuing on the prickly conversations, this time about unhealable wounds. How is the ability to heal determined, and how do clinicians’ factor in a wounded persons goals and priorities, sometimes when there’s conflict with health care recommendations? We discuss if palliative wounds are the same as an unhealable wound and a range of ethical considerations when caring for people with these wounds. These wound types need to be discussed more, we hope you find the content relevant and stimulating for your clinical practice.

Timestamps:

00:00 Introduction

00:37 A big thank you to our audience for connecting

0:37 A big thank you to our audience for connecting

02:53 Love the feedback

03:20 How do the different professions and expertise determine what is unhealable

04:24 When an unhealable is in fact healable

05:24 How is a wound determined as unhealable

06:14 It’s not always about the healability but quality of life and symptom management

07:29 When a person is given evidence-based comprehensive information wounds can be healable

07:42 Once fully informed, despite being potentially healable, people may have different goals and priorities

08:27 Wrong information risks wrong decisions

08:35 Lack of knowledge and skills defaulting to unhealability and a “palliative” wound

08:54 What is a “palliative” wound

12:26 The unethical systemic barriers that result in unhealable wounds

13:16 Is a wound “palliative” when someone is transitioning to end-of-life care

14:23 Dying a dignified death without a wound

14:54 Medical professionals more likely to label a wound as unhealable

16:06 Lack of evidence-based wound diagnostics resulting in a wound being assessed as unhealable

16:17 Many wounds need to be biopsied

16:49 Everything is called a venous leg ulcer due to lack of diagnostics

17:29 Skin failure and the Kennedy Terminal Ulcer. Trombley-Brennan Terminal Tissue Injury

18:14 Barriers to identifying and documenting Kennedy Terminal Ulcer versus skin failure versus pressure injury at end-of-life

19:41 An evidence-based approach to determining if a pressure injury on the foot is unhealable

21:38 Questions to ask to assess if a wound is unhealable

22:44 Why are wound consultants not needed when a wound is unhealable?

22:52 Conversations around healability, capacity and dignity of risk

24:35 Healing not always an endpoint especially when linked to unrealistic claims

26:36 Healing plan vs maintenance vs palliation plan

28:42 The role of hygiene and mobility in the unhealable wound

28:54 Impacts of intersectionality and labelling a wound as non-healable

32:23 Clinical callout regarding unhealable wounds

33:15 Agency and the unhealable and healable wound

35:09 Well-being and wounds

39:04 Ethics of labelling a wound “unhealable” and moral injury

Resources mentioned:

• Kennedy Terminal Ulcer (KTU) and Trombley-Brennan Terminal Tissue Injury (TB-TTI) https://www.caresearch.com.au/Health-Professionals/Nurses/Clinical-Care/Symptom-Management/Skin-Failure-and-Pressure-Injuries
• International Consensus Optimising Wellbeing in people living with a wound https://woundsinternational.com/consensus-documents/international-consensus-optimising-wellbeing-in-people-living-with-a-wound/

If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.

Connect with us at:

Email [email protected]

TikTok https://www.tiktok.com/@twoechidnae

Connect with Donna's resources and sign up for the Woundy Wisdom's newsletter at https://goodwoundcare.carrd.co/

Disclaimer:

The views expressed in this podcast are our own. This podcast is intended specifically for healthcare professionals. Always follow your organisation's policies and procedures. Please consult your own healthcare provider for individual wound advice.

We have touched on wound aetiology previously, however in this episode we dive deeper into how wound types interface with mechanism of injury and dilemas faced when there are multiple causes - what actually is a mixed wound?. We canvass all the major hard to heal wound types including incontinence associated dermatitis, pressure injury, skin tears, moisture lesions, chronic oedema, venous, arterial and more. How does this all relate to management of these wounds? We're sure our discussions in this episode will raise a few clinical conundrums and questions for you. Indeed, you may start to see more of these in your own practice and become more aware of these prickly challenges. The simple isn't always so simple.

Timestamps:

00:00 Introduction

01:12 Mechanism of injury versus aetiology

02:30 The value of clinical audit and quality indicators

03:20 Misdiagnosis of Incontinence-Associated Dermatitis (IAD)

03:56 Intertriginous dermatitis misdiagnosed as IAD

05:29 The challenges of addressing gaps in clinical guidelines

06:03 Be confident to be unconfident

06:20 What is the mechanism of injury for skin loss in IAD?

07:21 When experts conclude that the simple ain’t that simple

08:45 When clinicians are approached by academics to fit a square peg into a round hole

10:36 Tips for researchers undertaking research in venous leg ulcers

11:52 When wound education is siloed and does not replicate clinical reality

13:35 Making clinical hunches and not always on the first visit/assessment and that’s OK

13:50 Current wound documentation does not support multiple aetiologies and impediments to healing

14:00 Challenge of teaching clinical realities to students when they are taught in siloes

14:33 Figuring out what is the predominant aetiology

14:50 How do we define and teach simple versus complex wound

15:13 Mixed aetiologies presenting above and below the groin

15:56 Prioritising which aetiology to treat / manage

16:57 Post operative wound dehiscence and lymphoedema

17:48 Capacity building in lymphoedema

19:27 The need for clinicians working in Hospital in the Home to understand lymphoedema

19:43 The challenge of diagnosing inflammatory conditions such as IAD and intertriginous dermatitis of the pelvic girdle

20:30 Influence of climate on dressing performance and skin injuries

21:00 Mixed aetiologies of the pelvic girdle

22:20 Is IAD avoidable and how easy is it to categorise, manage and report

24:00 Continue reevaluating aetiology

24:12 It is OK change or add to aetiology if clinical rationale can be provided

24:57 Call it what it is. A vascular assessment includes arteries, veins and lymphatics, not just the arteries

25:21 Venous disease plus a wound on the same leg does not necessarily mean the wound is of venous aetiology

26:57 Mechanism of injury v aetiology v impediments to healing. Simple v complex

28:40 Opportunities to improve accuracy of wound data reporting and quality improvement

30:27 When is a stage 1 Pressure Injury of the foot, a “Diabetic Foot Ulcer”

Resources mentioned:

• GlobIAD Incontinence Associated Dermatitis - Tools https://www.skintghent.be/en/onderzoek/tools/2/incontinence-associated-dermatitis-iad
• Australian Aged Care Quality and Safety Commission - Incontinence associated dermatitis and pressure injury https://www.agedcarequality.gov.au/news-publications/clinical-alerts/incontinence-associated-dermatitis-and-pressure-injury

If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.

Connect with us at:

Email [email protected]

TikTok https://www.tiktok.com/@twoechidnae

Connect with Donna's resources and sign up for the Woundy Wisdom's newsletter at https://goodwoundcare.carrd.co/

Disclaimer:

The views expressed in this podcast are our own. This podcast is intended specifically for healthcare professionals. Always follow your organisation's policies and procedures. Please consult your own healthcare provider for individual wound advice.

Wound education, the subject everyone wants, from novice to expert, but where so many barriers exist to getting it just right. In this episode we burrow down into a recent Australian publication discussing recommendations for undergraduate wound education. This is another prickly concept our listeners will have dealt with and have opinions on, no matter what your discipline, experience level or clinical setting. So let's know what your thoughts are because we will talk more in future episodes about the status of wound education.

Timestamps:

00:00 Intro

00:34 Wound education for novice clinicians

01:34 Novices desperate for education

03:35 The needs of wound management education for medical staff

05:15 The assumption that everyone in the healthcare workforce has basic wound care knowledge

06:45 Critiquing research on wound education

09:32 How is the term wound expert defined

10:36 Academic wound education models versus clinical realities and the needs of clinicians

11:10 Irony of clinicians requesting advanced wound education when the basics are not understood

12:08 Fragmented, illogical, or misrepresented content

14:02 Polysemy in healthcare

14:32 What is a simple wound?

14:44 What is a wound?

15:34 Challenges of developing clinically realistic educational wound frameworks

15:47 A tiny wound

17:15 Sterile versus clean technique. Really really?

17:39 Coveting and naval gazing

19:35 Translating academic wound educational models into clinical practice

20:42 When “new” evidence is based on superseded guidelines

21:59 Clinically relevant undergraduate education

22:26 What about foundational content for consistent safe practice

23:04 What’s on the wall of your treatment room that can guide you

23:31 When foundational content is advanced in clinical reality

24:44 Recommended foundational content

26:54 Need for real-world research

28:10 Opportunities for nurse coaching/mentorship

29:10 Are wound management standards and expectations too high?

30:35 When non wound “experts” talk on expert wound topics

31:31 Profiling what wound management experts do

33:06 Read the antibiofilm and International Wound Infection documents for clinical pearls

Resources mentioned:

• The Australian Guidelines for the Prevention and Control of Infection in Healthcare 2019 are published on the MAGICapp allowing for ‘point of care’ use where the guidelines can be viewed on any tablet, phone or computer (updated multiple times a year).
• Haesler E. and Carville K. (2023). Australian Standards for Wound Prevention and Management. Australian Health Research Alliance, Wounds Australia and WA Health Translation Network.
• Murphy C, Atkin L, Vega de Ceniga M, Weir D, Swanson T. International consensus document. Embedding Wound Hygiene into a proactive wound healing strategy. J
• Wound Care 2022;31:S1–S24
• International Wound Infection Institute (IWII) Wound Infection in Clinical Practice. Wounds International. 2022.
• Clegg H, Fetherston C & Wei R. Required wound care content for nursing curricula in Australia: a Delphi study. Wound Practice and Research 2023; 31(4):190-196.

If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.

Connect with us at:

Email [email protected]

TikTok https://www.tiktok.com/@twoechidnae

Connect with Donna's resources and sign up for the Woundy Wisdom's newsletter at https://goodwoundcare.carrd.co/

Disclaimer:

The views expressed in this podcast are our own. This podcast is intended specifically for healthcare professionals. Always follow your organisation's policies and procedures. Please consult your own healthcare provider for individual wound advice.

Compression, the topic everyone has experience with, an opinion on, and something to learn - including us. This will be the first episode of many on compression because there is so much to unwrap. We would love to hear your feedback on this one as we touch on so many points.

Timestamps:

00:00 Introduction

01:00 How lymphoedema training has informed our practice as wound consultants

02:11 Looking wholistically at hard-to-heal wounds through a lymphoedema lens

02:33 Clearing oedema in proximal body parts first before moving oedema in the legs

03:10 Assessing oedema

03:32 The problem of less research and experience in non-cancer related chronic oedema than cancer-related

04:14 Location and distribution of fibrotic tissue composition

05:05 Lymphoedema wound nurses the outliers

06:42 Where are the compression companies at wound management events?

07:55 Wound clinicians without lymphoedema training do not understand compression prescription in chronic oedema

08:09 Prioritising lymphatic function and compression over wound hygiene, including debridement

10:12 Reluctance of some allied health professionals to apply lower limb compression in the presence of wounding

11:22 Practice gaps in wounds and compression prescription

12:54 Motivation to understand more about lymphoedema

13:51 Myth of venous oedema being different to lymphoedema

14:00 More on reluctance to treat chronic oedema when wounds present

14:48 Lymphoedema escalation pathway

15:11 Becoming a lymphoedema mentor

15:43 Self-care in lymphoedema

16:18 The gaps in staging lymphoedema

16:40 Inadequate compression prescription, application and troubleshooting leading to bad patient experiences and money down the drain

17:36 What do we mean by the term “tolerating” compression?

21:34 Using the term” they don’t tolerate” compression when it is the healthcare system that is intolerable

22:09 The S.T.R.I.D.E. document to guide compression selection 

23:11 Practical considerations when using S.T.R.I.D.E. principles

25:36 Round versus flat knit garments

27:31 Wound lymphoedema clinicians have two computers of formulary open simultaneously

28:52 More on round versus flat knit

30:47 Muffin-topping a red flag that compression needs to be applied into the thigh or higher

32:19 The Australasian Lymphology Association resources and courses

32:56 When nurses speak the same language around wounds and chronic oedema

34:38 Prioritise leg hygiene, understanding chronic oedema before debridement and dressings

36:38 The influence of industry on the science, education and clinical practice of wound management

Resources mentioned:

• STRIDE document https://lymphoedemaeducation.com.au/wp-content/uploads/2019/07/S.T.R.I.D.E.-Professional-Guide-to-Compression-Garment-Selection-for-the-Lower-Extremity.pdf (if you’re curious what STRIDE stands for, it’s Shape, Textile Type, Refill, Issues, Dosage, aEtiology)
• Australasian Lymphology Association https://www.lymphoedema.org.au/

If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.

Connect with us at:

Email [email protected]

TikTok https://www.tiktok.com/@twoechidnae

Connect with Donna's resources and sign up for the Woundy Wisdom's newsletter at https://goodwoundcare.carrd.co/

Disclaimer:

The views expressed in this podcast are our own. This podcast is intended specifically for healthcare professionals. Always follow your organisation's policies and procedures. Please consult your own healthcare provider for individual wound advice.