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Scope of Practice (ScOP) Designation
Treatment Goals
The aim for the treatment goal is completely individual. The most common treatments are corticosteroids and calcineurin antagonists (Dissemond et. al., 2023). This patient however was already immunosuppressed and awaiting CAR T cells to arrive from America. The decision was made to prioritise his cancer care over treatment for the Pyoderma gangrenosum (diagnosis by exclusion).
Aim: Stabilise the wound. This is partticularly important as when pyoderma gangrenosum is excised it can precipitate pathergy and create a vicious cycle of the wounds increasing in size.
Reference:
Dissemond, J., Marzano, A.V., Hampton, P.J. and Ortega-Loayza, A.G., 2023. Pyoderma Gangrenosum: treatment options. Drugs, 83(14), pp.1255-1267.
Aim of Dressing
Stabilise the patient's wound bed till cancer treatment was completed.
Frequency of Dressing Change
Consult(s) / Diagnostic Test Required
Dermatology review, Punch Biopsies
References
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Product Selection Disclaimer:
The wound care products being currently used are a suggestion ONLY. They do not take into account your patient's individual needs which you must assess. No funding from medical companies has been provided and wound care products are chosen on their merit and what is available on the NSW Health State Wound Care Contract. Where an exact brand name product is not available we suggest you review the alternative tab or use another wound care product from its category eg. Hydrofibre
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Care Plans
Single Isolated wound area
Swipe
Prepare sterile field
Clean wound bed
Apply betadine
