Chronicle. the INDEX EDITOR S NOTE ARE YOU AN ELEPHANT? The Newsletter of the Queensland Wound Care Association Edition 30 Autumn 2011

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1 the Chronicle The Newsletter of the Queensland Wound Care Association Edition 30 Autumn 2011 EDITOR S NOTE Welcome to the first edition of The Chronicle in The New Year has certainly had a rough start floods, cyclones and of course, the earthquakes devastating our neighbours in Christchurch and Japan. Our thoughts are with all Members, families and friends who have suffered during this time. This edition provides highlights of recent and upcoming events, including planned activities for Wounds Awareness Week and a report on a Churchill Fellowship study tour. In addition you ll find an update on the AWMA Structure Review process, details on opportunities for sponsorship to attend the QWCA Conference in Townsville and to enter a logo competition for the restructured AWMA, and an update on evidence based guidelines for arterial leg ulcers. As we start a New Year I would like to invite all Members to share their experiences and knowledge and consider contributing an article or short snap report for publication in The Chronicle. This could consist of recent evaluations of innovations in practice, case studies, involvement in research projects or information gained from attendance at conferences or seminars. All contributions are very welcome! Kathy Finlayson, RN, PhD (k.finlayson@qut.edu.au) INDEX Features Wounds Awareness Week Planned Activities Churchill Fellowship: Lessons Learned Overview of evidence based guidelines for management of arterial leg ulcers QWCA 2011 Biennial Wound Management Conference Regulars From the President s Desk An Update from AWMA Secretariat s Report Upcoming Events Wound Management Education/Courses in Queensland Crossword ARE YOU AN ELEPHANT? Most wound sufferers receive no public funding on Medicare or PBS for their treatment The Elephant in the Room Campaign is calling on the Federal Government to examine this health problem and make a firm commitment to solving it. QWCA supports this campaign and encourages members, their colleagues and patients to not be elephants. What you can do? Sign the on-line petition and encourage colleagues, patients and carers to sign. Go to: ver QWCA CHRONICLE AUTUMN

2 FROM THE PRESIDENT S DESK Welcome to the first edition of The Chronicle for There is no doubt that this year has commenced on a sombre note with Queensland having experienced the worst natural disasters in recent history. In response to an sent earlier this year the QWCA received numerous offers of assistance from Members, industry partners from around the State and internationally. Thank you for all of your generous offers of support and I urge Members once again that if you, or anyone that you know needs assistance, to please contact us so that we can ensure that these generous offers can be best utilised. Despite adversity, the QWCA looks forward to the year ahead and working together to ensure that we continue to support its valuable members. There are many exciting educational opportunities planned throughout the State, the most significant on which is our Biennial Wound Management Conference to be held at Townsville s Jupiters Hotel and Casino from 8-9 September The Call for Abstracts is now open and two international guest speakers have been confirmed. The Program should be available very soon. Wounds Awareness Week is rapidly approaching and there are a host of activities happening throughout the State to celebrate this important occasion. We look forward to receiving your snippets of news and photos so we can share these with you in future editions of The Chronicle. Thinking of you and hoping that things get better as we embark on what promises to be a very busy but year for the QWCA. Michelle Gibb QWCA President AN UPDATE FROM AWMA Welcome to the New Year. This is to be a busy year for the Australian Wound Management Association (AWMA). Significant events this year will be Wound Awareness Week from 28th March to 3rd April, headlined Leg Ulcers Aren t for Life, the Inaugural Pan-Pacific Pressure Ulcer Forum and Venous Leg Ulcer Forum in Canberra, October 15-17, that will incorporate the launch of the Association s new Venous Leg Ulcer Guidelines and revised Pressure Ulcer Guideline. Less grand will be the ongoing organisational restructure process. The need for a national peak body to lobby on behalf of clients whom require effective wound management has never been greater. Whether it be educating health professionals on efficacious interventions or lobbying government to support clients experiencing financial or social hardship, wound management experts need to speak with one voice. The current structure of AWMA provides effective avenues for the bringing together of likeminded individuals or groups to improve the practice of wound management but lacks the necessary status to achieve the above influence. It is therefore proposed that to progress these changes to the structure of QWCA and AWMA the following changes to each state s Constitution are made: 1. (State/Territory) change the name of the organisation to AWMA (State/Territory) 2. (State/Territory) change the logo of the organisation to the AWMA logo including (State/Territory) identification. In state/territory organisations with sub-groups the subgroup name and logo will reflect this pattern by being added after the state/territory e.g. Australian Wound Management Association (State/Territory Sub-Group) in the name and added similarly to the wording under the AWMA logo. (Your invitation to design the new AWMA logo is on page 12 in this Chronicle). In Queensland we are to propose a Constitutional Change Motion to be put to a Special General Meeting before the end of May. This is in order to join with the other states in progressing the national restructuring process. All Queensland members will receive notification of the Motion, date of the Special General Meeting, location of the meeting and video conference sites and be provided with proxy voting information and documents if they are not able to attend a meeting site. The Association s Journal, Wound Practice and Research is available both in hard copy that will be mailed to you from the publishers, Cambridge Media, as well as in an online format through the AWMA Webpage. The online access login has changed the new login will be ed to all financial QWCA members by the end of March Finally, I strongly recommend that members regularly check the AWMA Website to ensure they are kept up to date with all the activities of the Association and avail themselves of the many links to other wound related Internet resources that are available through the webpage. Di Smith AWMA State Representative QWCA CHRONICLE AUTUMN

3 CHURCHILL FELLOWSHIP: LESSONS LEARNED Michelle Gibb, Nurse Practitioner at Queensland University of Technology s Wound Healing Community Outreach Service and President of the Queensland Wound Care Association, has recently returned from her prestigious Churchill Fellowship tour where she was able to explore multidisciplinary wound healing models in leading wound care facilities in Denmark and the UK. The Bob and June Prickett fellowship, which was awarded to Miss Gibb in July 2010, funded the research trip, allowing her to spend invaluable time in the Wound Healing Centre in Copenhagen, the Wound Healing Research Unit in Cardiff, and the Lymphoedema Clinic at Queen s Medical Centre, Nottingham. There are fantastic multidisciplinary wound management centres in Denmark and the UK that have been running for over ten years and to have the opportunity to work and collaborate with some of these practitioners is a dream come true. Miss Gibb said. In the UK, Miss Gibb was able to collaborate and develop relationships with leading wound care professional Professor Keith Harding of the Wound Healing Research Unit in Cardiff. To be able to spend time with people who live, breathe and sleep wound management just like I do was the opportunity of a life time and being able to pick Professor Keith Harding brains was incredible! Miss Gibbs study tour found that there is an urgent need for new models of care and that the establishment of multidisciplinary wound healing models, similar to those she uncovered in Denmark and the UK, will improve access and outcomes for chronic wound sufferers in Australia. Chronic wounds such as leg ulcers and pressure ulcers affect Australians and cost the healthcare system more than $2.6 billion a year. Despite these alarming figures wound care receives little attention and is a silent epidemic. Miss Gibb recommended that the development of national data repository is essential in order to identify predictors for healing or non-healing wounds, and to transform this data into a national standard, in order to combat these figures. We are collecting an awful lot of data worldwide, and none of us are using a standardized or consistent terminology, there is no minimum data set available to benchmark wound healing against, which makes research a lot more frustrating. she said. Miss Gibb also cited that intra-professional education is the key to advancing Australia s current wound care climate. In Australia unfortunately we don t see a merging of medical, science and nursing education, but if we could take this approach to education, we are really going to help break down the barriers in wound management. Miss Gibb looks forward to disseminating her findings via her leadership role within the Wound Healing Community Outreach Service at QUT and also through presentations and workshops. I learned so much just observing and witnessing interaction with the patients and seeing the intersection of research, education and clinical practice... hopefully this is something we can aim for locally. A comprehensive report on Miss Gibb s Churchill Fellowship can be viewed by accessing the following website: Michelle Gibb Nurse Practitioner Wound Management QUT Wound Healing Community Outreach Service QWCA SNIPPETS QWCA would like to thank Denise Kolera for her support and wish her well in retirement. A MESSAGE FROM DENISE: Thank you for forwarding my membership renewal notice for the QWCA. As I will be retiring in 6 months I will not be renewing my membership, and would like to take this opportunity to tender my resignation from the QWCA. I wish the Association, and all its members, continued success and I commend you all on the wonderful work you have given, and continue to give, to the advancement of quality, evidence-based wound management practice within Queensland. Best wishes and kindest regards, Denise Kolera QWCA CHRONICLE AUTUMN

4 WAW QUEENSLAND ACTIVITIES DATE ACTIVITY LOCATION Saturday 26 March Education Session Pathway to Progress Wound Management Workshop 8.30am 9.15am Opening A review of pressure ulcer prevention & management 9.15am 10.15am Tracy Nowicki CNC Prince Charles Hospital Morning Tea & Trade Exhibition am How to make progress with limited resources 11.45am 12.30pm Michelle Gibb Nurse Practitioner Wound Management, Wound Healing Community Outreach Service QUT & President QWCA Lunch & Trade Exhibition pm Pathway to Progress 1.30pm 2.15pm Michelle Gibb Skin lesions of the limb 2.15pm 2.45pm Leith Banney Dermatologist Cairns Base Hospital Rydges Esplanade Cairns Monday 28 March Wednesday 30 March Thursday 31 March Friday 1 April Throughout Week Balloons4Wounds: Currently momentum is carrying this exciting event forward at a great pace. The balloon release / gathering planned for March 28th midday. 9.30am level 1 Atrium Come and share in some cake to kick start Wound Awareness - Week 2011 in the level 1 Atrium of the Ned Hanlon Building Wound Awareness Expo Come and see the latest wound care products. The expo will be on show all day in the level 3 walkway Education Session Blue Care Redcliffe, Sandgate & Caboolture Branches are joining together to hold an education session on Unusual Leg Wounds presented by Dr Di Smith & sponsored by 3M Education Session Room , Ned Hanlon Building 9.30am-9.45am Opening 9.45am-10.15am Dr Di Smith Senior Medical Officer, Department of Emergency Medicine, Royal Brisbane and Women s Hospital Leg ulcers are not for life 10.15am-11am Dr Martin Wullschleger, Trauma Fellow, Registrar, RB&WH and Lecturer, UQ Burns assessment/management and treatment prior to retrieval to metropolitan facilities 11am-11.30am Prof. Zee Upton, IHBI, QUT Innovation in wound care 11.30am-12noon Kathleen Finlayson, Research Fellow, SONM, QUT What s next in VLU research? Foyer display in the main hospital foyer throughout the week & Wound Education Day, Logan Hospital Auditorium Display booths at Hervey Bay & Maryborough Shopping Centres and Hospitals Display booth Rockhampton Base Hospital promoting their Leg Ulcer Clinic & WAW Theme BBQ Rockhampton Community Health Centre targeting health professionals & community Mail out to GPs promoting Leg Ulcer Clinic & WAW Theme Article in Qld Health Central publication & local newspaper Display booth hospital foyer Display in QUT Health Clinics waiting room targeting students & community Competitions Poster presentations Elephant in the Room Leg Ulcers Aren t for Life cake cutting ceremony sponsored by 3M Display booth In-service Education Sessions from Tuesday - Friday RBWH releasing100 balloons from Helipad at 12pm Gold Coast Stephen Yelland, 20 balloons Pindara Medical Centre Prince Charles Hospital 50 balloons (TBC) Royal Brisbane and Women s Hospital Royal Brisbane and Women s Hospital Blue Care Redcliffe Arranging video conferencing of Education Day for rural/remote areas Logan Hospital Queensland University of Technology Royal Brisbane Hospital Prince Charles Hospital QWCA CHRONICLE AUTUMN

5 OVERVIEW OF EVIDENCE BASED GUIDELINES FOR MANAGEMENT OF ARTERIAL LEG ULCERS Approximately 9 25% of leg ulcers are of arterial aetiology, 1-3 with another 10 19% reported to have a mixed venous and arterial cause. 2,4 The ageing of the Australian population is likely to contribute to increasing numbers of arterial leg ulcers in the future, with the number of people over 65 forecast to more than double by It is therefore timely to review the current guidelines for management of arterial leg ulcers. This is a summary of evidence based guidelines which have been developed for health professionals caring for clients with arterial leg ulcers. Diagnosis of the aetiology of a leg ulcer should be undertaken by health professionals with expertise in the area. The recommendations below are a summary of guidelines from the following sources, which should be accessed for further details as required: Scottish Intercollegiate Guidelines Network. Diagnosis and Management of Peripheral Arterial Disease: A National Clinical Guideline. Edinburgh: SIGN Hopf H et al. Guidelines for the treatment of arterial insufficiency ulcers. Wound Rep Regen 2006, 14: www3.interscience.wiley.com/journal/ /abstract Hopf H et al. Guidelines for the prevention of lower extremity arterial ulcers. Wound Rep Regen 2008, 16: www3.interscience.wiley.com/journal/ /abstract For this summary, all recommendations have had their levels of evidence classified using the National Health and Medical Research Council levels of evidence, as follows: Level I Level II Level III Level IV Evidence from a systematic review or metaanalysis of at least two level II studies Evidence from a well designed randomised controlled trial (for interventions), or a prospective cohort study (for prognostic studies) Evidence from non-randomised studies with some control or comparison group (pseudorandomised controlled trial; non-randomised experimental trial, cohort study, case-control study, time series studies with a control group; historical control study, retrospective cohort study) Evidence from studies with no control or comparison group An additional rating of Expert Opinion (EO) has been added for guideline recommendations which are consensus statements provided by a National or International Panel of experts in the area. All patients with a leg ulcer should be screened for arterial disease, including examining pedal pulses and a Doppler Ankle Brachial Pressure Index (ABPI). An ABPI <0.9 is considered to be abnormal and an ABPI over 1.2 is unreliable and indicates further investigation is necessary. Referral for ultrasound duplex scanning may be helpful if there is uncertainty 6,7 (EO) Assessment of leg ulcers and Doppler ABPI assessments should be undertaken by health professionals with training in this area 6 (EO) Signs of peripheral vascular disease include loss of hair, shiny or dry skin, mummified or dry and black toe, devitalised soft tissue with dry or wet crust, thickened toe nails, purple colour of limb in dependent position, or cool skin 8 (II) Referral to a specialist is needed when there is uncertainty in diagnosis, a low or high ABPI, the patient has symptoms affecting quality of life (e.g. rest pain), ulcers of multiple aetiology are present, signs of infection are present or the ulcer appears ischemic 6,7 (EO) Restoration of blood flow by revascularisation is the intervention most likely to heal arterial leg ulcers. However, surgery must be considered in light of a patient s co-morbidities 7 (II) Adequate oxygenation of the wound environment will promote wound healing, and should be promoted through avoidance of smoking, dehydration, cold, stress and pain 7 (III) Topical antimicrobial dressings may be beneficial when wounds are chronically or heavily colonized 7 (III) In general, removal of necrotic and devitalised tissue should be undertaken through mechanical, sharp, autolytic, biological or enzymatic debridement 7 (II) If dry gangrene or eschar is present, however, debridement should not be undertaken until arterial flow has been re-established 7 (III) QWCA CHRONICLE AUTUMN

6 OVERVIEW OF EVIDENCE BASED GUIDELINES FOR MANAGEMENT OF ARTERIAL LEG ULCERS cont d Dressings should be cost effective, acceptable to the patient, able to be changed daily or less often where possible, and maintain a moist wound-healing environment. However, dry gangrene or eschar is best left dry until revascularization. 7 (II) There is inadequate evidence that the application of topical negative pressure (III), electro stimulation (II), ultrasound (III), intermittent pneumatic compression (II), or topical oxygen therapy (III) speeds healing of arterial leg ulcers, but further study is required 7 Hyperbaric oxygen therapy may be helpful in patients who are unable to be revascularised, whose ulcer is not healing, and who have hypoxic ulcers 7 (II) Reducing risk factors may reduce the risk of arterial ulcer development, including cessation of smoking, maintaining control of diabetes mellitus, controlling elevated lipids and hypertension, anti-platelet therapy and controlling weight 6,7 (II) Exercise to increase arterial blood flow is helpful to prevent arterial ulcers 7 ( I ) Lower extremity protection is important for all patients with known or suspected peripheral arterial disease, including foot protection with soft, conforming, proper fitting shoes, orthotics and offloading as necessary, leg protection to avoid injury, and protection of digits and heels in patients with decreased mobility with effective pressure relief devices e.g. foam or air cushion boots. Extreme care is needed when cutting toenails, preferably undertaken by a podiatrist 8 (II) Passive warming of the extremity improves perfusion and may be of benefit in preventing arterial ulcers 8 (III) Poor psychosocial status (i.e. psychiatric illness, living alone, alcohol abuse, poor hygiene, malnutrition) is associated with a higher risk of arterial ulcers and should be addressed with a multidisciplinary care team 8 (II) Kathleen Finlayson, RN, PhD Queensland University of Technology (k.finlayson@qut.edu.au) References 1. Nelson E,.Bradley M. Dressings and topical agents for arterial leg ulcers. Cochrane Syst Rev, : CD Klode J et al. Causes and the way of treatment of patients wth chronic leg ulcers. Phlebologie, (5): Moffatt CJ et al, Prevalence of leg ulceration in a London population. QJM, (7): Adam D et al. Diagnosis and management of 689 chronic leg ulcers. Euro J Vasc Endovasc Surg, : Australian Insitute of Health and Welfare, Older Australia at a Glance. 4th ed. 2007, Canberra: AIHW. 6. Scottish Intercollegiate Guidelines Network, Diagnosis and management of peripheral arterial disease: A national clinical guideline. 2006, Edinburgh: SIGN. 7. Hopf H. et al. Guidelines for the treatment of arterial insufficiency ulcers. Wound Rep Regen, : Hopf H. et al. Guidelines for the prevention of lower extremity arterial ulcers. Wound Rep Regen, : QWCA EDUCATION EVENING ACKNOWLEDGEMENTS The QWCA would like to thank and acknowledge the contribution of the speakers and sponsors for all our education evenings. Our recent presenters and sponsors were as follows: NOVEMBER 2010: Presenter: Professor Nicky Cullum, Deputy Head of Department (Research), Department of Health Sciences, University of York. Topic: Do maggots heal wounds more quickly? Design and results from VenUS II; and The challenges of developing an evidence base in wound care an overview. February 2011: Presenter: Judith Barker, Nurse Practitioner Wound Management, Community Health, ACT. Topic: Venous Leg Ulcer Guideline Development. Presenter: Michelle Gibb, President QWCA, Nurse Practitioner Wound Management, Wound Healing Community Outreach Service, Queensland University of Technology. Topic: Churchill Fellowship report. We would like to thank the sponsors of these events: 3M, BBRAUN, COLOPLAST, HADDENHAM HEALTHCARE, HARTMANN, MEDIGROUP AUSTRALIA, MOLNLYCKE HEALTH CARE, RELIANCE MEDICAL, SENTRY MEDICAL, SMITH & NEPHEW QWCA CHRONICLE AUTUMN

7 UPCOMING EVENTS Monday 28 March Level 1 Atrium 11.30am Wednesday 30 March Level 3 walkway 10am-2pm Friday 1 April Room am-12noon 9.30am-9.45am 9.45am-10.15am 10.15am-11am 11am-11.30am 11.30am-12noon Wound Awareness Week Opening Come and share in some cake to kick start Wound Awareness Week 2011 in the level 1 Atrium of the Ned Hanlon Building Wound Awareness Expo Come and see the latest wound care products on show from 10am to 2pm in the level 3 walkway Wound Awareness Education Session RSVP to Kerrie Coleman or Kerrie_Coleman@health.qld.gov.au Opening Dr Di Smith Senior Medical Officer, Department of Emergency Medicine, Royal Brisbane and Women s Hospital Leg ulcers are not for life Dr Di Smith Burns assessment/management and treatment prior to retrieval to metropolitan facilities Dr Martin Wullschleger Trauma Fellow, Registrar, Royal Brisbane and Women s Hospital and Lecturer, The University of Queensland Innovation in wound care Professor Zee Upton Faculty of Science and Technology, CELS Portfolio (Chemical, Earth and Life Sciences), Cell and Molecular Biosciences, Queensland University of Technology What s next in VLU research? Kathleen Finlayson Research Fellow, SONM, Institute of Health and Biomedical Innovation, Queensland University of Technology Royal Brisbane and Women s Hospital Metro North Health Service District Queensland Health 5th New Zealand Wound Care Society National Conference Holistic Wound Care: Bringing the Pieces together to improve patient outcomes Our thoughts and sympathies go out to all our friends and colleagues in Christchurch. **The Conference has now been relocated to the new Forsyth Barr Stadium in Dunedin. The new dates are 2-4 November Early bird registrations now close midnight September 2, 2011 Please note: A change to the programme means the preconference Wound Pressure symposium will no longer be held. Hosting Organisation: New Zealand Wound Care Society (NZWCS) Website: Pan Pacific Pressure Ulcer Forum & Venous Leg Ulcer Forum Date: October 15-17, 2011 Location: Canberra, Australian Capital Territory, Australia Venue: Rydges Lakeside Website: First International Symposium on Pediatric Wound Care Date: October 27-29, 2011 Location: Rome, Italy Website: For more details on these and other State-based and International Conferences, please visit the AWMA website QWCA CHRONICLE AUTUMN

8 Register your Expression of Interest via to receive updates regarding the Conference. INVITATION Dear Colleagues, On behalf of the Conference Committee, we take great pleasure in inviting you to attend the Queensland Wound Care Association 2011 Biennial Wound Management Conference to be held at Jupiters Townsville Hotel and Casino from 8 10 September The Conference theme Wound Care New Horizons encapsulates exciting times that we are embarking upon in the field of Wound Management. Queensland has already faced many challenges in 2011 and this Conference will provide Queensland with an opportunity to reflect on how far we have advanced in the area of Wound Management and look towards positive New Horizons. The Conference will explore innovations in Wound Management, advances in Wound Research and Practice and address issues of fundamental importance in tropical, rural and remote areas. For the first time ever, the Conference will be highly interactive in nature with workshops being a core feature of the program. We are pleased to announce that we have secured two (2) Internationally renowned Keynote Speakers from the Department of Dermatology & Wound Healing, School of Medicine, Cardiff University, Professor Keith Harding, Sub Dean of Innovation & Engagement, Head of Section of Wound Healing, and Ms Jacqui Fletcher, Senior Professional Tutor. We welcome you to share your ideas, research and expertise on Wound Care through submission of an Abstract. Your Abstract may be submitted for review as an Oral, Poster, Oral and Poster or Clinical Case Study presentation. We encourage submissions from novices and experienced presenters as we all have something we can learn from each other. The program will be supplemented by a comprehensive Trade Exhibition featuring the latest technology available in Wound Management. We are delighted with the strong support from wound care industry suppliers. Their participation is acknowledged as being essential to the success of the Conference. Social activities have been planned to provide the opportunity to network with colleagues in a relaxed and friendly environment. We encourage all those interested in wound healing to attend and participate in what will be a very stimulating Conference. The Townsville region has something for everyone - beautiful coastal towns, island paradises, tropical rainforest and rugged Outback. We hope that you are tempted and look forward to welcoming you to Townsville in September. Michelle Gibb President QWCA CONFERENCE COMMITTEE Michelle Gibb, Conference Convenor Nurse Practitioner, Wound Healing Community Outreach Service, Queensland University of Technology Kathleen Finlayson, Conference Co-Convenor Research Practice Coordinator, Institute of Health and Biomedical Innovation, Queensland University of Technology Donna Hickling, Senior Clinical Dietitian Charles Hospital The Prince Ros Probert, Clinical Nurse Consultant/Nurse Unit Manager Stomal Therapy Wound Management, Princess Alexandra Hospital Jennifer Robinson, Stomal Therapy Nurse/Registered Nurse The Townsville Hospital Cheryl White, Clinical Nurse Consultant The Townsville Hospital QWCA CHRONICLE AUTUMN

9 QWCA 2011 BIENNIAL WOUND MANAGEMENT CONFERENCE TOWNSVILLE cont d REGISTRATION COSTS REGISTRATION OPENING SOON. Some great accommodation rates especially for QWCA have been arranged only available by booking accommodation via the Conference Secretariat. REGISTRATION COSTS PACKAGE COSTS MEMBER NON MEMBER FULL TIME UNDERGRADUATE STUDENT CONFERENCE PROGRAM Thursday 8 September pm pm Conference Registration 6.00pm pm Welcome Reception in Trade Exhibition Friday 9 September 2011 Early Bird $ $ $ Full Registration $ $ $ am am 8.00am am 8.30am pm Breakfast Workshop (Sponsored by Arjo Huntleigh) Conference Registration and Trade Exhibition Conference Sessions Early Bird Day Registration - per day (Friday or Saturday) $ $ $ Open Lunch & Breaks - Trade Exhibition Day Registration - per day (Friday or Saturday) $ $ $ Afternoon 7.00pm - late QWCA Annual General Meeting Conference Theme Dinner REGISTRATION ENTITLEMENTS Early Bird Special Register and pay before Friday 8 July 2011 to be eligible for the Early Bird Registration Rates. Early Bird & Full Registration Packages Early Bird and Full Registrations are inclusive of all Conference sessions, Conference satchel, Welcome Reception, Conference Theme Dinner and Conference catering as detailed in the program. Day Only Delegate (Friday or Saturday) The day delegate rate includes admission to Conference sessions for the selected day, Conference satchel, and Conference catering as detailed in the program. Social functions are not included in this rate. Saturday 10 September am am Conference Registration and Trade Exhibition 8.30am pm Conference Sessions Open Lunch & Breaks - Trade Exhibition ** Please note that program times are subject to change. QWCA Members are you interested in applying for Sponsorship to attend the QWCA 2011 Biennial Wound Management Conference? If so, please refer to Sponsorship Expression of Interest (including terms & conditions) Platinum Sponsor Gold Sponsor Silver Sponsor QWCA CHRONICLE AUTUMN

10 QWCA BIENNIAL WOUND MANAGEMENT CONFERENCE SPONSORSHIP 2011 Expression of Interest The QWCA is providing the opportunity of sponsorship for four (4) eligible members to attend the Queensland Wound Care Association Biennial State Wound Management Conference Jupiters Townsville, 8-10 September, The sponsorship is offered to:. 2 x membership registrations for QWCA members within 150km of Townsville (value $ x 2) 2 x membership registrations for QWCA members outside Townsville region (>150km outside Townsville) (value $ x 2). How to apply: 1. Complete Application Form (attached including Sponsorship Criteria) 2. Submit in writing words (maximum), addressing one of the following topics: Novice/Advanced Wound Management in Practice; Innovation in Education (for example, teaching/training methods for staff and/or patients); Wounds Awareness Week (for example, how you and/or your workplace promoted Wounds Awareness Week 2011); This should include how the above topic is relevant to you, how it relates to your role in your organisation and/or region, and may include examples of how your service has developed or changed. 3. A brief outline (maximum 150 words) outlining how attending this Conference will improve wound care within your organisation and/or how you will disseminate information learned to your colleagues and/or patients. Applications must be received by 5pm Thursday 28 th April, 2011 (please include your address). Successful applicants will be notified by Friday 10 th June, Terms: 1. Eligibility: To be eligible, members must be Full Individual members who have been financial for 24 months or more, and not received sponsorship from QWCA in the last 36 months. 2. Successful applicants will be required to submit a 600 word report for publication in the Association s newsletter, The Chronicle within one (1) month and to present at a QWCA Education Meeting and/or at workplace. 3. The Management Committee s decision on successful sponsorship is final and no correspondence will be entered into. Please note this sponsorship will be made available to members who do not receive support from other agencies. Sponsorship applications can be submitted by , fax or post: QWCA By Laws Appendix 7 QWCA CHRONICLE AUTUMN

11 SECRETARIAT S REPORT MEMBERSHIP The QWCA currently has 412 financial members. Membership Renewals are due by 31 March. Late renewal fee of $10.00 applies from 1 April. All members have been sent a personalised link and reminder to re-join. Please contact the Secretariat info@qwca.org.au or (07) if you require further information in this regard. New members are always welcome. If a colleague has leant you this edition of The Chronicle and you would like to become a member yourself, new members can join online via the AWMA website ( and follow the links to State Association/Queensland. Alternatively, please contact the QWCA Secretariat info@qwca.org.au or (07) The Wound Practice and Research journal is now available to members online. You need your user name and password, which is re-issued with your membership renewal, or contact the Secretariat. Please note, unfinancial QWCA members will not receive Wound Practice and Research. QWCA Sub Groups The QWCA Sub Groups are an integral component of the Association and assist in the promotion of the QWCA goals over our large and diverse state. Each Sub Group takes responsibility for hosting their own meetings and education sessions for QWCA members in their local area. Reciprocal membership to a Sub Group is free. If you wish to form a new Sub Group in your area, please contact the QWCA for assistance and details. Your Membership Form allows you to select the Sub Group of interest to you. Darling Downs/Toowoomba Central QLD/Rockhampton Sunshine Coast/Gympie Townsville/Tropical North Fraser Coast Cairns 27 members 42 members 56 members 47 members 41 members 39 members Upcoming Sub Group Events QWCA Cairns & Hinterland Sub Group Workshop The Joseph Bank Ballroom, Rydges Esplanade, Cnr Kerwin St & The Esplanade, Cairns Saturday 26 March 2011 More information: Anna Colquhoun, Anna.Colquhoun@health.qld.gov.au BOOKED OUT QWCA Fraser Coast Sub Group Annual General Meeting Quality Safety Education Unit, Maryborough Base Hospital Tuesday 29 March pm More information: Deb Mahony, tfpnurse@hotmail.com Phone , Helen Gibson, Helen_gibson@health.qld.gov.au Phone , Jo Proudley, joanne_proudley@health.qld.gov.au Phone DIARY DATES or Theresa Winston, Theresa_winston@health.qld.gov.au Phone QWCA CHRONICLE AUTUMN

12 Australian Wound Management Association Inc Design our new logo The Australian Wound Management Association (AWMA) Restructure Committee invites design submissions for the proposed new national organisation. The design winner will receive $1,000 Guidelines for the AWMA logo The design must incorporate o Graphics ONLY NO text o Maximum of TWO colours o A design that can be balanced with appropriate text Creation specifications o Create logo as colour JPEGs in low, medium and high resolutions o Create logo as greyscale JPEGs in low, medium and high resolutions o Create logo as EPS file (for large scale reproduction such as posters and banners) o Produce Colour Style Guide (RGB, CMYK and PMS colour values) for consistent branding across products o Burn CDs with all products and guides o The winning entry will assign all rights of the design to the AWMA Briefing notes The Australian Wound Management Association is a multidisciplinary, not for-profit association of health professionals who are committed to developing and improving wound management for all individuals through education, research, communication and networks. The AWMA is the parent body for and represents members from all state and territory in Australia and the membership is grounded in nursing, medicine, pharmacy, podiatry, scientists, physiotherapy and occupational therapy. Under the restructure the AWMA will be the national governing body with each state and territory becoming closely aligned to the national association. The winning logo will replace the current national, state and territory logos. This one national, unique and recognisable logo will be used by the Association on all documents, web sites and publications. Additional information including the current national, state and territory logos and a comprehensive overview of the Association and state, territory logos can be found on our website at Submissions should be posted as a hard copy file and received no later than close of business April 29th 2011 to: The Secretary AWMA P.O Box 621 Woden, ACT 2606 ACT A/Prof Bill McGuiness AWMA President QWCA CHRONICLE AUTUMN

13 WOUND MANAGEMENT EDUCATION / COURSES IN QUEENSLAND Master of Clinical Practice (Wound Management) (via distance education) Contact Jenny Anastasi School of Nursing & Health Studies Central Queensland University, Rockhampton Campus, QLD 4700 Phone: j.anastasi@cqu.edu.au QUT Wound Management Education 2010 Fundamentals of Wound Care Workshop Wed 13 & Thurs 14 July Wed 30 Nov & Thurs 1 December Advanced Wound Care Workshop* Wed 1 & Thurs 2 June (*this workshop has a pre-requisite of Fundamentals of Wound Management or equivalent course) Leg Ulcer Assessment & Compression Bandaging Workshop Thurs 7 April Lower Limb Vascular Assessment & Practical Training Workshop Thurs 5 May Further Information For further course details including information on registration fees, venue and to register your attendance access the following website: WMEC011.html Contact Information For course details: For further information regarding course content please contact: Michelle Gibb Nurse Practitioner Wound Management Wound Healing Community Outreach Service Institute of Health & Biomedical Innovation Queensland University of Technology 60 Musk Avenue Kelvin Grove Qld 4059 Phone: michelle.gibb@qut.edu.au More References A list of courses throughout Australia is available on the AWMA website ( In addition, Wound Practice and Research without implying endorsement of education programs, lists providers of wound management courses. If you or your Organisation offers wound management education or have an upcoming event that you would like to advertise in the QWCA The Chronicle, please contact Secretariat Martin Bishop, (07) or info@qwca.org.au See your work published! All members are encouraged to submit material for inclusion in The Chronicle. This can be in the form of research results, book reviews, management dilemmas and wound care problems, as well as reports and feedback on wound care events. This is YOUR newsletter. Reports are requested to be ed to: info@qwca.org.au Moving? If your contact details have changed ( , phone or address), remember to advise the QWCA Secretariat to ensure you continue to receive information from Queensland Wound Care Association. Deadline for Winter Edition submissions: Friday 27th May, 2011 Disclaimer The opinions expressed by authors are their own and not necessarily those of the Queensland Wound Care Association, the Editor, nor the Management Committee. The Queensland Wound Care Association, the Editor and the Management Committee therefore accept no responsibility for the accuracy of statements appearing within. If in any doubt, please seek expert advice before commencing treatment. QWCA CHRONICLE AUTUMN

14 WOUND CROSSWORD 9 Dr Dianne Smith ANSWERS FROM LAST EDITION M V T R R F Z P 7 I S P E C I F I C I T Y G E R M E V D L N R U N A I M I C R O B E 14 G L A N D S N N X E O C T 15 D V T I 17 N 16 G A U Z E E I A 18 Q W C A E L R R N E N I C 19 E L A S T I C H O S T E E E U I L 21 U U 22 M R S 23 A E S S A L T N K T Q R U 26 G A I T E R U Y 27 B I O F I L M U N I E T 28 F I A A 29 A G O H A O 30 D O R 31 S A L O U E S P W 32 W 33 G S 34 M Y C O S I S 35 B 36 A C E T A T E A I Y 37 S C A B R L Y S E A C T ACROSS 1. Type of ultrasound wave (7) 4. Referring to the whole body rather than one component (8) 8. Accumulation of fluid in interstitial space (6) 12. Unit of energy (5) 13. Deep vein thrombosis (3) 15. Wound hydrating dressing type (8) 16. Mixture of dead white blood cells, dead bacteria, necrotic tissue on the surface of a wound (6) 18. Lowest portion of the spine (6) 20. Low blood glucose level (13) 21. To split apart (4) 23. Enzymes which breakdown fats (6) 25. Wound care product with high water content in polmer matrix (3) 26. Latin red (5) 27. Pertaining to the nail (6) 30. Silver s chemical symbol (2) 31. Sunshine state wound care group acronym (4) 32. Naevus (4) 33. Insoluble protein in the interstitial fluid or clots (6) 34. Non-healing wound (5) 35. Tissue sample (6) 36. Secretory structure (5) DOWN 2. Pertaining to the foot (5) 3. Colour indicating granulating wound (3) 5. Final stage of wound healing (4) 6. Hard necrotis tissue (6) 7. Victoria s wound care group acronym (4) 9. Devitalised dead tissue (8) 10. The back side of a body part (6) 11. Wound surface colour associated with slough (6) 14. Apple Isle wound management group (4) 15. Type of virus causing blisters (6) 17. Lack of oxygen in circulating blood (7) 19. Movement of cells to site of injury (10) 21. Maggots (6) 22. Method of wound cleansing (10) 24. Referring to flat cells (8) 25. Open weave cotton (5) 28. Skin lesion (6) 29. On the outer side of the body (7) QWCA CHRONICLE AUTUMN