Abstract
The heels are the second most common area of the body for pressure wound development, accounting for 20-30% of all pressure lesions 1, 2. Successful treatment, including offloading of heel pressure wounds, can be challenging, particularly in the patient with diabetes and associated complications of neuropathy, peripheral vascular disease and increased susceptibility to infection. Topical negative pressure wound therapy (TNPWT) has the potential to accelerate healing of diabetic foot ulcers and decrease incidence of amputation. This paper discusses one case of the successful use of TNPWT in a complicated case of diabetic foot ulceration.

Abstract
This is a case study of an elderly lady with a Stage IV heel pressure ulcer. The ulcer was complicated by underlying arterialdisease and wound swabs revealed the presence of methicillin-resistant Staphylococcus aureus (MRSA).

Abstract
This case study looks at the use of maggot debridement therapy on a non-healing wound in a middle-aged lady.

Abstract
The focus of this case study was to demonstrate the importance of collaboration between all care providers to achieve optimum outcomes for all clients, despite being constrained by the system of waiting lists for specialist intervention.

Abstract
This case study demonstrates the effective management of an infected wound cavity by the use of an antimicrobial wound product, Aquacel Ag. This helped to promote wound healing by secondary intention in a time effective manner, thereby achieving best patient outcomes. Selecting a wound dressing product depends on accessibility, ease of use, the location of the wound, the type of tissue present on the wound bed, the depth of the wound, exudate levels and the condition of the peri-wound skin. The impact on wound healing from inappropriate selection of wound dressing products, for example Betadine-soaked gauze, and the subsequent effect on the wound healing process, is discussed.

Abstract
Recalcitrant venous ulcers pose a myriad of challenges for healthcare professionals managing them. Patient and wound related factors affect the healing process and need to be identified and managed appropriately, with adequate resources and by experienced healthcare professionals 1. This case report illustrates the effectiveness of applying an inexpensive supplemental pressure device under compression bandaging to a recalcitrant ulcer to achieve wound closure.

Abstract
Controlling exudate is a key issue in the management of large venous leg ulcers. Dressings need to provide sufficient absorbency to prevent local tissue maceration, to remove inflammatory fluids from the wound bed and to limit strikethrough onto retentive dressings and clothing. These same dressings need to perform these tasks under some form of limb compression. In this case report, DryMax dressings were used to contain the persistent drainage of a non-healing ulcer and to assist in improving the patient’s quality of life.

Abstract
Clinicians who are selecting dynamic support surfaces such as alternating pressure redistribution mattresses (APRMs) for the prevention and treatment of pressure ulcers are faced with commercial literature that predominantly reports on magnitudes of interface pressures, rather than on additional parameters. The aim of this preliminary study was to generate a pressure relief index (PRI) to evaluate dynamic support surfaces using the magnitude of interface pressures as well as their duration. Data for generating a PRI were captured from 11 subjects on two different dynamic support surfaces using three different, arbitrarily selected, interface pressure thresholds. Tissue perfusion measurements were used to evaluate the reliability of the calculated PRI. The results demonstrate a good relationship (r=0.7) between PRI and tissue perfusion values. The generated PRI appears to be a reliable indicator of the recovery time allowed below a given interface pressure and is therefore a useful parameter for selecting appropriate dynamic support surfaces.