Soins; la revue de référence infirmière
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Surgical debridement is a surgical procedure which requires specific preparation. It involves a technique of surgical excision, combined with a basic procedure, lavage, to eliminate the metalloproteinases, and bleeding control.
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In the case of neuropathic pain, clinical symptoms are not in proportion to the initial lesion. Its detection is based on the detailed description given by the patient, and on a meticulous clinical examination. Its treatment has many facets, from medication to multi-dimensional therapies.
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Article 51 of the "Hospital, patients, health and territories" law and its implementing provisions emphasise the local nature of cooperation protocols which concern named healthcare professionals. This measure raises a certain number of questions in healthcare institutions. The Paris hospitals authority, Assistance publique-Hôpitaux de Paris, has initiated a think tank to consider the issue at an institutional level.
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The range of care provided to patients by the dermatology nursing team is wide. Alleviation of pain and itching, improvement of skin integrity through hygiene care and local treatments, the cleaning of wounds and the changing of dressings, psychological treatment and therapeutic education are the main areas in which the nurse is involved.