Verrucous Reflective Model
1. Verrucous hyperplasia reflection
Moon (2004) reflective model
A patient presented to the high risk foot clinic for debridement and dressing change of 4 x 6cm neuropathic ulcer with verrucous hyperplasia on the plantar surface of the navicular. The patient was a regular who came 3 days a week for the last 4 months for regular check-ups. I went through a thorough medical history and neurovascular assessment on the patient as I waited for my supervisor to hand me my tools from the store room. I was nervous because it was my very first patient to treat in the high risk foot clinic.
The neurovascular assessment I performed revealed the patient was insensate bilaterally by conducting the 10g monofilament test, tuning fork and 2 point …show more content…
Although, literature by Niederauer considers that the verrucae occurs at variable sites (1991). The aetiologies of the disease include frictional forces, vasculopathy, edema and bacterial infection. In a series of case studies, treatment was aimed primarily at reducing causative forces. Management consists of external compression which socks and compression bands aswell as cushioning on the affected site (Rosales, Martin, Armstrong, Nixon & Hall, 2006). Furthermore, according to Rosales et al (2006), excision of the affected mass with local soft tissue or graft coverage has been considered successful. However, in compilation of level 5 case studies mentioned above, there is limited evidence on the effectiveness of treatment modalities as there are no systematic reviews or randomised control trials present in regards to verrucous hyperplasia of the …show more content…
The experience was satisfying, instilling some self-belief that I have the capacity to enforce the same treatment plan suitable for the patient. The following treatment will focus on the same principles of wound care and repeating the topical Metasone application, external compression as the preferred treatment option. In addition I would apply a deflection device on to his Darco to further alleviate the causative forces. This experience in itself increased my knowledge in verrucous hyperplasia as it quite rare to encounter in a regular podiatry clinic. Also I would not feel self-conscious in treating this condition in the future if I encounter such a
Moon (2004) reflective model
A patient presented to the high risk foot clinic for debridement and dressing change of 4 x 6cm neuropathic ulcer with verrucous hyperplasia on the plantar surface of the navicular. The patient was a regular who came 3 days a week for the last 4 months for regular check-ups. I went through a thorough medical history and neurovascular assessment on the patient as I waited for my supervisor to hand me my tools from the store room. I was nervous because it was my very first patient to treat in the high risk foot clinic.
The neurovascular assessment I performed revealed the patient was insensate bilaterally by conducting the 10g monofilament test, tuning fork and 2 point …show more content…
Although, literature by Niederauer considers that the verrucae occurs at variable sites (1991). The aetiologies of the disease include frictional forces, vasculopathy, edema and bacterial infection. In a series of case studies, treatment was aimed primarily at reducing causative forces. Management consists of external compression which socks and compression bands aswell as cushioning on the affected site (Rosales, Martin, Armstrong, Nixon & Hall, 2006). Furthermore, according to Rosales et al (2006), excision of the affected mass with local soft tissue or graft coverage has been considered successful. However, in compilation of level 5 case studies mentioned above, there is limited evidence on the effectiveness of treatment modalities as there are no systematic reviews or randomised control trials present in regards to verrucous hyperplasia of the …show more content…
The experience was satisfying, instilling some self-belief that I have the capacity to enforce the same treatment plan suitable for the patient. The following treatment will focus on the same principles of wound care and repeating the topical Metasone application, external compression as the preferred treatment option. In addition I would apply a deflection device on to his Darco to further alleviate the causative forces. This experience in itself increased my knowledge in verrucous hyperplasia as it quite rare to encounter in a regular podiatry clinic. Also I would not feel self-conscious in treating this condition in the future if I encounter such a