Leg ulcers are one of the more challenging clinical problems that confront health professionals in Nursing Homes (NH) as well as in hospitals. Clinicians are often presented with difficult-to-heal chronic wounds of unclear aetiology. In order to ensure timely healing outcomes, it is important to establish the cause of ulceration and assess for other contributing factors before embarking on treatment. The aim of treatment is to correct the underlying cause and optimise the state of the wound bed.
Our guest editor for this issue is Dr Hannah Cross who has just completed her second post-graduate year at a large metropolitan hospital and will commence the psychiatry training program this year. Dr Cross has a background in law and a key interest in psychiatry, ethics and forensic medicine. She writes a powerful reflective editorial about her own experiences around the issue of missed diagnoses and the dangers of making assumptions.
Welcome to this edition of the Communiqué in which we discuss the benefits and potential dangers of medical protocols. To illustrate this we include a case review of the death of a patient that occurred in part, due to the strict adherence of local protocols.