Tag Archives: dementia

Wound healing clinic to change lives

A dedicated wound healing clinic – the first in Australia – opens on Tuesday, 7 March. It draws together a pool of specialist wound healing talent that includes a vascular surgeon, nurse practitioners, an advanced podiatrist and specialist wound nurses in one spot to treat and assess chronic wounds.

The clinic, Wound Innovations, is in Spring Hill, Brisbane and accessible to all Australians via the Spring Hill teleclinic, which connects patients and health professionals with a specialist from Wound Innovations through videoconferencing facilities. Wound Innovations also offers education for health professionals and will be a site for clinical trials and other research projects. 

Living with a serious wound is incredibly debilitating. “Wounds are painful and can exude a fluid. People with a wound can suffer from a lack of mobility and this leads to less social interaction, and isolation,” explains Dr Ian Griffiths, CEO of the Wound Management Innovation Co-operative Research Centre (CRC), which runs Wound Innovations.

“Often people are afraid to go out because of the smell from their wounds. It can take you down a very dark path.”

Dr Griffiths says there is medical research linking wounds with depression as well as dementia.

The teleclinic takes high resolution photos of each patient’s wounds to monitor progress and the patient provides feedback, while wound healing experts make recommendations for future care. Appointments may attract a Medicare rebate.

Griffiths expects the wound healing clinic and teleclinic to be a life changer for patients and plans to open other wound healing clinics with specialised teams in capital cities around Australia.

He also expects dramatic savings to the Australian healthcare system as fewer people with wounds will end up in hospital. The Wound CRC estimates that wound healing and management costs the Australian healthcare system $2.85 billion a year, but this is considered a conservative figure and one that covers only the tip of the iceberg.

Griffiths hopes big institutions such as aged and residential care homes will join the clinical service and teleclinic. Some have large percentages of residents who need constant, ongoing wound care. “I know of one aged care home with 38% of residents with chronic wounds,” says Griffiths.

Some of the worst wounds to treat stem from chronic diseases such as diabetes. There are more than 4400 amputations in Australia because of diabetic foot wounds and every 30 seconds a lower limb is lost around the world.

Funded by the Federal Government, the Wound CRC has carried out industry led research since 2010. One research project showed that 78% of patients with venous leg ulcers will heal over a 12-week period by using best practice wound care, including compression bandaging.

Patients in many of the CRC’s studies live with the ulcers for 10 to 20 years. In one case, a patient lived with ulcers for 54 years. At the time, Wound CRC was recruiting patients for a project studying wounds that did not clear up after 12 weeks.

The CRC’s extensive wound healing research stretching over seven years is helping the 433,000 Australian patients who are suffering from chronic wounds at any one time. Their research covers diabetic foot ulcers, burns, skin tears, acute surgical wounds and pressure injuries.

For more information visit woundinnovations.com.au or call 1300 968 637.

Winner of the 2015 CSL Florey Medal

The winner of the 2015 CSL Florey Medal, Professor Perry Bartlett, will be presented with the award by Health Minister the Hon Sussan Ley at 9 pm (Canberra time) tonight in the Great Hall, Parliament House in Canberra.

Bartlett is putting people with dementia on treadmills. He has already reversed dementia and recovered spatial memories in mice through exercise. During the next year he’ll find out if exercise will have the same impact in people with dementia. Then he’ll look at depression.

Underpinning these projects is the idea that the brain is constantly changing. Learning, memory, mood and many other brain functions are, in part, regulated by the production of new neurons. When Bartlett started exploring the brain in 1977 the mature brain was regarded as static and unchangeable. He challenged this dogma and his work has led to a transformation in our understanding of the brain.

In 1982 Bartlett predicted that there were stem cells in the brain. In 1992 he found them in mouse embryos then in adult mice. A decade later he isolated them from the forebrain. His next big project was building up the Queensland Brain Institute from ten people to 500 in a little more than a decade. The Institute has unleashed a new generation of neuroscientists whose discoveries range from using ultrasound to treat Alzheimer’s disease to finding stem cells associated with mood, spatial learning and more.

Now Bartlett is about to start clinical trials to determine if exercise really can reverse dementia in humans and if the ageing brain can repair itself. Dementia affects more than 300,000 Australians and many more cases are expected as our population ages. It’s a devastating condition and the direct cost to the community is more than $5 billion a year. The impact on families is beyond measure.

The CSL Florey Medal has been presented every two years since 1998 by the Australian Institute of Policy and Science (AIPS). The award recognises significant achievements in biomedical science and human health advancement. It carries a cash prize of $50,000 and has been supported by CSL since 2007.

“Thanks to Bartlett we now know the adult brain can repair itself. His work offers the potential to transform treatment and management of dementia and depression,” says CSL’s Chief Scientist, Dr Andrew Cuthbertson. “CSL is proud to support this award which both recognises excellence in research, and creates role models for the next generation.”

“In winning the CSL Florey Medal, Bartlett joins an elite bunch of Australian medical researchers who have followed in the footsteps of Howard Florey,” says AIPS director Camille Thomson. “To quote Sir Robert Menzies, ‘In terms of world wellbeing, Florey was the most important man ever born in Australia’.”

Bartlett is the Foundation Professor of Neuroscience at the University of Queensland and was the founding Director of the Queensland Brain Institute.

This announcement was kindly shared by Science in Public earlier today.