Pharmacological interventions for early-stage frozen shoulder: a systematic review and network meta-analysis.

Objectives: To evaluate the efficacy of pharmacological interventions for treating early-stage, pain predominant, adhesive capsulitis, also known as frozen shoulder.

Methods: We performed a systematic review in accordance with PRSIMA guidelines. Searches were conducted on PUBMED, EMBASE and Cochrane Central Register of Controlled Trials on the 24th of February 2022.

Clinical competence in sharp debridement: an innovative course.

A quick and effective way of promoting wound healing is to carry out sharp debridement where indicated, but this procedure carries a high level of clinical risk. Minimizing risk is an essential feature of clinical governance. A new course in wound debridement was developed at King's College, London in response to local NHS trust demand which required assessment of competence for this high-risk procedure.

Development of a wound-management formulary for use in clinical practice.

A wound-management formulary is an important aid to health-care professionals looking for the most appropriate product for a particular patient. Some of the basic principles of compiling such a formulary are described, providing a step-by-step guide, and concentrating principally on one for wound dressings.

Sharp debridement: the need for training and education.

Until recently there has been a lack of courses demonstrating how to undertake sharp debridement. The clinical governance framework has highlighted that nurses frequently perform the procedure without having received formal education and training (Fairbairn et al, 2002). Clinical governance, which includes risk management, clinical audit and evidence-based practice, aims to help all clinicians to improve quality and safeguard standards of care.