Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Accountability and responsibility.

H Baxter1

  • 1Hinchingbrooke Healthcare NHS Trust, UK.

Journal of Wound Care
|December 4, 2004
PubMed
Summary
This summary is machine-generated.

When the best treatment conflicts with guidelines, clinical teams must find solutions. This case study explores managing an open wound in a cancer patient when standard protocols were insufficient.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Identification of novel reproducible combinatorial genetic risk factors for myalgic encephalomyelitis in the DecodeME patient cohort and commonalities with long COVID.

Journal of translational medicine·2026
Same author

Evaluation of the diagnostic performance of the creatinine-based Chronic Kidney Disease Epidemiology Collaboration equation in people with diabetes: A systematic review.

Diabetic medicine : a journal of the British Diabetic Association·2020
Same author

Radiation protection value to the operator from augmented reality smart glasses in interventional fluoroscopy procedures using phantoms.

Radiography (London, England : 1995)·2019
Same author

Expectations of outcomes in patients with colorectal cancer.

BJS open·2018
Same author

The longitudinal association between weight change and health-related quality of life in adults and children: a systematic review.

Obesity reviews : an official journal of the International Association for the Study of Obesity·2017
Same author

Network Meta-Analysis of the Relative Efficacy of Pharmacological and Psychological Interventions in Adults with Obsessive Compulsive Disorder.

Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research·2016
Same journal

Management of infection-prone dehisced surgical wounds with adjunctive bovine-derived collagen matrix: a case series.

Journal of wound care·2026
Same journal

Hypothermically stored amniotic membrane compared to standard of care for complex venous leg ulcers: a randomised controlled clinical trial.

Journal of wound care·2026
Same journal

Borrowing from the cancer playbook: a master protocol basket trial for hard-to-heal wound therapeutics targeting shared pathobiology.

Journal of wound care·2026
Same journal

Testing protease activity in the presence of a nitric oxide-generating foam.

Journal of wound care·2026
Same journal

Wound care delivery in times of global conflicts: lessons from the Russia-Ukraine war.

Journal of wound care·2026
Same journal

Early reported effects of the 2026 CMS Physician Fee Schedule on patient access to CAMPs in wound care: a national clinician and practice survey.

Journal of wound care·2026
See all related articles

Area of Science:

  • Oncology
  • Wound Care
  • Medical Ethics

Background:

  • Established medical guidelines, policies, and procedures are designed for optimal patient care.
  • Occasionally, the most effective treatment for a specific patient may deviate from standard protocols.
  • This presents a challenge for healthcare providers balancing evidence-based practice with adherence to institutional rules.

Observation:

  • A tissue viability team encountered a situation where the ideal treatment for a patient's open wound did not align with existing guidelines.
  • The patient had cancer, adding complexity to wound management decisions.
  • The team needed to evaluate treatment options carefully, considering both efficacy and procedural compliance.

Findings:

  • The tissue viability team explored alternative treatment strategies for the complex open wound.

Related Experiment Videos

  • Decision-making involved weighing the potential benefits of a non-standard treatment against risks and guideline deviations.
  • The case highlights the need for flexibility in clinical practice when patient needs supersede rigid protocols.

    • Implications:

    • This scenario underscores the importance of clinical judgment and ethical considerations in patient care.
    • It suggests a potential need for clearer pathways to manage exceptions to guidelines in complex cases.
    • Such situations can inform future policy development to better accommodate individualized patient treatment plans.