{"id":1360,"date":"2026-01-09T16:17:05","date_gmt":"2026-01-09T15:17:05","guid":{"rendered":"https:\/\/jannu-ferides.org\/?post_type=proyectos&p=1360"},"modified":"2026-01-09T16:23:14","modified_gmt":"2026-01-09T15:23:14","slug":"care-for-a-patient-with-complex-wounds-in-nepal-sinwa-taplejung","status":"publish","type":"proyectos","link":"https:\/\/jannu-ferides.org\/en\/proyecto\/care-for-a-patient-with-complex-wounds-in-nepal-sinwa-taplejung\/","title":{"rendered":"Care for a patient with complex wounds in Nepal (Sinwa-Taplejung)"},"content":{"rendered":"\n

On 13 May 2025, we had our first contact with our patient in Nepal through Bisan. Santa, our first patient, is a paraplegic with a category IV pressure injury in the gluteal area.<\/p>\n\n\n\n

This patient is in the Kanchenjunga-Jannu<\/strong> area, hence the name of our organisation. Sinwa is a four-hour drive from the regional capital, Taplejung, in the far east of Nepal.<\/p>\n\n\n\n

After an initial assessment, we defined a preliminary care plan while waiting to obtain products for the care of this pressure ulcer.<\/p>\n\n\n\n

On 14 June, we obtained dressing materials (alginates, hydrofibres and multi-layer foam dressings) as well as hyperoxonised fatty acids in oil and barrier cream for the care of perilesional skin, healed injuries and to prevent incontinence injuries, and a cushion for the prevention of LPP and to improve the patient’s stability.<\/p>\n\n\n\n

After many vicissitudes, and thanks to the help of Smith&Nephew Spain and our determination and enthusiasm and that of our local collaborator Nature Trek, the package with the materials arrived in Sinwa in September.<\/p>\n\n\n\n

The patient is being treated by Bisan, a nursing technician at the local primary care centre, with the support of Jannu Ferides.<\/p>\n\n\n\n

Currently, the pressure injury is improving, no new lesions have appeared, and we are waiting to send an alternating air mattress to improve preventive care.<\/p>\n\n\n\n

Collaborating on this project are Jannu Ferides, Nature Explore Treks, Smith & Nephew Spain, Vermeiren Spain, Biotelier Labs, and Fheriwounds Solutions.<\/strong><\/p>\n\n\n\n

A<\/strong>n Interesting fact:<\/strong><\/p>\n\n\n\n

The image we have included corresponds to the Silam Sakma<\/strong>, a symbol associated with the Limbu people, an indigenous group from the Himalayan region who are the majority in the Sinwa area.<\/p>\n\n\n\n

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In terms of its meaning, \u201cSi<\/strong>\u201d means \u201cdeath\u201d, \u201clam<\/strong>\u201d translates as \u201cpath\u201d and \u201csakma<\/strong>\u201d means \u201cto stop\u201d, so Silam Sakma is considered a protective shield that \u201cstops the path of death\u201d. There are various stories about the origins of the Silam Sakma<\/strong>. The story that has been passed down to Kumari’s family tells how the Silam Sakma began as a way for a young man to formally guide the spirit of his deceased mother out of the realm of the living and into the afterlife. Today, when the Silam Sakma<\/strong> is seen in a space, it indicates the presence of a Limbu person in that place.<\/p>\n\n\n\n

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