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2 Delayed referral can put patients limbs and lives at risk. It is a concern when patients are seen by the same clinician week on week when the wound is not progressing, or worse, is deteriorating, and the patient is not referred to a specialist. The personal cost of an amputation for the patient is huge it can be challenging adjusting to life after losing a limb and there may be a need for home environments to be adapted to make it more accessible. Patients with infected wounds can experience pain, swelling, increased exudate and odour

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Buddhism is the second major religion and has had an equally profound influence, particularly in the northern mountain regions and among the Newari community of Kathmandu

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