Honey and larvae in the treatment of foot gangrene: a reflection

Br J Nurs. 2016 Nov 10;25(20 Suppl):S10-S14. doi: 10.12968/bjon.2016.25.20.S10.


With the introduction of the Nursing and Midwifery Council's (NMC) (2015a) revalidation directive, nurses are required to demonstrate an ongoing commitment to providing safe and effective care by continually combining sound empirical evidence with reflective practice ( Sackett et al, 1996 ; Rolfe et al, 2011 ). Using Gibbs' (1998) model, I will reflect on an episode of care undertaken while I was on a recent placement. This reflective account will discuss the clinical use of honey and larvae therapy in the treatment of foot gangrene following meningococcal septicaemia. The psychosocial impact of ill health will also be considered. The use of newly acquired nursing skills and knowledge will be evaluated and the nurse-patient therapeutic relationship explored.

Keywords: Gangrene; Honey; Maggots; Reflection; Student.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Alginates
  • Animals
  • Bandages*
  • Debridement*
  • Depression / psychology
  • Female
  • Foot / pathology*
  • Gangrene / etiology
  • Gangrene / nursing*
  • Gangrene / psychology
  • Glucuronic Acid
  • Hexuronic Acids
  • Honey*
  • Humans
  • Larva*
  • Meningococcal Infections / complications
  • Nurse-Patient Relations
  • Sepsis / complications
  • Students, Nursing


  • Alginates
  • Hexuronic Acids
  • Glucuronic Acid