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Case Studies in Wound Care

Case Studies in Wound Care. Mary Farren, RN, MSN, CWOCN Centers of Excellence. Keys to Success. Collaboration Technology Evidence-Based Protocols. Wound Management. Goals of care: Healing Palliation Co-morbidities Infection Pain management Laboratory data: Hgb, Hct, Albumin

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Case Studies in Wound Care

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  1. Case Studies inWound Care Mary Farren, RN, MSN, CWOCN Centers of Excellence

  2. Keys to Success • Collaboration • Technology • Evidence-Based Protocols

  3. Wound Management • Goals of care: • Healing • Palliation • Co-morbidities • Infection • Pain management • Laboratory data: Hgb, Hct, Albumin • Home care services: SN, PT, OT, SW, HHA • Learning potential of the patient & family

  4. Pressure Ulcer:Nursing Care Components • Address all risk factors • Secure needed support surfaces • Evaluate rehabilitation needs • Provide family support and education

  5. Home Visit by MD Wound debridement in the home Curasalt Hypertonic Saline Dressing QD Group 2 Support surface Interdisciplinary collaboration Home Management of a Pressure Ulcer 7/26

  6. Post debridement Treatment & dressings modified over time Family education was successful 8/16 Home Management of a Pressure Ulcer

  7. Appropriate support service Effective wound treatment Healing in 7 weeks 9/13 Successful Achievement of Outcomes

  8. Vacuum assisted closure Wound measurement: 12.5 x 5.5 x 4cm Mesh exposed, sutures visible Technology in the Home:Surgical Wound 5/13

  9. Effective wound treatment Ostomy management Healing in 6 weeks. Successful Achievement of Outcomes 6/23

  10. Clinical specialist consultation Exposed tendon Treatments modified over time silver impregnated hydrogel Home Management of aSurgical Wound 4/28

  11. Diabetes adherence addressed Healing in 14 weeks Successful Achievement of Outcomes 8/04

  12. Criteria for VNSNY Clinical Specialist Consultation • Stage three, four, or unstageable pressure ulcer • Wound worsening under care • Unconventional treatment • Assistance needed with palliative care options • RN/MD collaboration for evidenced based treatment • Nurse requests support for complex care management issues • Request for VAC therapy

  13. Interdisciplinary Communication and Collaboration • Collaboration • Improved patient outcomes • Avoidance of hospitalization • Improved compliance with regulatory requirements

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