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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

Case Studies inWound Care

Mary Farren, RN, MSN, CWOCN

Centers of Excellence

keys to success
Keys to Success
  • Collaboration
  • Technology
  • Evidence-Based Protocols
wound management
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
pressure ulcer nursing care components
Pressure Ulcer:Nursing Care Components
  • Address all risk factors
  • Secure needed support surfaces
  • Evaluate rehabilitation needs
  • Provide family support and education
home management of a pressure ulcer
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

home management of a pressure ulcer6
Post debridement

Treatment & dressings modified over time

Family education was successful

8/16

Home Management of a Pressure Ulcer
successful achievement of outcomes
Appropriate support service

Effective wound treatment

Healing in 7 weeks

9/13

Successful Achievement of Outcomes
technology in the home surgical wound
Vacuum assisted closure

Wound measurement: 12.5 x 5.5 x 4cm

Mesh exposed, sutures visible

Technology in the Home:Surgical Wound

5/13

successful achievement of outcomes9
Effective wound treatment

Ostomy management

Healing in 6 weeks.

Successful Achievement of Outcomes

6/23

home management of a surgical wound
Clinical specialist consultation

Exposed tendon

Treatments modified over time

silver impregnated hydrogel

Home Management of aSurgical Wound

4/28

criteria for vnsny clinical specialist consultation
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
interdisciplinary communication and collaboration
Interdisciplinary Communication and Collaboration
  • Collaboration
  • Improved patient outcomes
  • Avoidance of hospitalization
  • Improved compliance with regulatory requirements
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