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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 inWound Care

Mary Farren, RN, MSN, CWOCN

Centers of Excellence

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Keys to Success

  • Collaboration

  • Technology

  • Evidence-Based Protocols

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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

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Pressure Ulcer:Nursing Care Components

  • Address all risk factors

  • Secure needed support surfaces

  • Evaluate rehabilitation needs

  • Provide family support and education

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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


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Post debridement

Treatment & dressings modified over time

Family education was successful


Home Management of a Pressure Ulcer

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Appropriate support service

Effective wound treatment

Healing in 7 weeks


Successful Achievement of Outcomes

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Vacuum assisted closure

Wound measurement: 12.5 x 5.5 x 4cm

Mesh exposed, sutures visible

Technology in the Home:Surgical Wound


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Effective wound treatment

Ostomy management

Healing in 6 weeks.

Successful Achievement of Outcomes


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Clinical specialist consultation

Exposed tendon

Treatments modified over time

silver impregnated hydrogel

Home Management of aSurgical Wound


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Diabetes adherence addressed

Healing in 14 weeks

Successful Achievement of Outcomes


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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

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Interdisciplinary Communication and Collaboration

  • Collaboration

  • Improved patient outcomes

  • Avoidance of hospitalization

  • Improved compliance with regulatory requirements