A Patient Navigation Model to Improve Complex Wound Care Outcomes.
Adv Skin Wound Care
; 35(9): 499-508, 2022 Sep 01.
Article
in English
| MEDLINE | ID: covidwho-2001448
ABSTRACT
OBJECTIVE:
To create a blended format model to navigate interprofessional team assessments of patients with complex wounds during COVID-19 as a quality improvement process.METHODS:
During clinical assessments, patients were interviewed in their homes with representation from their circle of care and primary nurse on site linked to a live virtual interprofessional blended remote team model (wound care nurse specialist, advanced wound care doctor). Eligible patients had completed a wound care clinical pathway without wound closure. Palliative patients with complex wounds and patients without precise/accurate diagnoses were also included. This process addressed the components of Wound Bed Preparation 2021 manage the cause, address patient-centered concerns, determine the ability to heal, optimize local wound care, and evaluate outcomes on an ongoing basis.RESULTS:
Since April 2020, 48 patients were referred to the Home and Community Care Support Services patient navigation interprofessional team. Patients' home-care services were initiated between 2012 and 2021. The team provided closure in 29% of patients and the wound surface area reduced in 66%. Pain was reduced in 73% of patients and appropriate infection management was implemented in 79%. In addition, nursing visits were reduced by 73% and there was a 77% decrease in supply usage.CONCLUSIONS:
This project validated the Wound Bed Preparation Paradigm 2021 as a process for assessing patients with complex wounds using a blended virtual and home-based assessment. Patient navigation with this blended model benefited patients and improved healthcare system utilization with projected cost savings.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Patient Navigation
/
COVID-19
/
Home Care Services
Type of study:
Experimental Studies
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Adv Skin Wound Care
Journal subject:
Nursing
Year:
2022
Document Type:
Article
Similar
MEDLINE
...
LILACS
LIS