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A Patient Navigation Model to Improve Complex Wound Care Outcomes.
Arputhanathan, Helen; Hyde, Jane; Atilola, Temidayo; Queen, Douglas; Elliott, James; Sibbald, R Gary.
  • Arputhanathan H; At Home and Community Care Support Services, Waterloo, Wellington, Canada, Helen Arputhanathan, MSc Wound Care (Australia), BScN, RN, IIWCC; Jane Hyde, BScN, RN, IIWCC, NSWOC, WOCC(C); and Temidayo Atilola, MCISc, RN, NSWOC, are Registered Nurses. Douglas Queen, PhD, MBA, BSc, is Wound Care Business Consultant and Researcher, WoundPedia and ECHO Wound Program, Canada; James Elliott, MMSc, is Researcher and Advocate, WoundPedia and ECHO Wound Program; and R. Gary Sibbald, MD, MEd, BSc, DSC (Hon),
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.
Subject(s)

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

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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