Wound Care Certificate Day 4/8 - Lesson 4A: Clinical Best Practices in Wound Care

Please watch the following recorded lecture and respond to the discussion question below.

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What best practice guidelines are used in your organization and how are they implemented? What are some benefits and limitations to their use?

Instructions: You must post your responses in the comments section below before the next live lesson on Day 5. The instructor will review your comments and have a debrief discussion at the start of the next live session. The comments section will not be moderated otherwise.

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4 comments on “Wound Care Certificate Day 4/8 - Lesson 4A: Clinical Best Practices in Wound Care

  1. Tools used: Braden scale. Prevalence Study once per year and Head to Toe Assessment daily.
    Benefits
    Base line status of pts: intact/wounds
    Plan of care : Prevention and cure for pressure injuries. Interventions appropriate for each patient. Appropriate dressings for each wound.
    Daily assessment of intact skin and pressure wounds.
    Limits; Non-compliance of patients. Poor communication of PSW reports. Patient/nurse ratio. Having the supplies needed for wound care.

  2. I am new to the LTC. I found we do not have many PU. One of the reasons is nurses and PSW get residents in w/c daily, PT/OT very involved in assessing w/c and ambulating residents. RDs promptly referred to see the residents for those with decreased intake. diaper change and toileting are scheduled (not ideal) but quite frequent.
    braden scale used for nurses and PSW
    wound auditing performed quarterly and reviewed among multidiciplinary team members.

  3. Braden Scale, Prevalence Study. Head to Toe Assessment
    Benefits; Base line status of patients
    Plan of Care : Interventions appropriate for each patient (prevention/cure).
    Appropriate dressing to enhance healing in each individual case.
    Daily assessment : intact skin and pressure injuries-: dressing change needed, etc.
    Limits: Non-compliance of patients;- refused dressing change, etc.
    Poor communication from PSW to Registered Staff.
    Patient /nurse ratio.

  4. Best Guidelines used are : admission assessments of skin, pain and risk ( braden) to determine underlying cause and baseline status of patient, develop a plan of care to implement interventions to encourage closure / healing of altered skin. adhere to interventions, dress wound accordingly, treat underlying cause. Weekly monitoring,Daily assessments by staff providing care (PSW) Once wound has resolved, we adjust plan of care and implement interventions to prevent further breakdown and decrease risk for further breakdown.
    Benefits to using these guidelines are; patient specific interventions, ongoing reassessments of status. Encourage optimal environment for wound healing. prevention plan for further breakdown prevention. Daily check ins by PSW's
    Limitations are: interventions in place may not be effective. Communications between staff or resident to staff. Time factors. Ability to treat underlying issues. Resident's quality of life.

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