Here - EWMA 2013

E-POSTER: WOUND ASSESSMENT
E-Poster: Wound Assessment
EP 542
«Pressure sores in non-hospital setting – presentation of
a cooperation model between hospital and external institutions»
Agnieszka Bugalska-Zak 1 , Beata Wieczorek-Wojcik 1 , Bozena Bladowska 1 ,
Magdalena Dykas 1
1 Ceynowa Hospital (Wejherowo, Poland).
Introduction: Patients with pressure sores arising in non-hospital setting are a
significant group of hospitalised patients, especially in the departments of internal
medicine and medical treatment wards. This is caused by inefficiency of caring families
as well as deficiencies in the primary care and non-regulated system of private nursing
homes.
Aim: Presentation of three years experience of collaboration between our hospital and
primary care centres and nursing homes in the Wejherowo district regarding pressure
sores care after hospital discharge and pressure sore prevention.
Method: The introduction of organisational changes to improve the quality of nursing
care, the presentation of modified tasks of the team for prevention and treatment of
pressure sores and stomy care, the presentation of the coordinator role in the context of
incidence and morbidity of pressure sores in six key hospital departments: General
Surgery, Neurology, Cardiology, ICU, Orthopaedics, Pulmonary Diseases.
Results: From November 2009 to November 2012 there were 35 571 patients admitted
to departments with high and very high risk of pressure sore 13 691, including 1151
patients with pressure sores arising outside hospital. During hospitalization, the pressure
sores occurred in 504 of patients.
Conclusions: Pressure sores remain a big problem that requires innovative solutions.
The knowledge about pressure sore prevention should be shared with the medical
personnel looking after patients in hospitals and primary care centres, as well as the
patients’ families and carers. Only such cooperation care between primary and
secondary care personnel will prevent unnecessary long-term hospitalisation.
EP 543
E-Poster: Wound Assessment
Evidence Based Wound Conversion Algorithm for University of
Texas Wounds and Classification System
Francis Derk 1 , Mike Griffiths 2 , Tim Pham 1 , Troy Wilde 1
1 University Texas Health Science Center (San Antonio, United States);
2 AOTI (Oceanside, United States).
Aim: Develop a structured and detailed evidence based wound conversion algorithm,
incorporating advanced present day wound therapies & utilizing a wound classification
system* as its matrix. The algorithm is evidenced based and formulates a singular or
multi modal approach from simple to highly complex phases. It provides the clinician with
a retrograde methodology, intended to drive the wound to healing by converting higher
grade wounds to lesser grade levels and finally to full healing.
Method: The authors conducted evidence based research analysis using various
treatment approaches, including all available wound modalities; evidence based
analysis, and numerous clinical applications with established wound protocols, single
and or multi modal processes, wound treatments and outcomes. The classification
system* serves as the framework, along with standardized definitions of infection,
laboratory test limits, and ischemia parameters as noted in the picture.
Results: The algorithm is found to be especially useful when treating higher grade
wounds which may require surgical intervention, a multi-disciplinary team approach,
wound staging, and advanced therapies. We found that classifying a wound, determining
etiology, and taking a holistic approach resulted in better outcomes.
Conclusions: We propose a holistic wound conversion algorithm in a retrograde, stepwise
therapeutic intervention guide to wound healing. The algorithm utilizes a blended
approach of evidenced based modality, advanced wound therapies, and practical field
application which has yielded positive results. Future publication encompassing clinical
based outcome evidence utilizing this algorithm will be forthcoming, demonstrating the
logical retrograde approach utilizing the wound algorithm driven by current therapies.
*The University of Texas Wound Classification system
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
307