Authors (including presenting author) :
Ho MW(1), Cheng YCA(1), Cheung SSS(1), Yung KT(1), Lam T(1), Mok LC(1), Tam KYG(2), Lo WS(2), Mak MY(2)
Affiliation :
(1)Department of Orthopaedics & Traumatology, Pamela Youde Nethersole Eastern Hospital
(2)Community Healthcare Services, Pamela Youde Nethersole Eastern Hospital
Introduction :
Complicated wound is commonly seen in Orthopaedics and Traumatology (O&T) patients. Negative pressure wound therapy (NPWT) has evidences to enhance wound healing and reduce treatment cost compared to conventional methods. Collaborate with Community Healthcare Services (CHS) can consistently and continually offer NPWT to patients after discharge.
Objectives :
To evaluate the outcomes of complicated wound by using NPWT through collaborative care with CHS in community settings.
Methodology :
From August 2017, a channel was established and eligible O&T in-patients started NPWT could be referred to CHS to continue the treatment regime after discharge. Patients were home-visited by designated community nurse (CN) for wound care and arranged follow-ups in O&T Nurse Clinic regularly to monitor the wound progress. Patient’s latest progress and potential problems were shared between CNs and O&T nurses via phone, email, clinical notes and photos.
Result & Outcome :
From August 2017 to August 2018, 11 patients were referred to join this program. 20 home-visits were totally conducted by CNs. Their O&T follow-up was extended from previously 1 week to 2 – 4 weeks. All patients satisfied with such post-discharge wound care arrangement. Other than that, the wound condition was in good progress in terms of size, wound bed and exudate amount. No wound related complication and unplanned readmission were reported. The collaborative care between department of O&T and CHS in managing complicated wound by using NPWT proved to be clinically effective and cost-effective. The transformation of care from in-patient to community is a win-win-win situation for the patient, department of O&T and CHS.
Co-location with:
