Authors (including presenting author) :
Chan SKA (2),Lo WC(2),Choy YM (2), Ho HY(2), Wong FS (2), Sin ML (2), Pi SS (2), Tsang KK(5), Pang YK(6), Tam KFS(1),Poon WYM(3), Tsui SKA(3), Chan YPB(4),Chong KWS(7), Leung PF(8)
Affiliation :
(1) Medicine Department, Hong Kong Buddhist Hospital, Nursing Department, Hong Kong Buddhist Hospital, (3) Physiotherapy Department, Hong Kong Buddhist Hospital, (4) Occupational Therapy Department, Hong Kong Buddhist Hospital, (5) Orthopedics & Traumatology Department, Queen Elizabeth Hospital, (6) Wound & Stoma Care, Kowloon Central Cluster, (7) Occupational Therapy Department, Wong Tai Sin Hospital, (8) Dietetics Department, Queen Elizabeth Hospital
Introduction :
Accurate assessment and documentation are crucial in developing comprehensive plan of wound care. The use of digital photography enhances the reliability and accuracy of wound documentation in terms location, depth, condition of surrounding tissues and other related details. In fact, accuracy in wound measurement augments the monitoring of wound healing and treatment strategies. International Wound Journal (2014) stated that patients were more motivated to get involved in the management of their wounds if they were able to view their wounds through photographic documentation. Most importantly, better wound management outcomes are only possible if healthcare professionals and clients work collaboratively. In view of this, weekly wound photography program was implemented in Hong Kong Buddhist Hospital (HKBH) since December 2018.
Objectives :
1.To get objective approach on wound documentation. 2.To provide evidence of the wound healing process and appropriate wound management strategies.3. To engage clients in wound management. 4.To enhance collaboration between healthcare professional and clients in wound management.
Methodology :
1.To consult Nursing Consultant in development of Quick Reference Guide for nurses and doctors. 2.To brief nurses and doctors about the Quick Reference Guide to enhance cooperation and to clear misunderstandings. 3.To train all nurses on usage of iPad to take wound photos and to upload the image to CMS. 4.To pilot the program in a ward for one month and modify the process accordingly. 5.To roll out program in full scale in the whole hospital afterwards. 6.To evaluate the program 6 months after full scale of implementation. 7.To formulate improvement plan if indicated.
Result & Outcome :
Staff compliance rate on weekly wound photo program was 93.5%. The preference scores in doctors, nurses and clients were respectively 4.33 out of 5, 4.22 out of 5 and 4.42 out of 5. Among these 3 groups, the client group got the highest scores. Regarding the response rate, the doctors and nurses got 78.6% and 96.8% respectively. There were 25 subjects recruited in the client group. Concerning other feedbacks, the 3 groups have different viewpoints. Both doctors and nurses strongly agreed that the program was able to enhance the monitoring in the wound healing process. However, doctors were not pleased with the slow running of CMS in viewing wound photos. For nurses, they likewise reflected there was fair resolution in wound photos, fair adhesiveness of wound ruler and time consuming in the whole process. The clients, they strongly agreed that the program could let them know the wound conditions closely and they were more motivated to cooperate with healthcare professional’s treatment plan. Though there were still minor improvement work needed to be addressed, the program successfully enhanced the motivation of clients to engage in their own wound management plans.
