Authors (including presenting author) :
Tong SY (1),Shit FKY (1),Ng WY (1),Mak HN (1),Yeung W (2),Ho BPY (3)
Affiliation :
(1) NTEC Wound Services Team, Department of Surgery, PWH (2) Infirmary Unit, Department of Medicine, SCH (3) Central Nursing Division, NTEC
Introduction :
Management of chronic wounds is a growing problem especially in Infirmary Unit. Many wounds heal extremely slow, do not heal, or deteriorate persisted for few years, despite efforts to change dressing frequently per day. In light of the establishment of Wound Services Team in NTEC from January, 2020, regular expertise wound round collaboration with experienced Infirmary Team has significantly promote the wound healing in SCH.
Objectives :
To provide attentive and intensive wound management with multidisciplinary team approach for Infirmary patient in SCH To share updated wound care knowledge with nursing staff
Methodology :
Weekly scheduled wound team round with Infirmary nursing team has been formulated for Infirmary wards in SCH. Dressing stocks and equipment have been well prepared. Standardized wound assessment and wound photo have been performed for documentation and evaluation. Patients’ progress, wound conditions, medical team’s advice will be reported by Infirmary staff. Advanced wound management regime involved debridement, laser therapy, light therapy, wound bed hygiene care, and negative pressure wound therapy etc. will be designed for each case after discussion. Composite dressings' usage in innovative way was tailored made for different wounds.
Result & Outcome :
Total 13 Infirmary patients with 50 non-healing wounds were managed. Patients were suffered from pemphigoid, head injury or stroke etc. Those wounds have been developed and needed persisted care with tremendous workload. Ward routine practices such as bathing, feeding, napkin round schedule have been incorporated to plan the wound care regime. Technical skills such as use of Debridement cloth, tunnel wound irrigation and packing, and composite dressing usage etc. have been educated to Infirmary staff for continuing expertise daily wound care for patients. With the attentive wound management, 4 (8%) wounds developed since 2018 were completely healed; 46 (92%) wounds were improving. All improved wounds have decreased in size from 10% to 90% and free from infection. Besides, decreased in exudate, odor and intact peri-wound skin have been observed in all improved wounds. Team building has achieved and positive feedback from staff on wound care services obtained. To conclude, non-healing wounds can be successful managed by team approach with skills, innovation and fine-tuning regime.
