1 / 9

THE DEVELOPMENT OF NURSE LED LEG ULCER CLINICS IN PRIMARY CARE

THE DEVELOPMENT OF NURSE LED LEG ULCER CLINICS IN PRIMARY CARE. PUBLIC HEALTH NURSING SERVICE SLIGO/LEITRIM/WEST CAVAN CATRIONA DUIGNAN, AADPHN. AIM OF INITIATIVE:.

zada
Télécharger la présentation

THE DEVELOPMENT OF NURSE LED LEG ULCER CLINICS IN PRIMARY CARE

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. THE DEVELOPMENT OF NURSE LED LEG ULCER CLINICS IN PRIMARY CARE PUBLIC HEALTH NURSING SERVICE SLIGO/LEITRIM/WEST CAVAN CATRIONA DUIGNAN, AADPHN

  2. AIM OF INITIATIVE: • To develop Nurse Led Clinics for clients with lower limb ulceration that require a service which delivers the best care which is evidence based and standardised with improved patient outcomes

  3. DRIVERS FOR ROLE EXPANSION NATIONAL • Venous leg ulcers prevalence = 0.12% in the adult population increasing to 1.03% in > 70yrs LOCAL • The Absence of Wound Management specialist resources for 4 years • Establishment of Tissue Viability Nursing Service Development Group (Integrated Services)

  4. LOCAL Point Prevalence Study (S/L/WC) ISA 2011: • 46.5% of all wounds were Leg/Foot Ulcers (201 of 432) • 79.1% of those were treated in the Community (159 of 201) • 52% of the total wounds within the PHN Service were Leg/Foot Ulcers (159 of 303) Tissue Type/Dressing Audit (S/L/WC) PHN Service 2011: • 43% of all wounds to be Leg/Foot Ulcers • Of 100 wounds 55.13% of wound management time was spent on Leg/Foot ulcers (21hr 30mins) over a 1 week period

  5. HOW? • Establishment of ‘Link Nurses’ • Standardised referral pathways • Strengthen links with Podiatry,G.P’s,Practice Nurses, Tissue Viability CNS and Vascular Services • Strengthen links between hospital & primary care services • Standardised documentation, assessment, treatment and care bundles • Access/support education and training

  6. DEVELOPMENT OF NEW SKILLS / COMPETENCIES • Link Nursing Programme building capacity within the service • Development of leadership skills • Teamwork - new working links across the ISA • Conduction of training needs analysis • PHN service as stakeholders inform education and training initiatives

  7. CHALLENGES AND SUPPORTS • ‘National Best Practice and Evidence Based Guidelines for Wound Management’ (HSE 2009) • Infrastructure/resources • Human resources • Staff motivation • Education and training • Clinical audit / evaluation

  8. BENEFITS • More appropriate use of resources • Reduced Treatment times • Evidenced based care with improved patient outcomes • Standardisation of care

  9. THANK YOU FOR LISTENING! • CATRIONA DUIGNAN, AADPHN PUBLIC HEALTH NURSING SERVICE • SLIGO/LEITRIM/WEST CAVAN

More Related