He National Group for Study and Advice on Pressure Ulcersy Chronic wounds indicates in their studies that the average prevalence of this type of skin lesions is 8.5 % among hospitalized patients and 20 % are under 65 years. Your approach 5 % of the health expenditure is already carried, and will grow in the coming years for the population aging.
There are more than 4,000 Alicante those who They need daily attention for these wounds at their home, in residences or in hospitals, which is a cost of about 20 million euros. Nursing professionals, which They spend a fifth of their time healing woundsthey have long claimed the creation of Complex wound units to address cases of difficult healing in health departments.
A nursing team from Sant Joan's hospital forms health professionals about the most appropriate treatment of skin and tissue injuries
These have listened, at least in the province of Alicante. With the aim of paying the best possible care to patients in primary and hospitable care, health areas are creating Complex wound units. Professionals of each of these two care levels advise, support and treat skin lesions and difficult tissues to cure.
He Hospital of San Juan He is one of the first to create this service. Nurse Henar Ramos, a specialist in chronic care and wound Chronic wound care, It is the reference in the matter in primary care. Both advise and train their nursing classmates and, also, other health professionals, such as doctors, in the confirmation of the diagnosis and about the therapeutic guideline.
Injuries that do not cure
These specialist nurses of the Alicante-Sant Joan D´Alacant Department address injuries with very slow evolutions, both acute and chronicthat have stagnated within the healing process, either due to a critical colonization or inadequate treatment, for example.
The nurse in chronic wounds of the Sant Joan Cura Hospital to a patient / INFORMATION
Years without healing
There are even injuries that, due to non -effective treatment, have not been hesper for years. “I just treat a patient derived from external consultations with a abdominal post -surgical lesion, which had not 16 months without healing And after two and a half months of treatment with negative pressure and dressings for the treatment of infection, I have managed to heal, ”says Henar Ramos.
“I had a patient with an abdominal post -surgical lesion, which had not been scarring for 16 months and after two and a half months of treatment with negative pressure and dressings I have managed to heal.”
Among the injuries that the unit deals with are Open surgical wounds, burns, skin lesions, moisture, Ulcers in lower extremities or pressure injuriesusing advanced therapies such as negative pressure therapy (TPN), compression therapy or seal grafts.
This therapy is a injurious treatment that uses sub -Atatmospheric pressure to promote healing. It consists of “applying controlled and localized pressure on the wound, creating a humid environment that helps eliminate exudate exudate, stimulates the formation of granulation tissue, reduces bacterial load, It favors an approach of the edges of the wound to each other and stimulates cell proliferation, among others, ”explains the nurse.
Lymphatic drainage
In compression therapy the main objective is Increase venous and lymphatic return flow in patients with venous ulcers (pathology with an increasing prevalence given the aging of the population).
“In this way we obtain a reduction in edema, tissue remodeling, reduction of fluid filtration of the vessels to the tissue, increased lymphatic drainage and release of anti -inflammatory mediators and reduction of inflammatory cells and molecules,” says Ramos.
These two nurses referring to complex wounds are part of the care and care commission in the prevention of the Deterioration in cutaneous integrity (Catic). It is a multidisciplinary team of nursing professionals also integrated by supervisors of the Pediatrics, Traumatology, UHD and UCI hospitalization units; the person in charge of nursing teaching and the attached nurse of material resources.
People with a high level of dependence and bed
In the Sant Joan d'Alacant hospital, two annual statistics are made on the prevalence of pressure ulcers in hospitalized patients, which occur fundamentally in people with a high level of dependence, who are usually bedridden and immobile long. The work of the aforementioned commission pays off and its results significantly improve the national average.
If the National Group for Study and Advice on Pressure Ulcers and Chronic Wounds indicates in its studies that the average prevalence of this type of skin lesions in our country is 8.5 % among hospitalized patients, the indicator in this center improves in more than three points the national average.
Little more than 5 % of admitted patients have pressure ulcersdespite being one of the departments of the Valencian Community with the highest number of socio -health centers and residences of the senior citizens, a total of 30.
The wound trip
“The wound trip: from the assessment of healing” is a pioneer formative initiative to train nursing staff in the skin care and the handling of complex wounds. This audiovisual formation begins with the episode “Valuation and skin care”, in which in a very didactic way professionals learn to assess the initial situation to adopt the most appropriate measures to cure each type of wound.
Every three months a new video will be released To continue with this process of continuous training in an accessible way for all health professionals. Other issues that will be discussed are the assessment of pressure ulcers (UPP), cleaning solutions and skin injuries associated with moisture. In the edition of each chapter, the Economic Management Administrative Manuel Olarte collaborates.
Multidisciplinary Team of the Sant Joan Alacant Hospital that deals with these complex healing wounds / INFORMATION
“Our goal is get to the end of this trip through the wound With healing and healing, which is what all nursing professionals intend when we treat any type of skin injury, ”says Miguel Ángel Fernández, Nursing Supervisor of the ICU and one of the members of the CATIC Commission.
“Our goal is to reach the end of this trip through the wound with healing and healing”
Another of the functions of the same is the Review and update of the Catalog of Aposits and products for the treatment of wounds and skin care. There is an extensive fan of this type of health products and it is very important to have specialized advice to know which one to use based on the type and stadium of the wound.
This commission also evaluates the new products for the treatment of wounds and decides whether it implants them in clinical practice after a cost-effective analysis.
Subscribe to continue reading
