OUTLINE
OUTLINEPatient shared care action plans.
Is now the right time to take simple and clear action?
When you have identified that your patient is able to take part in the management of their wound, it’s time to plan the shared care approach.
How to achieve a shared care action plan in 3 simple steps…
Education & Knowledge
For the patient, understanding their learning styles and assessing what is the best method, ensures they are competent and confident to start their journey.
Wound Care Objectives
Use the TIMERS framework to help identify and plan the right care plan and products to be used for:
T = Tissue type 
Objective
Improve tissue type by removing devitalised tissue
Potential Solution
Debridement using e.g. HydroClean®
I = Infection / Inflammation
Objective
Remove the bacterial bioburden within the wound or manage patients at risk of infection
Potential Solution
Use of topical antimicrobials as an example
M = Moisture Balance
Objective
Is the wound progressing, signs of epithelialisation, reduction in wound size
Potential Solution
Protect healthy granulation tissue and new epithelialisation e.g. using Atrauman® Silicone
E = Edge of the wound
Objective
Maintain a moist wound healing environment
Potential Solution
Use an appropriate absorbent product e.g. Zetuvit® Plus
R = Repair
Objective
Wound closure, repair of tissue
S = Social and Patient related Factors
Objective
Engagement with the care plan
Potential Solution
Consider all the factors discussed in H of HOME
Identify Responsibilities
What support network is available? How much shared care is delivered by the patient, the healthcare professional or other agency? Remember it may be that part of the shared care is optimising your patient’s ability to heal (e.g. diabetes control).
Responsibility of the Healthcare Professional
To assess the patient’s capability and a willingness to perform dressing changes in-between planned clinic / home visits.
1Plan the care required for the patient.
2Choose the most appropriate dressing selection with clear objectives and desired outcomes.
3Educate the patient on red flags to look out for.
4Educate the patient on how to perform a dressing change safely.
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Responsibility of the Patient
To understand and feel confident to perform the task assigned to them or their carer.
1Understand and know how and when to report a change in wound progression (positive or negative).
2Agree they will attend clinic appointment or are available for home visits when the HCP has scheduled them.
3To ask questions and gain clarity if unsure.
4To ask questions and gain clarity if unsure.
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