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OUTLINE

Patient 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
  1. To assess the patient’s capability and a willingness to perform dressing changes in-between planned clinic / home visits.

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  2. Plan the care required for the patient.

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  3. Choose the most appropriate dressing selection with clear objectives and desired outcomes.

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  4. Educate the patient on red flags to look out for.

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  5. Educate the patient on how to perform a dressing change safely.

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Responsibility of the Patient
  1. To understand and feel confident to perform the task assigned to them or their carer.

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  2. Understand and know how and when to report a change in wound progression (positive or negative).

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  3. Agree they will attend clinic appointment or are available for home visits when the HCP has scheduled them.

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  4. To ask questions and gain clarity if unsure.

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  5. To ask questions and gain clarity if unsure.

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