“UNIDAD FUNCIONAL DE HERIDAS

COMPLEJAS”

Intervención en Heridas de Difícil Cicatrización /

Intervention in hard – to – heal wounds

Autor:

Loli Hinojosa Caballero NURSE COORDINATOR OF COMPLEX

WOUNDS UNIT.

lhinojosa@cst.cat

Ctra. Torrebonica sn.

Telf: 93 731 00 07 / Ext. 2060

Terrassa. BARCELONA. SPAIN

COMPLEX WOUNDS UNIT

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COMPLEX WOUNDS UNIT. AN INTERDISCIPLINARY TEAM.

INTRODUCTION

Both the patient and the wound of the patient, the knowledge, the skills of health professionals and the availability of resources, “interact” to define the complexity of the wound and the relationship with the potential problems associated with healing¹.

¹ EWMA (European Wound Management Association) “Hard- to- heal wounds: a holistic

approach” . 2008.

Table 1. Factors that influence the complexity and difficulty in healing.

The need for good coordination between all the members of the

multidisciplinary team it is very important, whose work especially

affects favorable results. The project arises from the need to make

healthcare systems more efficient, by an innovative model of

multidisciplinary clinical care delivery units.

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“The complexity of the wound increases the chances of a difficult healing.”

METODH

Oriented on different lines: Support and Intervention. Formation / Training. Multidiscipline. Management / Quality. Science and Research. Assessment.

Page 3

To respond to the demands on the approach and treatment of wounds within the CST, through the participation of professionals experts in such problems.

Complex

Wounds

MAIN OBJECTIVE

SECONDARI OBJECTIVES

Through differentiating diagnosis of wounds and a comprehensive approach to the patient in the treatment and prophylaxis.

WHOM ARE PART OF THE UNIT?

→Expert nursing team. →Plastic and reconstructive surgery. →Vascular Surgery and Angiology. →Medicine internal and infectious. →Dermatology. →Nutritionist.

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COMPLEX WOUNDS UNIT. AN INTERDISCIPLINARY TEAM.

50%50%

GENDER DISTRIBUTION

WOMEN MEN

ANNUAL RESULTS OF THE COMPLEX WOUNDS UNIT

PERIOD: 2013/Feb/06 2014/Feb/28

Days of CONSULTATION: 86 (69 + 17EXTRA)

Nº of VISITS made: 429 ( MONTHLY = 36)

(RANGE: 17→ 55)

Nº of PATIENTS: N = 44

Nº of LESIONS: 59

+ 9 patients with

multiple lesions (>5)

>104 LESIONS

MEDIAN AGE = 66.81 y

RANGE = 13 – 96 years

0

20

40

60

80

100

120

N = 44

TIME EVOLUTION

OF THE LESIONS

AT BASE

= 13 MONTHS

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0 5 10 15

TRAUMATIC

CALCIPHYILAXIS

PRESSURE ULCER

DEHISCENCE

SYSTEMIC

HYPERTENSIVE

DIABETIC FOOT

ARTERIAL

VENOUS

MOISTURE

34%

TYPE OF WOUNDS

17% 2%

79%

2%

ABD

SACRUM

LEGS

ARM

LOCATIONS

0% 50% 100%

23%

NO SI

0%

20%

40%

60%

80%

HYPERTENSION

SI NO

64%

0%

20%

40%

60%

80%

SMOKE

NO SI

27%

MEDIUM TIME

OF RESOLUTION

= 2 MONTHS

RESOLVED CASES: 68%

It is an interesting challenge that through proper

coordination of interdisciplinary interventions,

you can plan a multidimensional performance

with more results:

Efficacious Effective EFFICIENT

CONCLUSIONS

It is necessary carry out studies to prove that

interdisciplinary wounds units are suitable and a

necessity required by society to expect from the

health care system:

Low

cost Best

treatment Excellent

quality care

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ANNUAL RESULTS OF THE COMPLEX WOUNDS UNIT

DIABETES MELLITUS