The organization of stage-by-stage, consistent medical assistance for patients with wounds and wound infections

3^rd Euro Nursing & Medicare Summit

July 27-29, 2015 Valencia, Spain

V N Obolenskiy and L S Aronov

Russian National Research Medical University, Russia

Posters-Accepted Abstracts: J Nurs Care

Abstract :

A district out-patient centre was set up in the 2012 at the SBFEHC City Clinical Hospital No. 13 of the Department of Health of Moscow to treat wounds and wound infections, which has a properly equipped bandage unit and full-time personnel working 6 days a week and counseling patients, referring them for surgery, as well as providing post-hospital monitoring and out-patient management of patients with chronic wounds. We used a multi-disciplinary approach and standardization of approaches to the diagnosis and treatment of these patients. The Formularies are revised once every 2 years. In the treatment of wounds and wound infections, we employ methods and technologies that can be used both in in-patients and in out-patients in accordance with the principles of the TIME system and according to the phases of wound healing: combined enzymatic preparations, state-of-the-art antiseptics, interactive bandage materials, polymeric wound dressings, compression knitwear, and multi-layer compression bandages applied for a few days, electrical impulse muscle stimulation, ozone therapy, wound oxygenation, hyperbaric oxygen therapy, quantum therapy, air plasma flows and NO-therapy, biologicals and cell technologies, as well as a modified local negative pressure method etc. This has allowed, on one hand, to use the aforementioned methods in an out-patient setting and, on the other hand, to reduce hospital stays in the contaminated surgery department. In particular, the average hospital stay was 17.0 days in the 2011, 14.8 days in the 2012, and 14.7 days in 2013. The average number of outpatient centre visits has been about 400-500 a month since the centre was launched. Our experience is a matter of discussion for health care professionals and managers.

Biography :

Email: gkb13@mail.ru