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Managing wound care outcomes.

Corrine McIsaac1

  • 1Joint St. Francis Xavier University, Cape Breton University Nursing Program, 1250 Grand Lake Road, Sydney, Nova Scotia B1M 1A2, Canada. corrine_mcisaac@email.uccb.ns.ca

Ostomy/Wound Management
|August 11, 2005
PubMed
Summary

Implementing the Nova Scotia Standardized Prevention and Treatment Protocol significantly improved chronic wound care outcomes and reduced costs for home care services. This evidence-based protocol led to decreased wound prevalence and lower monthly expenses per client.

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Area of Science:

  • Healthcare Management
  • Wound Care Research
  • Public Health Policy

Background:

  • Chronic wounds represent a significant financial burden on home care systems.
  • Existing wound care practices in Nova Scotia prior to 1999 were costly and yielded suboptimal patient outcomes.
  • There was a need for standardized, evidence-based protocols to improve chronic wound management in home care settings.

Purpose of the Study:

  • To assess the prevalence, costs, and outcomes of chronic wound care in Nova Scotia Home Care.
  • To develop and implement a standardized prevention and treatment protocol for chronic wounds.
  • To evaluate the impact of the protocol on wound outcomes and healthcare costs.

Main Methods:

  • A four-phase study involving retrospective chart review, protocol development using best evidence, protocol dissemination, and prospective outcome measurement.
  • Utilized an Outcomes Management Model research framework and a quasi-experimental, descriptive study design.
  • Data collected included wound prevalence, costs of care, healing times, and frequency of dressing changes.

Main Results:

  • Pre-protocol: high prevalence of pressure ulcers (30%), frequent daily visits (42%), and low use of compression therapy for venous leg ulcers (16/115 clients).
  • Post-protocol: reduced chronic wound prevalence, decreased dressing change frequency, shorter healing times, and significant cost savings.
  • Average monthly cost reduction of $946.64 per client after protocol implementation.

Conclusions:

  • The Nova Scotia Standardized Prevention and Treatment Protocol effectively improved chronic wound care quality and reduced associated costs.
  • The protocol enhanced awareness of moist wound healing principles among home care professionals.
  • The successful protocol has been adopted as official policy for Home Care in Nova Scotia, demonstrating its value and efficacy.

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