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Reflections on lymphoedema deployment into community services during the pandemic
Stephanie Allen1, Karen Morgan2
1Macmillan Lymphoedema Specialist Physiotherapist, Swansea Bay University Health Board.
British Journal of Community Nursing
|September 20, 2021
Summary
District nursing teams redeployed staff to manage chronic wounds during COVID-19. This intervention improved patient outcomes, with 21% discharged and others showing reduced oedema and need for visits.
Area of Science:
- Community nursing
- Wound management
- Public health
Background:
- District nursing teams faced overwhelming caseloads during the COVID-19 pandemic.
- Staffing shortages led to the deterioration of patients with chronic wounds and leg oedema.
- Palliative care needs significantly impacted district nursing capacity.
Purpose of the Study:
- To assess the impact of redeploying interdisciplinary staff to manage chronic wounds in the community.
- To evaluate the effectiveness of targeted compression therapy interventions.
- To alleviate pressure on overloaded district nursing services.
Main Methods:
- Redeployment of two full-time equivalent (WTE) clinicians from diverse backgrounds (nursing, physiotherapy, emergency medicine, occupational therapy).
- Conducted 866 home visits over a 4-month period.
- Modified compression therapy to address oedema and promote wound healing.
Main Results:
- 21% of patients were discharged from the district nursing caseload.
- Of the remaining patients, 60% continued to receive care.
- 35% of active patients received increased compression, and 20% had a reduced need for visits.
Conclusions:
- Interdisciplinary team redeployment effectively managed chronic wound patients in the community.
- Targeted compression therapy interventions led to significant improvements in patient outcomes.
- This model demonstrated success in reducing caseloads and improving patient management during a pandemic.
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