ACUTE CARE: CARE IMPLANTATION AND EVALUATION.

Acute Care: Care Implantation and Evaluation

Abstract

The aim of the study was to get information about leg and foot ulcer care presented by nurses in community wellbeing care. The experiment comprised of Norwegian home care nurses (n = 31), scholar doctors (n = 30), and patients with leg and base ulcers (n = 32). Thirty-five ulcer treatments were discerned in the patients' homes. Aorganised fact pattern with space for added remarks and assessments was used. Photographs were taken of the ulcers. Information on background variables for patients and doctors was collected, and descriptive and interpretive investigates were performed. Nursing students made the observations.The study identifies areas where leg and foot ulcer treatment by home care nurses can be improved with respect to technique and documentation.

Acute Care: Care Implantation and Evaluation

Introduction

In UK the community nursing service has the main responsibility for providing nursing care in people's homes. These services include preventive wellbeing care, remedy of infection, and rehabilitation in all age groups. One of the major tasks for community doctors is wound care, but patients who need wound care in the home must be referred by a physician. The general practitioner, in collaboration with the home care nurse, is mainly to blame for the home care of these patients. On the cornerstone of clinical experience, the remedy of patients with leg and foot ulcers has mainly been left to home care doctors, with insufficient support from general practitioners. Patients are mentioned to lesser health care mostly because of delayed wound healing or complications.

Nurses in the community may lack the necessary education, training, and knowledge of wound care programs and guidelines, which may result in suboptimal care. The literature includes few descriptions of wound care in U.K and no systematic evaluations, making it difficult to evaluate the quality of the care being provided. Therefore, the purpose of this study was to obtain information about how home care nurses in U.K treat leg and foot ulcers.

Research questions

The present study addressed the following questions:

What evaluations do the doctors present with esteem to diagnosis and recount of the ulcer and skin around the ulcer?

Whead covering remedy procedures do the doctors use to clean and dress the ulcer?

Whead covering documentation is noted for leg and base ulcers?

Do the nurses use medical asepsis?

How much time is spent treating patients with ulcers?

The aim was to get knowledge about leg and foot ulcer treatment performed in community wellbeing care.

Literature review

Chronic leg ulcers are defined as leg ulcers of various sources established between the knee and the malleolus that do not mend within 6 weeks. Foot ulcers are characterised as ulcers established below the malleolus initiated by disturbances in the arterial circulation (ischemic foot ulcers) or by peripheral neuropathy and/or peripheral disturbances as a complication of diabetes mellitus. The most of ulcers treated by dwelling care doctors are venous ulcers and diabetic ulcers.

The significance of etiologic diagnosis and of recording the ankle brachial force catalogue (ABPI) of all patients with leg ...