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EWMA 2013 - Ep589 - COST BENEFITS IN USING A MICROFIBER DEBRIDEMENT PAD IN THE HEALING OF A VENOUS LEG ULCER
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EWMA 2013 - Ep589 - COST BENEFITS IN USING A MICROFIBER DEBRIDEMENT PAD IN THE HEALING OF A VENOUS LEG ULCER

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Maria Plaschke, Wound Care Specialist, …

Maria Plaschke, Wound Care Specialist,
Gentofte Community Home Care, Denmark

Published in: Health & Medicine, Business

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  • 1. COST BENEFITS IN USING A MICROFIBER DEBRIDEMENT PAD IN THE HEALING OF A VENOUS LEG ULCER Maria Plaschke, Wound Care Specialist, Gentofte Community Home Care, Denmark 1Maria Plaschke, EWMA 2013
  • 2. INTRODUCTION • In community home care some patients wish to be self- reliant, to be able to continue working and not having to wait for the nurse to perform the wound care. • The conventional method used for cleaning the wound is with tap water, gauze and tweezers. This is not always sufficient since most wounds need debridement to heal1 • Wounds behind the malleoli are prone to slough development and heal slowly2 • Non sufficient debridement delay’s healing and exposes the patient to increased risk of complications1 2Maria Plaschke, EWMA 2013
  • 3. Hypothesis Aim By improving debridement of the wound bed, combined with patient self reliance, healing will accelerate and the wound will heal in shorter time, which will be cost beneficial. To illustrate the cost benefits by using a microfiber debridement pad compared to conventional treatment 3Maria Plaschke, EWMA 2013
  • 4. Conventional treatment until September 2012 • Healing time: approximately 9 months (last three times) • Cleaning method: Tap water, gauze and tweezers – twice a week for 7 minutes. • Economics: Nurse visits required 28 times during 9 months, of 25 minutes duration. Nurse hour cost 65 €3 • Bandage costs: 11,5 €4 4Maria Plaschke, EWMA 2013 • 65-year-old male with recurrent venous leg ulcers, left medial malleolus. Transplanted x2. • Wound size: 5,55 cm2 and 5 mm in depth.
  • 5. Treatment with Debrisoft® debridement pad • Method: Debridement pad together with tap water twice a week for 2-3 minutes • Economics: Nurse visits 3 times for 20 minutes, once for 15 minutes. Nurse hour cost 65 €3 • The patient used Debrisoft® once • Bandage costs: approximately 27 €4 5Maria Plaschke, EWMA 2013 First result after 5 weeks: • 2,1 cm2 and 3 mm in depth
  • 6. Result in December 2012 Economics: • The patient himself used Debrisoft® six times during the last 2,5 months. • Nurse visits required 4 times in the last 2,5 months for 15 minutes. Nurse hour cost 65 €3 • Bandage costs: approximately 50 €4 Maria Plaschke, EWMA 2013 6 3 months later: • Wound size: 0,4 cm2 and 1 mm in depth
  • 7. Final result Conventional treatment with tap water, gauze and tweezers: • 28 nurse visits • 25 minutes duration • 65 €3 per nurse hour • 11,5 € product expenses Total: 773 € Debrisoft® • 4 nurse visits of 20 minutes duration • 4 nurse visits of 15 minutes duration • 6 treatments by the patient himself • 65 €3 per nurse hour • 77 € product expenses Total: 230 € Maria Plaschke, EWMA 2013 7 Additional treatment with compression stockings was maintained in both treatments.
  • 8. Healing completed February 2013 Maria Plaschke, EWMA 2013 8
  • 9. Conclusion Treatment, with the microfiber debridement pad Debrisoft®, makes the wound easier to keep clean promoting healing and it gives an economical advantage and a shorter healing time, compared to conventional treatment. Maria Plaschke, EWMA 2013 9
  • 10. References • 1. Strohal, R., Apelqvist, J., Dissemond, J. et al. EWMA Document: Debridement. J. Wound Care. 2013;22 (Suppl. 1): S1-S52 • 2. European Wound Management Association (EWMA). Position Document: Wound Bed Preparation in Practice. London: MEP Ltd, 2004. • 3. Kommunernes Landsforening (Local Government Denmark): Hjemmesygepleje – Dokumentation og styring. 2010: S44 • 4. Self adjusted community prices Gentofte Community, 2012 10Maria Plaschke, EWMA 2013

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