The document describes a Complex Wounds Unit, an interdisciplinary team that treats difficult-to-heal wounds. The unit aims to efficiently coordinate care from experts in nursing, surgery, medicine and other specialties. In its first year, the unit consulted on 44 patients with a total of 59 wounds, most commonly from trauma, pressure ulcers or arterial issues. Through coordinated care, the unit hopes to provide effective, efficient treatment and resolve more cases over time.

1. “UNIDAD FUNCIONAL DE HERIDAS
COMPLEJAS”
Intervención en Heridas de Difícil Cicatrización /
Intervention in hard – to – heal wounds
Autor:
Loli Hinojosa Caballero
NURSE COORDINATOR OF COMPLEX
WOUNDS UNIT.
lhinojosa@cst.cat
Ctra. Torrebonica sn.
Telf: 93 731 00 07 / Ext. 2060
Terrassa. BARCELONA. SPAIN
COMPLEX WOUNDS UNIT
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2. COMPLEX WOUNDS UNIT. AN INTERDISCIPLINARY TEAM.
INTRODUCTION
 Both the patient and the wound of the patient, the knowledge, the
skills of health professionals and the availability of resources,
“interact” to define the complexity of the wound and the relationship
with the potential problems associated with healing¹.
¹ EWMA (European Wound Management Association) “Hard- to- heal wounds: a holistic
approach” . 2008.
Table 1. Factors that influence the complexity and difficulty in healing.
The need for good coordination between all the members of the
multidisciplinary team it is very important, whose work especially
affects favorable results. The project arises from the need to make
healthcare systems more efficient, by an innovative model of
multidisciplinary clinical care delivery units.
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“The complexity of the wound increases the chances of a difficult healing.”

3. METODH
Oriented on different lines:
 Support and Intervention.
 Formation / Training.
 Multidiscipline.
 Management / Quality.
 Science and Research.
 Assessment.
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To respond to the demands on the approach and treatment
of wounds within the CST, through the participation of
professionals experts in such problems.
Complex
Wounds
MAIN OBJECTIVE
SECONDARI OBJECTIVES
Through differentiating diagnosis
of wounds and a comprehensive
approach to the patient in the
treatment and prophylaxis.
WHOM ARE PART OF THE UNIT?
→Expert nursing team.
→Plastic and reconstructive surgery.
→Vascular Surgery and Angiology.
→Medicine internal and infectious.
→Dermatology.
→Nutritionist.
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COMPLEX WOUNDS UNIT. AN INTERDISCIPLINARY TEAM.

4. 50%50%
GENDER DISTRIBUTION
WOMEN MEN
ANNUAL RESULTS OF THE COMPLEX WOUNDS UNIT
PERIOD: 2013/Feb/06 2014/Feb/28
Days of CONSULTATION: 86 (69 + 17EXTRA)
Nº of VISITS made:
429 ( MONTHLY = 36)
(RANGE: 17→ 55)
Nº of PATIENTS: N = 44
Nº of LESIONS:
59
+ 9 patients with
multiple lesions (>5)
>104
LESIONS
MEDIAN AGE = 66.81 y
RANGE = 13 – 96 years
0
20
40
60
80
100
120
N = 44
TIME EVOLUTION
OF THE LESIONS
AT BASE
= 13
MONTHS
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0 5 10 15
TRAUMATIC
CALCIPHYILAXIS
PRESSURE ULCER
DEHISCENCE
SYSTEMIC
HYPERTENSIVE
DIABETIC FOOT
ARTERIAL
VENOUS
MOISTURE
34%
TYPE OF WOUNDS
17% 2%
79%
2%
ABD
SACRUM
LEGS
ARM
LOCATIONS

5. 0% 50% 100%
23%
NO SI
0%
20%
40%
60%
80%
HYPERTENSION
SI NO
64%
0%
20%
40%
60%
80%
SMOKE
NO SI
27%
MEDIUM TIME
OF RESOLUTION
= 2
MONTHS
RESOLVED CASES: 68%
It is an interesting challenge that through proper
coordination of interdisciplinary interventions,
you can plan a multidimensional performance
with more results:
Efficacious Effective EFFICIENT
CONCLUSIONS
It is necessary carry out studies to prove that
interdisciplinary wounds units are suitable and a
necessity required by society to expect from the
health care system:
Low
cost
Best
treatment
Excellent
quality care
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ANNUAL RESULTS OF THE COMPLEX WOUNDS UNIT
DIABETES MELLITUS