Uploaded byRereYummy
PPTX, PDF75 views

HOLISTIC APPROACH WOUND PREPARATION INFLAMED

The wound care training module from the Ministry of Health Malaysia outlines a holistic approach to managing wounds at primary health care settings, emphasizing the importance of a systematic and standardized service. It aims to establish trained wound care teams, improve the quality of services, and address challenges such as resource limitations and lack of knowledge among health care providers. Key components include health education, early intervention, and community involvement to enhance patient outcomes and optimize wound care management.

Embed presentation

Download to read offline
Holistic Approach in Managing Wound at Primary Health Care WOUND CARE TRAINING MODULE FOR PRIMARY HEALTH CARE
OBJECTIVES Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Able to understand and establish the quality of wound care through efficient system and effective treatments. Able to establish wound care programme based on holistic approach Able to provide a standardize and systematic wound care services Able to establish trained wound care teams at all health clinics. Provide training to health professionals involved in wound care management
CONTENT Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Part 1: Introduction Part 2: Wound Care In Primary Health Care Part 3: Challenges In Implementing The Best Practice In Wound Care At Primary Health Care Facilities Part 4: Holistic Approach In Wound Care Programme Part 5: Wound Care Best Practice Part 6: Conclusion
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Part 1: Introduction
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Introduction • Chronic wounds are common in primary care settings, require a high level of resources, and can have a profound impact on a patient’s quality of life. • The complexity of the wound care ecosystem may give significant challenges due to (i) increasing costs of wound care; (ii) an aging population; (iii) increasing prevalence of comorbidities (eg, obesity); and (iv) bacterial resistance to antimicrobials. • Treating wounds in the community requires a new holistic approach. • The aims is to promote best practice in wound management and to advocate for the rights of people with wounds, to receive the best possible care in a timely manner that meets the needs of the individual and the health service.
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Part 2: Wound Care In Primary Health Care
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Wound Care In Primary Health Care • In Malaysia, wound care/dressing is one of services that has been provided in primary health clinic – focusing more on wound cleansing and dressing. • The number of patients came for wound dressing had increased overtime due to increased number of road-traffic accidents, increased prevalence of diabetes complications and other chronic diseases such as stroke and cancer. • Majority of the patients were referred from the hospital to continue daily normal saline dressing causing over-crowding of the patients at the dressing room. • The wound care service is not optimize enough due to lack of manpower, inter-personal skills, limitations of infrastructure and advance dressing material.
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Wound Care In Primary Health Care • The development of new concepts and insights into wound assessment and healing process and the wide variety availability of effective wound dressing materials triggered the interest of primary health care providers to this new methods of wound care. • Modern wound dressing become more popular as this method had proven shorten the time of wound healing, more cost-effective, reduce the dressing load and improve the quality of life of the patients and their caregivers. DAY 1- 12/11/16 DAY 19- 30/11/16 DAY 28 - 9/12/16 DAY 45 - 26/12/16
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Part 3: Challenges In Implementing The Best Practice In Wound Care At Primary Health Care Facilities
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Challenges In Implementing The Best Practice In Wound Care At Primary Health Care Facilities CHALLENGES EDUCATIONAL & SKILL ORGANIZATIONAL • Poor clinical governance • Instability in health services • Lack of consensus: expert opinion • Inconsistent research findings • No standardization of accepted practice • Lack of effective clinical role models • Lack of focus on wound management INEFFECIENT SYSTEM LIMITED RESOURCES • Manpower • Products availablity • Material • Infrastructure • Budget • Lack of knowledge & skill • Traditional knowledge/ritualistic practice • Inappropriate training and support • Lack of critical appraisal skills • Negative attitudes to evidence-based practice • Information overload • Improper Block Appointment system • Inaccessibility of continuous care • Discontinue care from secondary and tertiary care to primary care.
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia The Implementation Of The Best Practice In Wound Care At Primary Health However, modern wound care cannot be implemented wisely due to many limitations - shortage of manpower, lacking of knowledge and skills on modern wound care dressing among health care providers, limited financial support, inadequate infrastructures and the availability of modern wound dressing products. To optimize the quality of wound care services, few important and drastic interventions need to be planned and implemented with the full support from the top management in the Ministry of Health, at state and districts level. Holistic Approach and Systematic Management of Wound Care in Primary Health Clinics – to meet the demand, minimized the challenges and limitations
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Part 4: Holistic Approach In Wound Care Programme At Health Clinic
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic • To improve the quality and efficiency of the wound care services at the Health Clinic with emphasize on all aspects of care: - Health education and promotion - Early screening, early detection and early prevention in high risk patients - Early treatment and interventions - Good diabetic control and treated other comorbidities - Prevention of complications/ wound infection - Integrating wound care in domiciliary care program - Empower patient’s caregiver and community in wound prevention and simple wound dressing technique.
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic GENERAL OBJECTIVE: • To improve the quality of wound care through efficient system and effective treatments. SPECIFIC OBJECTIVE: • Establish trained wound care teams at all health clinics. • To provide a standardize and systematic wound care services holistically approach. • Provide training to health professionals involved in wound care management. • Improve customer satisfaction with improved functional outcomes and reduce mortality and morbidity. • Increase job satisfaction among health professionals. • Optimize financial and human resources.
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic DEFINITION OF HOLISTIC APPROACH • Holistic health care is an integrated approach to system and comprehensive or total patient care that considers the physical, emotional, social, economic, and spiritual needs of the person; his or her response to illness; and the effect of the illness on the ability to meet self-care needs. • Holistic Management is a decision-making framework that ensures our decisions are economically, environmentally and socially sound
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic HOLISTIC APPROACH WOUND CARE MODEL COMPREHENSIVE PATIENT CARE HOLISTIC WOUND CARE PROGRAMME Total Patient Care - Physical - Emotional - Social - Spiritual - Economical • Wound Care Team • Training • Wound Care Clinic • Comprehensive Patient Care • Wound Care Registry • Multidisciplinary Integration • Defaulter Tracing System • Community Empowerment
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic COMPREHENSIVE PATIENT CARE NUTRITION MENTAL STATUS GENERAL STATUS CO-MORBID DISEASE HOLISTIC WOUND ASSESSMENT MEDICATIONS FAMILY SUPPORT FINANCIAL SUPPORT
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic HOLISTIC WOUND ASSESSMENT • Holistic patient assessment is essential in order to identify the causative or contributing factors that could potentially delay or prevent wound healing.4 • Wound assessment is about assessing the wound bed, planning appropriate interventions and reviewing assessments. • The principles of wound assessment and management remain the same, requiring a skilled competent practitioner to do a holistic patient assessment not just focusing on the wound.
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic HOLISTIC WOUND CARE PROGRAMME ACTIVITIES OF WOUND CARE UNIT AT HEALTH CLINIC • Establish Wound Care Team in the district/clinic. • Conduct Courses/training for healthcare professional. • Establish Wound Care clinic. • Development of Wound care registry. • Monthly census & data collection • Establish Mobile wound care/home visit • Defaulter tracing system • Multidisciplinary involvement –Dietician, physiotherapies, pharmacist, occupational therapist etc. • Wound care education/ classes for patient, caregiver and NGO. • Community Empowerment • Audit
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic WOUND CO- ORDINATOR DR HANIHASELAH BINTI MOHD SALEH FMS CHAMPION DR ASSILA BINTI ABDUL HAMID MO MEMBERS DR NOOR SHAHRUL RAZI BIN ZAID MO EN REDZUAN BIN ZAHARI (U32) PPP PN ALIJAH BINTI HASMUN (U41) KJ PN SITI AMINAH BINTI OTHMAN (U32) KJK EN WAN MOHD KHAIRUL AMIN (U29) PPP EN NASAAEI BAIHAQI ABDUL AZIZ (U29) PPP PN HANANI WAGIMAN (U29) JT CIK KHALIDAH BINTI ROSLI (U29) JT PN ZAKIAH BINTI ZAINAL JM PN MASTURAH BINTI MD HASHIM JM 1.ESTABLISH WOUND CARE TEAM • Establish Wound care Team at district level and identify the role and responsibilities. • Establish wound care Team at clinic level and identify their role and responsibilities. • Involvement of multi-category of healthcare providers
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic WOUND CARE TEAM AT DISTRICT LEVEL • Identify the need for facilities, human and financial resources so that wound care activities can be coordinated in the health clinic in a comprehensive and orderly manner. • Planning appropriate human capital development activities in wound care management. • Identify and update the list of appropriate treatment procedures and equipment according to the category and type of wound based on the advice of the State Level Wound Care Committee. • Monitor the service performance of the Wound Care Team at the health clinic through meetings at least twice a year. • Provide strong support for the implementation and wound care program carried out at the health clinic.
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic WOUND CARE TEAM AT PRIMARY HEALTH CLINIC • Each member of the Wound Care Team shall be well-trained healthcare professionals in wound care either domestically or overseas. • Provide treatment and consultation regarding optimal wound care management to patients whether new cases or chronic (follow-up) cases. • Provide advice and guidance on appropriate wound care equipment and methods to other health personnel. • Provides health education related to wound care to other health care personnel, patients or the public. • Monitor and evaluate the performance and efficacy of wound care in health clinics while providing reports and retention on wound care management. • Head of the Wound Care Team is responsible as intermediate officer between the District Health Department and the Primary Health Clinic.
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic • Continuing professional development helps to improve personal and professional abilities, including the skills of self-awareness, critical appraisal and confidence. (Hick, 1996) • Educational strategies need to be specifically targeted to meet the needs of different professional groups and levels of expertise to maximize effectiveness. • Basic Wound Care Course/ Workshop • Advanced Wound Care Workshop at Primary Care • Bed- side Teaching/Hands On • CME • Attending Wound Care Seminar/Workshop/Conferences • Attachment 2. CONDUCT WOUND CARE TRAINING
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic 3. ESTABLISH WOUND CARE CLINIC • Integrated clinic is manage by trained Family Medicine Specialist (FMS) together with Medical Officer (MO) & paramedical staff. • All referred wound cases must be reviewed by MO. • Holistic Wound assessment will be performed & treatment plan will be provided. • The treatment plan will be reviewed according to the progress of the wound healing process. • Follow up treatment will be reviewed by FMS/MO - every 1 to 2 weeks or as needed. • Patients need to be registered & given follow-up appointment.
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic 4.STANDARD PROTOCOL & WORK PROCESS Established new guidelines to ensure that every hospitals & primary health clinics provide the standard and quality wound care management
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic • Development of work flow chart and a comprehensive wound clerking sheet to assist in identifying, gathering and interpreting information about the patient and wound to ensure accurate diagnosis • The use of a standard and systematic method of wound evaluation helps us to provide the most appropriate treatment for the patient as well as to help in monitoring the healing process and prevention of complications. 5.WORK FLOW & WOUND ASSESSMENT FORM
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic FLOW CHART
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic Wound Bed Assessment A standard and systematic method of wound evaluation helps us to provide the most appropriate treatment
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic Wound Type & Treatment Recommendation
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic Wound Type & Treatment Recommendation
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic Wound Type & Treatment Recommendation
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic WOUND ASSESSMENT FORM
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic WOUND PROGRESSION & CONSENT FORM
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic WOUND HEALING PROGRESS CHART One form is for a patient and is filled by a health care provider every time the dressing is carried out. This form should be applied until the patient ends the treatment.
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic 6.REFERRAL SYSTEM • REFERRAL FROM HEALTH CLINIC TO HOSPITAL • REFERRAL FROM HOSPITAL TO CLINIC • REFERRAL FROM CLINIC TO OTHER CLINIC
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic 7.MODERN WOUND CARE PRODUCTS ⚫ MAKE IT AVAILABLE ⚫ DEVELOP USAGE CONTROL SYSTEM ⚫ PROVEN ENHANCED WOUND HEALING PROSES ⚫ COST-EFFECTIVE ⚫ AFFORDABLE
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic KKM/BPKK/WC 101-2018 8.DAILY WORKLOAD WOUND DRESSING IN HEALTH CLINICS Every patient who comes (new or chronic/follow-up case) to get a wound care treatment should be recorded in the daily workload.
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic MONTHLY CENSUS FORMAT Monthly Census Report KKM/BPKK/WC 201-2018
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic 9.MOBILE WOUND CARE TEAM (PHC TEAM) • To provide the services near to home. • Especially for the patients who having difficulties to receive the primary care services. • The need to train all staff about prevention & treatment of injuries • 'Family counselling' - injury prevention, nutrition. • Involve family members in wound care - wound cleansing at home. • 'Defaulter tracing’ • Do not need a special wound care team. • Integration with domiciliary care and home-visit teams.
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic Wound Care & Domiciliary Care : An Integrated Service KKJM • MULTI TASKING • MULTI SKILLING • COST EFFECTIVE (RESOURCES, TIME, MONEY.) • HIGH QUALITY COMPREHENSIVE CARE • EMPOWERMENT OF PATIENT & CARE GIVER ON MANAGEMENT DOMI CARE + WOUND CARE = HOME CARE WOUND CARE (HCWC)
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic 10. COLLABORATION OF WOUND CARE TEAM WITH OTHER AGENCIES • ORTHOPAEDIC DEPARTMENT HEBHK • KLUANG ISLAMIC RELIGIOUS COUNCIL • KLUANG NURSING COLLEGE • KLUANG CANCER COUNCIL • KLUANG UTAMA SPECIALIST HOSPITAL (KUSH) • PRIMARY HEALTH CARE CLINIC ADVISORY BOARD MEMBERS • KOSPEN VOLUNTEERS • NGOs Teamwork is what makes us the best… If we have good teamwork, networking, and collaboration, we will almost always have good outcomes.
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic 11. AUDIT PROGRAM PENJAGAAN LUKA DI FASILITI KESIHATAN PRIMER • MEMANTAU KEMAJUAN PELAKSANAAN PROGRAM PENJAGAAN LUKA DI LAPANGAN. • MENILAI KEBERKESANAN PROGRAM DI DALAM MEMBERIKAN PENJAGAAN LUKA BERKUALITI • MENGENAL PASTI KEPERLUAN SUMBER YANG PERLU DITAMBAH BAIK & DISELESAIKAN UNTUK MENINGKATKAN KUALITI PERKHIDMATAN. • MENYEMAK SEMUA DOKUMENTASI YANG PERLU. • SISTEM KAWALAN PENGGUNAAN PRODUK PENJAGAAN LUKA & UBAT- UBAT BERKAITAN • HASIL KEJUMPAAN AUDIT DAPAT MEMBANTU PASUKAN PENJAGAAN LUKA MERANCANG PELAN TINDAKAN UNTUK MENINGKATKAN KUALITI PERKHIDMATAN
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic AUDIT PROGRAM PERKHIDMATAN PENJAGAAN LUKA
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic AUDIT PROGRAM PERKHIDMATAN PENJAGAAN LUKA
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic AUDIT PROGRAM PERKHIDMATAN PENJAGAAN LUKA
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Part 5: Wound Care Best Practice Clinic
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Wound Care Best Practice Clinic • PURPOSE: A Process for Continuous Monitoring and Improvement of Wound Care Quality • Center of Excellence, that identifies a facility as having special skills in taking care of patients with wounds. • Those facilities that demonstrably improve the quality of life for their patients with wounds. • It is a recognition of staff members’ compassion, dedication to optimizing patient outcomes, and ongoing efforts to educate not only themselves, but their patients
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Wound Care Best Practice Clinic • The Center of Excellence in Wound Management was created to highlight and identify facilities that have developed a superior wound management program • The patients will be attended to by a wound physician that provides bedside wound services, a wound care nurse who has been educated and trained on chronic wounds, and a multispecialty interdisciplinary team approach to wound closure.
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Wound Care Best Practice Clinic • PASUKAN PENJAGAAN LUKA YANG TERLATIH - a team having a minimum of two members with advanced training and/or more than five years of experience in wound care, representing a minimum of two different clinical disciplines (eg, a physician, a nurse, a dietitian, a physiotherapist, an occupational therapist, and a chiropodist), who share responsibility for the community based patient with a chronic wound ‐ • PROSES KERJA YANG TERATUR DAN SISTEMATIK • DOKUMENTASI YANG LENGKAP . KRITERIA
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Wound Care Best Practice Clinic • SISTEM TEMUJANJI YANG EFISIEN • SISTEM ‘DEFAULTER TRACING’ • AMALAN KAWALAN INFEKSI YANG BAIK - Anggota Unit/ Pasukan Penjagaan Luka dikehendaki mematuhi Standard Precaution berdasarkan 3 Polisi dan Prosedur Kawalan Jangkitan KKM • QA/INOVASI/KAJIAN • MEMPUNYAI JARINGAN KERJASAMA YANG BAIK DENGAN PELBAGAI AGENSI • SESUAI SEBAGAI ‘TRAINING CENTRE’ KRITERIA
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Part 6: Conclusion
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia Conclusion • Throughout the years, techniques of wound care has evolved and enhanced tremendously. • It requires holistic approached assessment that involves identifying, gathering and interpreting information about the patient and wound to ensure accurate diagnosis, appropriate treatment, proper monitoring and prevention of complications. • Managing wounds with modern dressing techniques in primary health care are very challenging but shown to be effective in shorten the healing process, reduced the work load and improve quality of life of the patients. • Combining modern wound dressing techniques with a structured, Holistic and Systematic Management of Wound Care bring for better outcome. • Continuous learning and proper practice in managing wound will ensure healthcare providers giving the best care for the patients.
Wound Care Training Module for Primary Health Care | Ministry of Health Malaysia SOME WOUNDS WON’T HEAL ON THEIR OWN. AND WHEN THAT HAPPENS YOU NEED TO SEE WOUND CARE SPECIALIST WHO KNOW HOW TO HEAL YOU Prepared by: • Dr. Hanihaselah binti Mohd Salleh, Pakar Perunding Perubatan Keluarga, Jusa C , Klinik Kesihatan Kulai • En. Mahadi bin Ismail, Penolong Pegawai Perubatan U41, Unit Primer, PKD Dungun

More Related Content

PDF
Community Oriented Primary Care
byquintin
 
PDF
A Survey of Wound Care Practices by Nurses in a Clinical Setting
byHealthcare and Medical Sciences
 
PDF
Aawc awma ewma_managing_woundasa_team_finaldoc
byAga Khan University
 
PPTX
Home Care Wound Care
bywan zuraini
 
PDF
Hospital Pharmacy:Lecture five
byAnas Bahnassi أنس البهنسي
 
PPT
Key note lecture at EGPRN meeting Ljubljana, May 2012
byMedical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
 
PPT
PCPCC on the Patient-Centered Medical Home
bydebronkart
 
PPT
Whsrma 2013 grundy singapore april 2013
byPaul Grundy
 
Community Oriented Primary Care
byquintin
 
A Survey of Wound Care Practices by Nurses in a Clinical Setting
byHealthcare and Medical Sciences
 
Aawc awma ewma_managing_woundasa_team_finaldoc
byAga Khan University
 
Home Care Wound Care
bywan zuraini
 
Hospital Pharmacy:Lecture five
byAnas Bahnassi أنس البهنسي
 
Key note lecture at EGPRN meeting Ljubljana, May 2012
byMedical Schools University Maribor and University Ljubljana, Nursing Science University Primorska
 
PCPCC on the Patient-Centered Medical Home
bydebronkart
 
Whsrma 2013 grundy singapore april 2013
byPaul Grundy
 

Similar to HOLISTIC APPROACH WOUND PREPARATION INFLAMED

PDF
Occupational Health: a challenge for primary health care
byHealth and Labour
 
PDF
Weekly Care Plan Checklist with eAuditor Audits & Inspections
byeAuditor Audits & Inspections
 
PDF
Ecosure Passing Score with eAuditor Audits & Inspections
byeAuditor Audits & Inspections
 
PPTX
Mental Health Disparities - Research
byAnn Hinnen Sparks
 
PPTX
Mental Health Disparities - Research
byAnn Hinnen Sparks
 
PDF
Case Study - Healogics Growth Through Care Continuity
byJoseph Nie
 
PDF
Best practice wound care
byGNEAUPP.
 
PPTX
13th output
byshoei yoshida
 
PDF
National Wound Care Committee Report 2016
byNor Farah Bakhtiar
 
PPTX
HLN004 Lecture 3 Primary healthcare and introduction to strategies and approa...
byramseyr
 
PDF
Ibm medical home_12032008
byPaul Grundy
 
PDF
Community Education Initiatives Drive Referrals
byJoseph Nie
 
PDF
EWMA 2013 - Ep494 - District nurses experiences of wound management in primar...
byEWMAConference
 
PDF
EWMA 2013 - Ep494 - District nurses experiences of wound management in primar...
byEWMA
 
DOCX
Interdisciplinary medical education and care
byRoss Finesmith M.D.
 
PPTX
Patient centered care ii 2014
byAna Maldonado
 
PPT
Thomas Bodenheimer
byCarmenFPinedo
 
PPT
Thomas bodenheimer
byCarmenFPinedo
 
PPTX
Role of Nurses in Health Plans, Part II
byFuture of Nursing: Campaign for Action,
 
PPTX
2021-2022 NTTAP Webinar: Fundamentals of Comprehensive Care
byCHC Connecticut
 
Occupational Health: a challenge for primary health care
byHealth and Labour
 
Weekly Care Plan Checklist with eAuditor Audits & Inspections
byeAuditor Audits & Inspections
 
Ecosure Passing Score with eAuditor Audits & Inspections
byeAuditor Audits & Inspections
 
Mental Health Disparities - Research
byAnn Hinnen Sparks
 
Mental Health Disparities - Research
byAnn Hinnen Sparks
 
Case Study - Healogics Growth Through Care Continuity
byJoseph Nie
 
Best practice wound care
byGNEAUPP.
 
13th output
byshoei yoshida
 
National Wound Care Committee Report 2016
byNor Farah Bakhtiar
 
HLN004 Lecture 3 Primary healthcare and introduction to strategies and approa...
byramseyr
 
Ibm medical home_12032008
byPaul Grundy
 
Community Education Initiatives Drive Referrals
byJoseph Nie
 
EWMA 2013 - Ep494 - District nurses experiences of wound management in primar...
byEWMAConference
 
EWMA 2013 - Ep494 - District nurses experiences of wound management in primar...
byEWMA
 
Interdisciplinary medical education and care
byRoss Finesmith M.D.
 
Patient centered care ii 2014
byAna Maldonado
 
Thomas Bodenheimer
byCarmenFPinedo
 
Thomas bodenheimer
byCarmenFPinedo
 
Role of Nurses in Health Plans, Part II
byFuture of Nursing: Campaign for Action,
 
2021-2022 NTTAP Webinar: Fundamentals of Comprehensive Care
byCHC Connecticut
 

More from RereYummy

PPTX
DISCUSSION OF STYE CHALAZION EYE DISEASE
byRereYummy
 
PPTX
1. BASIC WOUND CARE PRINCIPLES 12.1.24.pptx
byRereYummy
 
PPT
Occ.Dis. Surveillance System_NADOPOD_.ppt
byRereYummy
 
PPTX
HAEMORRHOIDS MEDICAL ASSISTANT NURSING PPTX
byRereYummy
 
PPTX
Airway problems emergency medicine trauma
byRereYummy
 
PPTX
aina ekonomi bugis.pptx
byRereYummy
 
PPTX
Clinical Case in Neurology.pptx
byRereYummy
 
DISCUSSION OF STYE CHALAZION EYE DISEASE
byRereYummy
 
1. BASIC WOUND CARE PRINCIPLES 12.1.24.pptx
byRereYummy
 
Occ.Dis. Surveillance System_NADOPOD_.ppt
byRereYummy
 
HAEMORRHOIDS MEDICAL ASSISTANT NURSING PPTX
byRereYummy
 
Airway problems emergency medicine trauma
byRereYummy
 
aina ekonomi bugis.pptx
byRereYummy
 
Clinical Case in Neurology.pptx
byRereYummy
 

Recently uploaded

PPTX
PERI-PROSTHETIC FRACTURE NAIL-PLATE CONSTRUCT [NPC].pptx
bydrashraf369
 
PDF
A beginner-friendly introduction to gym training
bydarrennickerson2
 
PPTX
sinusitis.....................................pptx
by62cjjqfcvg
 
PDF
Vitamin K works in conjunction with D to the Knesset .pdf
byHaim R. Branisteanu
 
PDF
Preparing Medicare Cost Reports Seems Easy Until It's Not
byNMP Professional Services, Inc
 
PDF
Antitubercular agents medicinal chemistry.pdf
byPrerana Jadhav
 
PDF
Artículo Biomol Interaction between ZMIZ2 and AR promotes prostate cancer pro...
bySebastianCastrillon10
 
PPTX
Template for presentation of patients at the MDT Meeting
byNasri937947
 
PPTX
Cardiovascular Disease ppt. S.Y D-Pharm.
byAkshata Jain
 
PDF
SEMINARIO BIOMOL.pdf (Samuel Cantillo y Karen Bohorquez)
bySamuelCantillo7
 
PDF
Seminario Biología Molecular - UNVEILING THE THERAPEUTIC POTENTIAL OF SUYIN ...
bytrabajosupbmdg
 
PDF
Seminario biología molecula - EBV-miR-BART5-3p
bysalvarez1862004
 
PPTX
1.-Dr.-Ajay-Khera- Anemia Mukt Bharat.pptx
byeskaglegal
 
PPTX
LOW DOSE RADIATHERAPY (LDRT) IN OSTEOARTHRITIS
byKanhu Charan
 
PPTX
CTEV [ clubfoot] DR ARUN LAL ,DR MOHAMED ASHRAF travancore medical college k...
bydrashraf369
 
PPTX
BENIGN BREAST DISEASES BBD/ Fibroadenoma, Fibrocystic Diseases/ ANDI.pptx
byDr Sushil Gyawali
 
PPTX
WHEN NOT TO DO TENDOACHILLES TENOTOMY.pptx
byUmeshPrasadChoudhary
 
PPTX
ANTIMICROBIAL STEWARDSHIP PROGRAME Vijay.pptx
byVIJAYARengan1
 
PPTX
HYPERTENSION III SEMESTER ADULT HEALTH NURSING-I
bykeerthi samuel
 
PPTX
Anatomy of temporal & infratemporal fossa.pptx
byClevin Aswani
 
PERI-PROSTHETIC FRACTURE NAIL-PLATE CONSTRUCT [NPC].pptx
bydrashraf369
 
A beginner-friendly introduction to gym training
bydarrennickerson2
 
sinusitis.....................................pptx
by62cjjqfcvg
 
Vitamin K works in conjunction with D to the Knesset .pdf
byHaim R. Branisteanu
 
Preparing Medicare Cost Reports Seems Easy Until It's Not
byNMP Professional Services, Inc
 
Antitubercular agents medicinal chemistry.pdf
byPrerana Jadhav
 
Artículo Biomol Interaction between ZMIZ2 and AR promotes prostate cancer pro...
bySebastianCastrillon10
 
Template for presentation of patients at the MDT Meeting
byNasri937947
 
Cardiovascular Disease ppt. S.Y D-Pharm.
byAkshata Jain
 
SEMINARIO BIOMOL.pdf (Samuel Cantillo y Karen Bohorquez)
bySamuelCantillo7
 
Seminario Biología Molecular - UNVEILING THE THERAPEUTIC POTENTIAL OF SUYIN ...
bytrabajosupbmdg
 
Seminario biología molecula - EBV-miR-BART5-3p
bysalvarez1862004
 
1.-Dr.-Ajay-Khera- Anemia Mukt Bharat.pptx
byeskaglegal
 
LOW DOSE RADIATHERAPY (LDRT) IN OSTEOARTHRITIS
byKanhu Charan
 
CTEV [ clubfoot] DR ARUN LAL ,DR MOHAMED ASHRAF travancore medical college k...
bydrashraf369
 
BENIGN BREAST DISEASES BBD/ Fibroadenoma, Fibrocystic Diseases/ ANDI.pptx
byDr Sushil Gyawali
 
WHEN NOT TO DO TENDOACHILLES TENOTOMY.pptx
byUmeshPrasadChoudhary
 
ANTIMICROBIAL STEWARDSHIP PROGRAME Vijay.pptx
byVIJAYARengan1
 
HYPERTENSION III SEMESTER ADULT HEALTH NURSING-I
bykeerthi samuel
 
Anatomy of temporal & infratemporal fossa.pptx
byClevin Aswani
 

HOLISTIC APPROACH WOUND PREPARATION INFLAMED

  • 1.
    Holistic Approach inManaging Wound at Primary Health Care WOUND CARE TRAINING MODULE FOR PRIMARY HEALTH CARE
  • 2.
    OBJECTIVES Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Able to understand and establish the quality of wound care through efficient system and effective treatments. Able to establish wound care programme based on holistic approach Able to provide a standardize and systematic wound care services Able to establish trained wound care teams at all health clinics. Provide training to health professionals involved in wound care management
  • 3.
    CONTENT Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Part 1: Introduction Part 2: Wound Care In Primary Health Care Part 3: Challenges In Implementing The Best Practice In Wound Care At Primary Health Care Facilities Part 4: Holistic Approach In Wound Care Programme Part 5: Wound Care Best Practice Part 6: Conclusion
  • 4.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Part 1: Introduction
  • 5.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Introduction • Chronic wounds are common in primary care settings, require a high level of resources, and can have a profound impact on a patient’s quality of life. • The complexity of the wound care ecosystem may give significant challenges due to (i) increasing costs of wound care; (ii) an aging population; (iii) increasing prevalence of comorbidities (eg, obesity); and (iv) bacterial resistance to antimicrobials. • Treating wounds in the community requires a new holistic approach. • The aims is to promote best practice in wound management and to advocate for the rights of people with wounds, to receive the best possible care in a timely manner that meets the needs of the individual and the health service.
  • 6.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Part 2: Wound Care In Primary Health Care
  • 7.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Wound Care In Primary Health Care • In Malaysia, wound care/dressing is one of services that has been provided in primary health clinic – focusing more on wound cleansing and dressing. • The number of patients came for wound dressing had increased overtime due to increased number of road-traffic accidents, increased prevalence of diabetes complications and other chronic diseases such as stroke and cancer. • Majority of the patients were referred from the hospital to continue daily normal saline dressing causing over-crowding of the patients at the dressing room. • The wound care service is not optimize enough due to lack of manpower, inter-personal skills, limitations of infrastructure and advance dressing material.
  • 8.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Wound Care In Primary Health Care • The development of new concepts and insights into wound assessment and healing process and the wide variety availability of effective wound dressing materials triggered the interest of primary health care providers to this new methods of wound care. • Modern wound dressing become more popular as this method had proven shorten the time of wound healing, more cost-effective, reduce the dressing load and improve the quality of life of the patients and their caregivers. DAY 1- 12/11/16 DAY 19- 30/11/16 DAY 28 - 9/12/16 DAY 45 - 26/12/16
  • 9.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Part 3: Challenges In Implementing The Best Practice In Wound Care At Primary Health Care Facilities
  • 10.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Challenges In Implementing The Best Practice In Wound Care At Primary Health Care Facilities CHALLENGES EDUCATIONAL & SKILL ORGANIZATIONAL • Poor clinical governance • Instability in health services • Lack of consensus: expert opinion • Inconsistent research findings • No standardization of accepted practice • Lack of effective clinical role models • Lack of focus on wound management INEFFECIENT SYSTEM LIMITED RESOURCES • Manpower • Products availablity • Material • Infrastructure • Budget • Lack of knowledge & skill • Traditional knowledge/ritualistic practice • Inappropriate training and support • Lack of critical appraisal skills • Negative attitudes to evidence-based practice • Information overload • Improper Block Appointment system • Inaccessibility of continuous care • Discontinue care from secondary and tertiary care to primary care.
  • 11.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia The Implementation Of The Best Practice In Wound Care At Primary Health However, modern wound care cannot be implemented wisely due to many limitations - shortage of manpower, lacking of knowledge and skills on modern wound care dressing among health care providers, limited financial support, inadequate infrastructures and the availability of modern wound dressing products. To optimize the quality of wound care services, few important and drastic interventions need to be planned and implemented with the full support from the top management in the Ministry of Health, at state and districts level. Holistic Approach and Systematic Management of Wound Care in Primary Health Clinics – to meet the demand, minimized the challenges and limitations
  • 12.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Part 4: Holistic Approach In Wound Care Programme At Health Clinic
  • 13.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic • To improve the quality and efficiency of the wound care services at the Health Clinic with emphasize on all aspects of care: - Health education and promotion - Early screening, early detection and early prevention in high risk patients - Early treatment and interventions - Good diabetic control and treated other comorbidities - Prevention of complications/ wound infection - Integrating wound care in domiciliary care program - Empower patient’s caregiver and community in wound prevention and simple wound dressing technique.
  • 14.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic GENERAL OBJECTIVE: • To improve the quality of wound care through efficient system and effective treatments. SPECIFIC OBJECTIVE: • Establish trained wound care teams at all health clinics. • To provide a standardize and systematic wound care services holistically approach. • Provide training to health professionals involved in wound care management. • Improve customer satisfaction with improved functional outcomes and reduce mortality and morbidity. • Increase job satisfaction among health professionals. • Optimize financial and human resources.
  • 15.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic DEFINITION OF HOLISTIC APPROACH • Holistic health care is an integrated approach to system and comprehensive or total patient care that considers the physical, emotional, social, economic, and spiritual needs of the person; his or her response to illness; and the effect of the illness on the ability to meet self-care needs. • Holistic Management is a decision-making framework that ensures our decisions are economically, environmentally and socially sound
  • 16.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic HOLISTIC APPROACH WOUND CARE MODEL COMPREHENSIVE PATIENT CARE HOLISTIC WOUND CARE PROGRAMME Total Patient Care - Physical - Emotional - Social - Spiritual - Economical • Wound Care Team • Training • Wound Care Clinic • Comprehensive Patient Care • Wound Care Registry • Multidisciplinary Integration • Defaulter Tracing System • Community Empowerment
  • 17.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic COMPREHENSIVE PATIENT CARE NUTRITION MENTAL STATUS GENERAL STATUS CO-MORBID DISEASE HOLISTIC WOUND ASSESSMENT MEDICATIONS FAMILY SUPPORT FINANCIAL SUPPORT
  • 18.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic HOLISTIC WOUND ASSESSMENT • Holistic patient assessment is essential in order to identify the causative or contributing factors that could potentially delay or prevent wound healing.4 • Wound assessment is about assessing the wound bed, planning appropriate interventions and reviewing assessments. • The principles of wound assessment and management remain the same, requiring a skilled competent practitioner to do a holistic patient assessment not just focusing on the wound.
  • 19.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic HOLISTIC WOUND CARE PROGRAMME ACTIVITIES OF WOUND CARE UNIT AT HEALTH CLINIC • Establish Wound Care Team in the district/clinic. • Conduct Courses/training for healthcare professional. • Establish Wound Care clinic. • Development of Wound care registry. • Monthly census & data collection • Establish Mobile wound care/home visit • Defaulter tracing system • Multidisciplinary involvement –Dietician, physiotherapies, pharmacist, occupational therapist etc. • Wound care education/ classes for patient, caregiver and NGO. • Community Empowerment • Audit
  • 20.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic WOUND CO- ORDINATOR DR HANIHASELAH BINTI MOHD SALEH FMS CHAMPION DR ASSILA BINTI ABDUL HAMID MO MEMBERS DR NOOR SHAHRUL RAZI BIN ZAID MO EN REDZUAN BIN ZAHARI (U32) PPP PN ALIJAH BINTI HASMUN (U41) KJ PN SITI AMINAH BINTI OTHMAN (U32) KJK EN WAN MOHD KHAIRUL AMIN (U29) PPP EN NASAAEI BAIHAQI ABDUL AZIZ (U29) PPP PN HANANI WAGIMAN (U29) JT CIK KHALIDAH BINTI ROSLI (U29) JT PN ZAKIAH BINTI ZAINAL JM PN MASTURAH BINTI MD HASHIM JM 1.ESTABLISH WOUND CARE TEAM • Establish Wound care Team at district level and identify the role and responsibilities. • Establish wound care Team at clinic level and identify their role and responsibilities. • Involvement of multi-category of healthcare providers
  • 21.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic WOUND CARE TEAM AT DISTRICT LEVEL • Identify the need for facilities, human and financial resources so that wound care activities can be coordinated in the health clinic in a comprehensive and orderly manner. • Planning appropriate human capital development activities in wound care management. • Identify and update the list of appropriate treatment procedures and equipment according to the category and type of wound based on the advice of the State Level Wound Care Committee. • Monitor the service performance of the Wound Care Team at the health clinic through meetings at least twice a year. • Provide strong support for the implementation and wound care program carried out at the health clinic.
  • 22.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic WOUND CARE TEAM AT PRIMARY HEALTH CLINIC • Each member of the Wound Care Team shall be well-trained healthcare professionals in wound care either domestically or overseas. • Provide treatment and consultation regarding optimal wound care management to patients whether new cases or chronic (follow-up) cases. • Provide advice and guidance on appropriate wound care equipment and methods to other health personnel. • Provides health education related to wound care to other health care personnel, patients or the public. • Monitor and evaluate the performance and efficacy of wound care in health clinics while providing reports and retention on wound care management. • Head of the Wound Care Team is responsible as intermediate officer between the District Health Department and the Primary Health Clinic.
  • 23.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic • Continuing professional development helps to improve personal and professional abilities, including the skills of self-awareness, critical appraisal and confidence. (Hick, 1996) • Educational strategies need to be specifically targeted to meet the needs of different professional groups and levels of expertise to maximize effectiveness. • Basic Wound Care Course/ Workshop • Advanced Wound Care Workshop at Primary Care • Bed- side Teaching/Hands On • CME • Attending Wound Care Seminar/Workshop/Conferences • Attachment 2. CONDUCT WOUND CARE TRAINING
  • 24.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic 3. ESTABLISH WOUND CARE CLINIC • Integrated clinic is manage by trained Family Medicine Specialist (FMS) together with Medical Officer (MO) & paramedical staff. • All referred wound cases must be reviewed by MO. • Holistic Wound assessment will be performed & treatment plan will be provided. • The treatment plan will be reviewed according to the progress of the wound healing process. • Follow up treatment will be reviewed by FMS/MO - every 1 to 2 weeks or as needed. • Patients need to be registered & given follow-up appointment.
  • 25.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic 4.STANDARD PROTOCOL & WORK PROCESS Established new guidelines to ensure that every hospitals & primary health clinics provide the standard and quality wound care management
  • 26.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic • Development of work flow chart and a comprehensive wound clerking sheet to assist in identifying, gathering and interpreting information about the patient and wound to ensure accurate diagnosis • The use of a standard and systematic method of wound evaluation helps us to provide the most appropriate treatment for the patient as well as to help in monitoring the healing process and prevention of complications. 5.WORK FLOW & WOUND ASSESSMENT FORM
  • 27.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic FLOW CHART
  • 28.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic Wound Bed Assessment A standard and systematic method of wound evaluation helps us to provide the most appropriate treatment
  • 29.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic Wound Type & Treatment Recommendation
  • 30.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic Wound Type & Treatment Recommendation
  • 31.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic Wound Type & Treatment Recommendation
  • 32.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic WOUND ASSESSMENT FORM
  • 33.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic WOUND PROGRESSION & CONSENT FORM
  • 34.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic WOUND HEALING PROGRESS CHART One form is for a patient and is filled by a health care provider every time the dressing is carried out. This form should be applied until the patient ends the treatment.
  • 35.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic 6.REFERRAL SYSTEM • REFERRAL FROM HEALTH CLINIC TO HOSPITAL • REFERRAL FROM HOSPITAL TO CLINIC • REFERRAL FROM CLINIC TO OTHER CLINIC
  • 36.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic 7.MODERN WOUND CARE PRODUCTS ⚫ MAKE IT AVAILABLE ⚫ DEVELOP USAGE CONTROL SYSTEM ⚫ PROVEN ENHANCED WOUND HEALING PROSES ⚫ COST-EFFECTIVE ⚫ AFFORDABLE
  • 37.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic KKM/BPKK/WC 101-2018 8.DAILY WORKLOAD WOUND DRESSING IN HEALTH CLINICS Every patient who comes (new or chronic/follow-up case) to get a wound care treatment should be recorded in the daily workload.
  • 38.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic MONTHLY CENSUS FORMAT Monthly Census Report KKM/BPKK/WC 201-2018
  • 39.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic 9.MOBILE WOUND CARE TEAM (PHC TEAM) • To provide the services near to home. • Especially for the patients who having difficulties to receive the primary care services. • The need to train all staff about prevention & treatment of injuries • 'Family counselling' - injury prevention, nutrition. • Involve family members in wound care - wound cleansing at home. • 'Defaulter tracing’ • Do not need a special wound care team. • Integration with domiciliary care and home-visit teams.
  • 40.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic Wound Care & Domiciliary Care : An Integrated Service KKJM • MULTI TASKING • MULTI SKILLING • COST EFFECTIVE (RESOURCES, TIME, MONEY.) • HIGH QUALITY COMPREHENSIVE CARE • EMPOWERMENT OF PATIENT & CARE GIVER ON MANAGEMENT DOMI CARE + WOUND CARE = HOME CARE WOUND CARE (HCWC)
  • 41.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic 10. COLLABORATION OF WOUND CARE TEAM WITH OTHER AGENCIES • ORTHOPAEDIC DEPARTMENT HEBHK • KLUANG ISLAMIC RELIGIOUS COUNCIL • KLUANG NURSING COLLEGE • KLUANG CANCER COUNCIL • KLUANG UTAMA SPECIALIST HOSPITAL (KUSH) • PRIMARY HEALTH CARE CLINIC ADVISORY BOARD MEMBERS • KOSPEN VOLUNTEERS • NGOs Teamwork is what makes us the best… If we have good teamwork, networking, and collaboration, we will almost always have good outcomes.
  • 42.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic 11. AUDIT PROGRAM PENJAGAAN LUKA DI FASILITI KESIHATAN PRIMER • MEMANTAU KEMAJUAN PELAKSANAAN PROGRAM PENJAGAAN LUKA DI LAPANGAN. • MENILAI KEBERKESANAN PROGRAM DI DALAM MEMBERIKAN PENJAGAAN LUKA BERKUALITI • MENGENAL PASTI KEPERLUAN SUMBER YANG PERLU DITAMBAH BAIK & DISELESAIKAN UNTUK MENINGKATKAN KUALITI PERKHIDMATAN. • MENYEMAK SEMUA DOKUMENTASI YANG PERLU. • SISTEM KAWALAN PENGGUNAAN PRODUK PENJAGAAN LUKA & UBAT- UBAT BERKAITAN • HASIL KEJUMPAAN AUDIT DAPAT MEMBANTU PASUKAN PENJAGAAN LUKA MERANCANG PELAN TINDAKAN UNTUK MENINGKATKAN KUALITI PERKHIDMATAN
  • 43.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic AUDIT PROGRAM PERKHIDMATAN PENJAGAAN LUKA
  • 44.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic AUDIT PROGRAM PERKHIDMATAN PENJAGAAN LUKA
  • 45.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Holistic Approach In Wound Care Programme At Health Clinic AUDIT PROGRAM PERKHIDMATAN PENJAGAAN LUKA
  • 46.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Part 5: Wound Care Best Practice Clinic
  • 47.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Wound Care Best Practice Clinic • PURPOSE: A Process for Continuous Monitoring and Improvement of Wound Care Quality • Center of Excellence, that identifies a facility as having special skills in taking care of patients with wounds. • Those facilities that demonstrably improve the quality of life for their patients with wounds. • It is a recognition of staff members’ compassion, dedication to optimizing patient outcomes, and ongoing efforts to educate not only themselves, but their patients
  • 48.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Wound Care Best Practice Clinic • The Center of Excellence in Wound Management was created to highlight and identify facilities that have developed a superior wound management program • The patients will be attended to by a wound physician that provides bedside wound services, a wound care nurse who has been educated and trained on chronic wounds, and a multispecialty interdisciplinary team approach to wound closure.
  • 49.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Wound Care Best Practice Clinic • PASUKAN PENJAGAAN LUKA YANG TERLATIH - a team having a minimum of two members with advanced training and/or more than five years of experience in wound care, representing a minimum of two different clinical disciplines (eg, a physician, a nurse, a dietitian, a physiotherapist, an occupational therapist, and a chiropodist), who share responsibility for the community based patient with a chronic wound ‐ • PROSES KERJA YANG TERATUR DAN SISTEMATIK • DOKUMENTASI YANG LENGKAP . KRITERIA
  • 50.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Wound Care Best Practice Clinic • SISTEM TEMUJANJI YANG EFISIEN • SISTEM ‘DEFAULTER TRACING’ • AMALAN KAWALAN INFEKSI YANG BAIK - Anggota Unit/ Pasukan Penjagaan Luka dikehendaki mematuhi Standard Precaution berdasarkan 3 Polisi dan Prosedur Kawalan Jangkitan KKM • QA/INOVASI/KAJIAN • MEMPUNYAI JARINGAN KERJASAMA YANG BAIK DENGAN PELBAGAI AGENSI • SESUAI SEBAGAI ‘TRAINING CENTRE’ KRITERIA
  • 51.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Part 6: Conclusion
  • 52.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia Conclusion • Throughout the years, techniques of wound care has evolved and enhanced tremendously. • It requires holistic approached assessment that involves identifying, gathering and interpreting information about the patient and wound to ensure accurate diagnosis, appropriate treatment, proper monitoring and prevention of complications. • Managing wounds with modern dressing techniques in primary health care are very challenging but shown to be effective in shorten the healing process, reduced the work load and improve quality of life of the patients. • Combining modern wound dressing techniques with a structured, Holistic and Systematic Management of Wound Care bring for better outcome. • Continuous learning and proper practice in managing wound will ensure healthcare providers giving the best care for the patients.
  • 53.
    Wound Care TrainingModule for Primary Health Care | Ministry of Health Malaysia SOME WOUNDS WON’T HEAL ON THEIR OWN. AND WHEN THAT HAPPENS YOU NEED TO SEE WOUND CARE SPECIALIST WHO KNOW HOW TO HEAL YOU Prepared by: • Dr. Hanihaselah binti Mohd Salleh, Pakar Perunding Perubatan Keluarga, Jusa C , Klinik Kesihatan Kulai • En. Mahadi bin Ismail, Penolong Pegawai Perubatan U41, Unit Primer, PKD Dungun

Editor's Notes