This document discusses wound care within the context of domiciliary care services. It begins with defining domiciliary care services and outlining their objectives and scope. It then discusses best practices in home wound care, including recommendations for healthcare professionals' knowledge and skills as well as products, devices, and materials used for wound prevention and management. Common wounds seen in home care are presented along with potential equipment-related injuries. The document emphasizes the importance of comprehensive wound assessment and management within domiciliary care services to ensure holistic patient care. It concludes by highlighting some limitations of home wound care and calling for adequate resources to properly implement best practices.
Dokumen tersebut memberikan informasi mengenai persiapan sebelum dan perawatan setelah pembedahan secara umum. Persiapan sebelum pembedahan meliputi persiapan psikologis, fisik, dan administratif. Perawatan setelah pembedahan meliputi perawatan awal, setelah sadar dari bius, hingga pemulihan total, serta komplikasi yang mungkin terjadi.
Dokumen tersebut membincangkan beban yang ditanggung oleh penjaga pesakit terlantar sepenuh masa. Ia menyentuh mengenai tanggungjawab penjaga, jadual sibuk mereka, dan sokongan yang diperlukan daripada sistem kesihatan, sosial, dan dasar negara bagi memudahkan penjagaan pesakit terlantar. Dokumen ini menekankan pentingnya pengurusan kes yang baik semasa proses discaj pesakit d
Pekeliling Ketua Pengarah Kesihatan Bil. 10 Tahun 2011 (Garis Panduan Pelaksa...Nor Farah Bakhtiar
[Ringkasan]
Dokumen ini memberikan panduan pelaksanaan pembentukan Pasukan Penjagaan Luka di rumah sakit-rumah sakit Kementerian Kesehatan Malaysia untuk meningkatkan kualitas perawatan luka. Dokumen ini menjelaskan struktur organisasi komite dan tim penjagaan luka serta tugas dan tanggung jawab mereka. Dokumen ini juga menetapkan rumah sakit prioritas untuk pelaksanaan awal dan lanjutan program ini.
Dokumen tersebut memberikan informasi mengenai persiapan sebelum dan perawatan setelah pembedahan secara umum. Persiapan sebelum pembedahan meliputi persiapan psikologis, fisik, dan administratif. Perawatan setelah pembedahan meliputi perawatan awal, setelah sadar dari bius, hingga pemulihan total, serta komplikasi yang mungkin terjadi.
Dokumen tersebut membincangkan beban yang ditanggung oleh penjaga pesakit terlantar sepenuh masa. Ia menyentuh mengenai tanggungjawab penjaga, jadual sibuk mereka, dan sokongan yang diperlukan daripada sistem kesihatan, sosial, dan dasar negara bagi memudahkan penjagaan pesakit terlantar. Dokumen ini menekankan pentingnya pengurusan kes yang baik semasa proses discaj pesakit d
Pekeliling Ketua Pengarah Kesihatan Bil. 10 Tahun 2011 (Garis Panduan Pelaksa...Nor Farah Bakhtiar
[Ringkasan]
Dokumen ini memberikan panduan pelaksanaan pembentukan Pasukan Penjagaan Luka di rumah sakit-rumah sakit Kementerian Kesehatan Malaysia untuk meningkatkan kualitas perawatan luka. Dokumen ini menjelaskan struktur organisasi komite dan tim penjagaan luka serta tugas dan tanggung jawab mereka. Dokumen ini juga menetapkan rumah sakit prioritas untuk pelaksanaan awal dan lanjutan program ini.
Dokumen tersebut membahas tentang standar dokumentasi keperawatan, termasuk tujuan, prinsip, komponen, dan indikatornya. Standar dokumentasi dirancang untuk memfasilitasi komunikasi, akuntabilitas, dan keamanan informasi pasien."
Dokumen tersebut memberikan ringkasan tentang pembebatan atau dressing luka. Ia menjelaskan definisi pembebatan, tujuan dan objektifnya, peralatan yang diperlukan, prosedur pembebatan, jenis-jenis balutan, peralatan balutan, dan penilaian sebelum dan selepas pembebatan serta komplikasi yang mungkin timbul. Prosedur pembebatan melibatkan membersihkan, memeriksa dan membalut luka dengan cara aseptik untuk men
Dokumen tersebut membahas konsep dasar keperawatan perioperatif yang mencakup tiga fase yaitu pra-operatif, intra-operatif dan pasca-operatif. Fase pra-operatif mempersiapkan pasien secara fisik dan psikologis untuk operasi, sedangkan fase intra-operatif meliputi proses operasi dan pemantauan pasien. Fase pasca-operatif berfokus pada pemulihan dan rehabilitasi pasien pasca operasi.
Primary healthcare is defined by the WHO as essential healthcare that is accessible to all individuals and families in a community. It aims to reach everyone, particularly those in greatest need. The 8 essential services provided are health education, nutrition, water/sanitation, maternal/child care, immunization, disease prevention/control, basic treatment, and essential drugs.
Malaysia adopted the primary healthcare approach prior to 1978 and provides 8 essential services plus dental care at rural clinics. Primary healthcare in Malaysia is provided by clinics, aims to be comprehensive and continuous, and involves promoting health, preventing and treating illness. It has expanded services and upgraded facilities over time to improve accessibility and quality of care.
Epilepsi adalah gangguan otak yang menyebabkan sawan berulang. Ia disebabkan oleh gangguan elektrik dalam otak yang mengakibatkan gejala seperti hilang kesadaran, kejang otot, atau gangguan deria. Epilepsi boleh berlaku pada semua umur dan jenis sawan termasuk sawan umum dan sawan sebahagian. Diagnosis epilepsi melibatkan ujian seperti EEG dan pemeriksaan lain untuk mengenal pasti lokasi gang
Dokumen tersebut membahas tentang perawatan luka modern yang meliputi definisi luka, proses penyembuhan luka, faktor yang mempengaruhinya, pengkajian luka, perencanaan perawatan meliputi pemilihan balutan luka dan terapi alternatif, implementasi perawatan, evaluasi, serta dokumentasi perawatan luka. Dokumen ini menjelaskan proses penyembuhan luka secara rinci dan merupakan pedoman bagi perawat dalam melakukan peraw
This document discusses wound care as an integrated service within Domiciliary Care Service (DCS) in Malaysia.
The DCS aims to provide holistic nursing care, palliative care, and community-based rehabilitation to stable patients in their homes. The DCS team includes family medicine specialists, medical assistants, nurses, and allied health professionals.
As part of DCS, wound care focuses on best practices for home wound care, including assessing wounds, using appropriate dressings and devices, educating patients and caregivers, and documenting wound status. Integrating wound care into DCS allows for continued treatment of wounds at home following hospital discharge.
Dokumen tersebut membahas tentang standar dokumentasi keperawatan, termasuk tujuan, prinsip, komponen, dan indikatornya. Standar dokumentasi dirancang untuk memfasilitasi komunikasi, akuntabilitas, dan keamanan informasi pasien."
Dokumen tersebut memberikan ringkasan tentang pembebatan atau dressing luka. Ia menjelaskan definisi pembebatan, tujuan dan objektifnya, peralatan yang diperlukan, prosedur pembebatan, jenis-jenis balutan, peralatan balutan, dan penilaian sebelum dan selepas pembebatan serta komplikasi yang mungkin timbul. Prosedur pembebatan melibatkan membersihkan, memeriksa dan membalut luka dengan cara aseptik untuk men
Dokumen tersebut membahas konsep dasar keperawatan perioperatif yang mencakup tiga fase yaitu pra-operatif, intra-operatif dan pasca-operatif. Fase pra-operatif mempersiapkan pasien secara fisik dan psikologis untuk operasi, sedangkan fase intra-operatif meliputi proses operasi dan pemantauan pasien. Fase pasca-operatif berfokus pada pemulihan dan rehabilitasi pasien pasca operasi.
Primary healthcare is defined by the WHO as essential healthcare that is accessible to all individuals and families in a community. It aims to reach everyone, particularly those in greatest need. The 8 essential services provided are health education, nutrition, water/sanitation, maternal/child care, immunization, disease prevention/control, basic treatment, and essential drugs.
Malaysia adopted the primary healthcare approach prior to 1978 and provides 8 essential services plus dental care at rural clinics. Primary healthcare in Malaysia is provided by clinics, aims to be comprehensive and continuous, and involves promoting health, preventing and treating illness. It has expanded services and upgraded facilities over time to improve accessibility and quality of care.
Epilepsi adalah gangguan otak yang menyebabkan sawan berulang. Ia disebabkan oleh gangguan elektrik dalam otak yang mengakibatkan gejala seperti hilang kesadaran, kejang otot, atau gangguan deria. Epilepsi boleh berlaku pada semua umur dan jenis sawan termasuk sawan umum dan sawan sebahagian. Diagnosis epilepsi melibatkan ujian seperti EEG dan pemeriksaan lain untuk mengenal pasti lokasi gang
Dokumen tersebut membahas tentang perawatan luka modern yang meliputi definisi luka, proses penyembuhan luka, faktor yang mempengaruhinya, pengkajian luka, perencanaan perawatan meliputi pemilihan balutan luka dan terapi alternatif, implementasi perawatan, evaluasi, serta dokumentasi perawatan luka. Dokumen ini menjelaskan proses penyembuhan luka secara rinci dan merupakan pedoman bagi perawat dalam melakukan peraw
This document discusses wound care as an integrated service within Domiciliary Care Service (DCS) in Malaysia.
The DCS aims to provide holistic nursing care, palliative care, and community-based rehabilitation to stable patients in their homes. The DCS team includes family medicine specialists, medical assistants, nurses, and allied health professionals.
As part of DCS, wound care focuses on best practices for home wound care, including assessing wounds, using appropriate dressings and devices, educating patients and caregivers, and documenting wound status. Integrating wound care into DCS allows for continued treatment of wounds at home following hospital discharge.
Supporting Cancer Survivors in the Workplace and Managing CostsHuman Capital Media
This document summarizes a webinar on cancer, culture, and careers. It provides 3 options for listening to the webinar - computer speakers, telephone dial-in, or teleconference. It also outlines the agenda which includes speakers from the National Comprehensive Cancer Network and National Business Group on Health discussing survivors in the workplace, the high cost of cancer, taboos and stereotypes, survivor stories, and employer challenges. Polling questions are included to gauge participant understanding.
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This document provides information on safe patient handling for healthcare workers. It defines safe patient handling, lists the benefits, and describes why manual handling causes injuries. It notes that nursing can no longer sacrifice nurses' health to patient handling and that over 50% of nurses report back pain. Various equipment is demonstrated and guidelines are presented for assessing patient mobility risk factors. National guidelines recommend a maximum 35 pound lifting limit for healthcare workers. Overall it promotes adopting safe patient handling practices and equipment to prevent injuries to both patients and healthcare staff.
The document discusses Draper & Dash, a UK-based healthcare technology company that provides data analytics applications and professional services to help healthcare organizations improve quality, safety, and efficiency. Some key points:
- Draper & Dash has over 22 clinical, operational and corporate healthcare data analytics applications.
- Their applications provide real-time visualization of key metrics like operating room utilization, mortality rates, and more to help hospitals identify areas for improvement.
- Over 40 hospitals in the UK, Australia, and Ireland use Draper & Dash's products, and the company expects revenue to triple in 2015 as it expands into new territories and releases new mobile applications.
- A case study highlights how The Royal Melbourne Hospital in
Cadth 2015 b6 monday 1330hrs unmentionables presentation ble 3CADTH Symposium
This document discusses several common hospital products that are often used without evidence-based decisions due to assumptions about their low costs and inconsequential impact on budgets. It examines the available evidence on disposable gloves, face masks, and stool softener medications. For each product, it summarizes the existing evidence, provides expert guidelines, and discusses opportunities to optimize usage and potentially reduce costs based on a fuller understanding of the evidence.
February 2004 Hand Hygiene Presentation at Meeting of the Veterans Health Adm...Noel Eldridge
This slide set is almost 10 years old, but it hits some good points. Especially about us knowing what doesn't work to reduce healthcare associated infections, and needing to do things differently. I have a video of this presentation on a VHS tape somewhere and need to figure out how to get it on YouTube like one I did at the conclusion of the Six Sigma Project referred to in these slides. http://www.youtube.com/watch?v=Zb_fVETGzwg
Some formatting is a little off in the translation to the current version of PowerPoint, but I didn't want to start editing and be tempted to change anything.
A service improvement focused on frailty using an R&D approach, pop up uni, 3...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Downtown Radiology provides diagnostic imaging services including x-ray and ultrasound. It is accredited and follows strict safety and quality standards. Key leadership includes the Medical Director, CEO, and department supervisors who are responsible for implementing policies and procedures. The document outlines emergency response plans, radiation safety protocols, infection control measures, confidentiality policies, and standard operating procedures to guide employees in their work.
Cloud9 provides next generation healthcare solutions including clinical, connectivity, financial, and administrative systems. It aims to deliver patient information to all stakeholders and provide solutions to help move clinicians to evidence-based medicine. Cloud9's business strategy is to become a leader in key healthcare markets and deliver lower cost systems to more providers to improve care. It offers the Cloud9 Healthcare Ecosystem including the Spine platform and Clarity collective intelligence platform to integrate systems and improve care coordination. Synchronicity is Cloud9's integration and interoperability platform that uses event processing and adaptable workflows to enable application and data integration across healthcare organizations.
Quality in critical care aims to provide care that is safe, effective, patient-centered and improves outcomes. There is global variation in critical care resources and processes. Quality improvement is important as substandard critical care can harm patients and waste resources. Quality can be measured through indicators related to ICU structure, care processes and patient outcomes. Checklists and tools from WHO help standardize processes and improve quality.
The document discusses various modules of a Hospital Management System (HMS). It describes modules for managing the inpatient department (IPD), outpatient department (OPD), laboratory tests, pharmacy operations and billing, nursing services, radiology equipment and tests, physiotherapy treatments, and operation theaters. The HMS allows hospitals to automate processes, maintain patient records and test results, generate bills, and improve overall efficiency through digitization.
A B.Sc Anaesthesia and Operation Theatre Technology degree from Santosh deemed to be university, Ghaziabad can provide you skills to work in field of medicine and Operation Theatre. It helps you develop your critical thinking, analytical, communication and practical skills. It is wide comprehensive program in which students are trained theoretically and practically for various job opportunities.
B.Sc. in Anaesthesia Technology course is opted by students who wish to learn about anesthesia equipment, anesthesia agents, techniques as well as dosage in order to ensure a better monitoring of the patient.
The knowledge gained by the students through B.Sc. in
April 18, 2015
Decision aids can be highly-effective tools to promote shared decision making and support patients in becoming engaged participants in their healthcare. Join us for the first-ever convening with leaders behind a Washington experiment in certifying decision aids, as state officials, health systems, and on-the-ground implementation experts share lessons learned and discuss policy recommendations for national or statewide approaches to decision aid certification.
For more information, visit our website at: http://petrieflom.law.harvard.edu/events/details/decision-aids-for-patients-with-serious-illness
The document is a project report submitted by Megha Milind Sawant for the partial fulfillment of an MBA degree. It discusses conducting a study on the efficiency of the Central Sterile Supply Department (CSSD) in a multispecialty hospital. The CSSD is responsible for sterilizing medical equipment and supplies before use. The objectives of the study are to develop safety checklists for the CSSD and ensure quality sterilization processes to reduce hospital infections and improve patient care. The report provides background information on the CSSD, including its functions, policies, history and objectives.
ICN Victoria presents Dr Dashiell Gantner, research fellow at the Monash University in Melbourne. Here he talks about translating ICU research into clinical practice.
This document provides a summary of Medhat Gamal Abdel Ghafour Mohamed's professional experience and qualifications. He has over 27 years of experience in clinical risk management, patient safety, and quality management. His most recent role was as Clinical Risk Manager at Al Noor Specialist Hospital in Makkah, KSA, where he implemented a hospital risk management program. Prior to that, he held several director roles focused on quality assurance, patient safety, and occupational health. He has a Master's Degree in Environmental and Occupational Medicine from Cairo University and several professional certificates in areas like clinical risk management and hospital administration.
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The document discusses discharge planning for spinal cord injured patients. It emphasizes engaging patients and families in the process to safely transition care from hospital to home. The discharge plan involves assessing the patient's clinical history and prognosis, coordinating home services and equipment needs, and setting up follow-up appointments with healthcare providers to monitor recovery. Effective discharge planning is a collaborative process that aims to improve outcomes and prevent hospital readmissions.
A nurse has many duties when working in a therapeutic department including maintaining patient psychological well-being, ensuring a safe and clean environment, communicating with patients, collaborating with physicians and staff, managing patient care, monitoring patients, assisting with diagnostic testing, and administering medication. Specifically, the nurse assesses patient needs, develops care plans, provides direct care, monitors patients, assists with testing, and administers medication in accordance with physician orders while documenting all care and maintaining organization.
This document provides an overview of common dressing materials used in different medical disciplines such as orthopedics, surgery, ENT, A&E, oncology, and more. It discusses traditional/conventional dressings including gauze, gamgee, elastic bandages, povidone, and chlorhexidine. It also discusses modern/advanced dressings like wound bed hydrants, antimicrobial solutions, and antimicrobial primary and secondary dressings. Adjunctive treatments like HBOT, topical oxygen therapy, and growth factors are also mentioned.
This document compares the old methods of wound dressing (conventional dressings) to modern wound dressing materials. The old methods, referred to as "The Old Army", include commonly used antiseptics like chlorhexidine, hydrogen peroxide, potassium permanganate, povidone iodine, acetic acid, silver sulfadiazine, alcohol, methylated spirit, and acriflavine solution. The mechanisms of action, efficacy, cytotoxicity, and limitations of each are discussed. "The New Army" refers to over 100 modern dressing products on the market that provide moisture control, interactive properties, and other advanced features compared to traditional gauze dressings.
This document summarizes a presentation on chronic wound management in primary care. It discusses identifying the etiology of chronic wounds, assessing systemic factors, executing basic treatment including wound bed preparation and dressing selection, providing patient education, and establishing long term management plans. Specific guidance is provided on managing common chronic wound types like diabetic foot ulcers, venous leg ulcers, and pressure injuries. Data on chronic wound cases in one primary care setting is also presented, showing most wounds are chronic and related to diabetes. The full presentation is accessible online for free.
The document provides information on different types of wound debridement. It defines debridement as the removal of foreign material and devitalized or contaminated tissue from a wounded area. Various debridement methods are described, including sharp, mechanical, enzymatic, and larval therapies. Factors to consider when selecting a debridement method are outlined in an algorithm, such as time required, patient pain tolerance, environment, and caregiver skill level. The overall conclusion is that debridement should be performed when needed according to the algorithm guidelines and contraindications.
This document discusses wound assessment tools and the TIME concept for wound bed preparation. It describes the Triangle of Wound Assessment (TOWA) tool, which assesses three areas: Tissue type, Infection or inflammation, and Moisture imbalance. The document provides an example application of the TOWA tool to assess a chronic leg wound. It finds sloughy and granulating tissue types, possible infection due to high exudate and edema, and full periwound maceration. The TOWA is presented as a simple yet comprehensive tool for wound assessment.
Wound Management in Domiciliary Palliative Care wan zuraini
Basic teaching on wound management seen in home care / domiciliary palliative care in Malaysia. Spesifically describe management of pressure ulcer at home.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
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Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
1. Wound Care Vs Domiciliary Care : An
Integrated Service
Dr Wan Zuraini
2. About me
• Clinic Manager
Klinik Luka & Perubatan Rehabilitasi
Hospital Serdang (2008 – 2013)
Klinik Rehabilitasi Kardiak Hospital
Serdang (2008 – 2013)
Klinik Perubatan Luka PKD Kuala Langat
(2013 – current)
• Program Manager
Domiciliary Care Services PKD Kuala
Langat (2013 – current)
Domiciliary Palliative Care Services PKD
Kuala Langat (2016 – current)
3. GENERAL GUIDE
SLIDE WITH CROSSMARK LOGO CARRIES SIGNIFICANT ACADEMIC
& CLINICAL IMPORTANCE
YOU COULD ALSO PRE-ACCESS THIS PRESENTATION ON
SLIDESHARE.NET
KEYWORDS: Wan Zuraini, Domi wound care, home wound
care
5. DEFINASI
DCS
PERKHIDMATAN PERAWATAN DOMISILIARI
(MENGGUNAPAKAI DEFINISI PERKHIDMATAN
PERAWATAN DI RUMAH)
Perkhidmatan Perawatan Domisiliari (PPD)
adalah satu perkhidmatan perawatan holistik
yang diberikan kepada kes stabil yang terlantar
dan memerlukan kesinambungan penjagaan
serta perawatan selepas discaj dari hospital
atau rujukan dari klinik kesihatan.
Perkhidmatan Perawatan Di Rumah telah
diluluskan semasa Mesyuarat JDPKK Bil. 4/
2007 bertarikh 19 Disember 2007.
Melibatkan penjaga & pesakit terlantar
6. OBJEKTIF
DCS
1. OBJEKTIF
UMUM :
Untuk membantu dalam
perawatan dan penjagaan
pesakit yang terlantar di
rumah ke arah meningkatkan
kualiti hidup pesakit. (QOL)
2. OBJEKTIF
KHUSUS :
Membantu pesakit
meneruskan rawatan dan
penjagaan di rumah sebagai
kesinambungan rawatan
selepas discaj dari hospital
(continuation of treatment)
Memberi panduan dan tunjuk
ajar kepada pesakit dan
keluarga bagi meningkatkan
penjagaan kendiri. (guidance)
Menggalakan penyertaan
keluarga dan masyarakat
dalam pengendalian pesakit
terlantar bagi mengurangkan
kemasukan semula ke
hospital. (carer involvement)
7. History &
Development
of DCS
NBOS 7 1Malaysia Family Care –
perawatan rehabilitasi di komuniti (CBR)
melalui penaiktarafan perawatan di
rumah (PDR)
PDR – rawatan di rumah atas rujukan yang
tidak berstruktur & tiada system discaj
Cth: 2wkly RT Change
8. SKOP
PERKHIDMATAN
DCS
• Perkhidmatan perawatan termasuk latihan
teknik mencegah berlakunya kudis tekanan,
pendidikan mengenai rawatan luka dan
penjagaan kebersihan, menukar tiub
nasogastrik, kateter urethral, pemeriksaan
darah ujian gula darah dan mengambil
tekanan darah dan penyediaan sokongan
emosi.
1. Perawatan
• Aktiviti rehabilitasi bagi kes yang memerlukan
termasuk rehabilitasi pergerakan aktif dan
pasif serta latihan activity of daily living.
2. Rehabilitasi
• Perkhidmatan ini merangkumi perawatan
yang melibatkan penjagaan paliatif.
3. Paliatif
10. Best practice of HCWC
Minimum
recommendations for
Health Care
Professionals’
knowledge and skill
01
Recommendations for
products, devices and
materials for wound
prevention and
wound management
02
EWMA Document HCWC 2014
11. 1. Minimum recommendations for Health
Care Professionals’ knowledge and skill
A. Level of knowledge
• Assess complex wounds and wound healing
• Implement wound management based on best practice
and evidence
• Select best available wound care products in the
context of holistic care
• Support patient’s independence and participation in
decision making
• Educate patient and informal carers in self-care and
wound prevention
• Document wound healing, symptoms and treatment of
wounds as well as patients’ and informal carers’
concordance with care
• Ensure the continuity of care in all
circumstances/conditions
• Integrate multi-professional knowledge for the patient
care by using consultation and ehealth
12. 1. Minimum recommendations for Health
Care Professionals’ knowledge and skill
B. Competencies
• Be able to attend the patient and/or the environment of
the patient during the different phases of their illness
• Provide education for patients and their informal carers
within their social environment
• Coordinate the management of the wounds regarding
the prophylactic and therapeutic principles
• Engage in continuous professional development to
maintain knowledge and skills
13. Key features for
selection of
products, devices
and materials for
wound prevention
and wound
management
• Use safe products (with
minimal collateral effects)
• Use simple to use
products (to reduce risk
and anxiety from the
informal career or the
patient)
• Use disposable products
when possible (to reduce
risk of transmission of
infections from home to
Home)
• Use products that reduce
pain (to reduce risk and
anxiety from the patient
and the informal career)
• Use products that have a
wide range of application
14. Cont’ - Key features for products, devices and
materials for wound prevention and wound
management
Wound
dressings can
be effectively
used through
extended
parts of the
healing
continuum
Wound
dressings
should not
stick to the
wound bed,
and should
eliminate or
minimize need
for wound bed
cleaning
Wound
products are
easy to use
and access,
especially if
patient or
informal carer
takes part in
wound
management
Wound
products
enable the
lowest overall
cost, including
the cost of
home care
services and
patient costs
Wound
product are
eco-friendly
16. What should be in your bags?
1. Recommended products for HCWC
PRODUCTCATEGORIES
1. Wound prevention – lotions for
thin and flat epidermis, loss of skin
elasticity
Lotion for thin and flat epidermis,
loos of ski elasticity
2. Wound bed preparation
Antimicrobial strategy
1. Cleansing agent
Moisture control
Debridement
3. Dressings
Absorbent dressings, antimicrobial
dressings, foams, gels, hydrocolloids,
polymeric membrane dressing,
periwound management
4. Fixation Bandages and tapes
17. 2.Recommended
device for HCWC
For wound
prevention
• Pressure redistribution
mattresses
• Cushions
• Total offload device
• Garments
• Therapy shoes
20. 2.Recommended materials for
HCWC
Patient education
materials – leaflets
information on
nutrition, wound care
at home
1
Best practice evidence
– National and
international guideline
2
22. Wound Assessment Tools
1. Pressure ulcer Scale for Healing (PUSH)
2. Pressure Sore Status Tools (PSST)
3. Bates-Jensen Wound Assessment Tool (BWAT)
4. Sessing Scale (SS)
5. Sussman Wound Healing Tool (SWHT)
6. Wound Healing Scale (WHS)
7. DESIGN
8. Leg Ulcer Management Tool (LUMT)
9. ASEPSIS
10. Barber Measuring Tool (BMT)
11. Photographic Wound Assessment Tool (PWAT)
12. Triangle of Wound Assessment (TOWA)
13. Wound Chart (Manual Wound Care Malaysia 1st Edition 2014)
Assessment of wound healing: validity, reliability and sensitivity of available
instruments, Pillen & Miller 2009
23. Limitation
• Lack of adherence to clinical guidelines
• Lack of wound care expertise demand below
competencies
• Finance resources for dressing materials, devices
and education training
30. Conclusion
With adequate knowledge and resources,
it is mandatory to perform a synergistic
comprehensive wound assessment and
management within Domiciliary Care
Service to ensure holistic care are
properly delivered.
31. Thank You
Dr Wan Zuraini Mahrawi
Wound Care Clinician
MSc Wound Healing & Tissue
Repair (UK), GCFM
mrs.wanzu@gmail.com
+6011-33515410
Editor's Notes
Animated spinning picture
(Intermediate)
Tip: Some shape effects on this slide are created with the Combine Shapes commands. To access this command, you must add it to the Quick Access Toolbar, located above the File tab. To customize the Quick Access Toolbar, do the following:
Click the arrow next to the Quick Access Toolbar, and then under Customize Quick Access Toolbar click More Commands.
In the PowerPoint Options dialog box, in the Choose commands from list, select All Commands.
In the list of commands, click Combine Shapes, and then click Add.
To reproduce the shape effect on this slide, do the following:
On the Home tab, in the Slides group, click Layout, and then click Blank.
Also on the Home tab, in the Drawing group, click Shapes, and then under Basic Shapes click Oval (first row).
On the slide, drag to draw an oval.
Select the oval. Under Drawing Tools, on the Format tab, in the Size group, enter 6” in the Height box and 6” in the Width box.
Also on the Format shape, in the Shape Styles group, click Shape Outline, and then click No Outline.
On the Home tab, in the Drawing group, click Shapes, and then under Basic Shapes click Pie (second row).
On the slide, drag to draw a pie.
Select the pie. Drag the yellow diamond adjustment handle to create a wedge shape.
Under Drawing Tools, on the Format tab, in the Size group, enter 5.7” in the Height box and 5.7” in the Width box.
Press and hold CTRL, select the oval, and then select the pie. On the Home tab, in the Drawing group, click Arrange, point to Align, and then do the following:
Click Align to Slide.
Click Align Center.
Click Align Middle.
Press and hold CTRL, and then select the oval and then the pie shape. On the Quick Access Toolbar, click Combine Shapes, and then click Shape Subtract.
Select the new shape. Under Drawing Tools, on the Format tab, in the Shape Style group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane, in the Fill pane, click Picture or texture fill, and then click the button next to Texture and click Recycled Paper (third row).
Also in the Format Shape dialog box, click Picture Color in the left pane, in the Picture Color pane, under Recolor, click the button next to Presets, and then click Grayscale (first row).
Also in the Format Shape dialog box, click Picture Corrections in the left pane, in the Picture Corrections pane, under Brightness and Contrast, in the Contrast box, enter 20%.
Also in the Format Shape dialog box, click Shadow in the left pane, in the Shadow pane, click the Presets button, and then under Outer, click Offset Diagonal Bottom Left.
Also in the Shadow pane, in the Blur box, enter 10 pt.
To reproduce the picture effects on this slide, do the following:
On the Insert tab, in the Images group, click Picture. In the Insert Picture dialog box, select a picture and then click Insert.
Select the picture. Under Picture Tools, on the Format tab, in the Size group, click the Size and Position dialog box launcher. In the Format Picture dialog box, resize or crop the image so that the height is set to 5.8” and the width is set to 5.8”. To crop the picture, click Crop in the left pane, and in the right pane, under Crop position, enter values into the Height, Width, Left, and Top boxes. To resize the picture, click Size in the left pane, and in the right pane, under Size and rotate, enter values into the Height and Width boxes.
Under Picture Tools, on the Format tab, in the Size group, click the down arrow under Crop, and then click Crop to Shape. Under Basic Shapes, click Oval (first row, first option from the left).
Also under Picture Tools, on the Format tab, in the Arrange group, click Send Backward.
To reproduce the other shapes on this slide, do the following:
Also on the Home tab, in the Drawing group, click Shapes, and then under Basic Shapes click Oval (first row).
On the slide, drag to draw an oval.
Select the oval. Under Drawings Tools, on the Format tab, in the Size group, enter 0.17” in the Height box and 0.17” in the Width box.
Also on the Format tab, in the Shape Styles group, click Shape Fill, and then under Theme Colors, click Black, Text 1, Lighter 25% (fourth row).
Also on the Format tab, in the Shape Styles group, click Shape Outline, and then click No Line.
On the Home tab, in the Drawing group, click Shapes, and then under Basic Shapes click Donut.
On the slide, drag to draw a donut.
Select the donut. Under Drawing Tools, on the Format tab in the Size group, enter 0.25” in the Height box and 0.25” in the Width box.
Also on the Format tab, in the Shape Styles group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane, in the Fill pane, click Gradient fill, and then click the button next to Preset colors and click Silver (fifth row).
Also in the Format Shape dialog box, click Line Color in the left pane, in the Line Color pane, click No line.
Also in the Format Shape dialog box, click 3-D Format in the left pane, in the 3-D Format pane, under Bevel, click the button next to Top, and then click Circle (first row).
Press and hold CTRL, and then select the freeform shape, the picture, the small circle, and the donut. On the Home tab, in the Drawing group, click Arrange, point to Align, and the do the following:
Click Align to Slide.
Click Align Center.
Click Align Middle.
Also on the Home tab, in the Drawing group, click Shapes, and then under Basic Shapes click Oval.
On the slide, drag to draw an oval.
Select the oval. Under Drawing Tools, on the Format tab, in the Size group, enter 0.65” in the Height box and 0.65” in the Width box.
Also on the Format tab, in the Shape Styles group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane, in the Fill pane, click Picture or texture fill, and then click the button next to Texture and then click Recycled Paper (fourth row).
Select the freeform shape. On the Home tab, in the Clipboard group, click Format Painter, and then click the new oval.
Position this circle over the top edge of the freeform shape.
On the Home tab, in the Drawing group, click Arrange, and then do the following:
Under Order Objects, click Send to Back.
Point to Align, and then click Align Center.
To reproduce the animation effects on this slide, do the following:
Select the picture. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis Effects, click Spin.
Also on the Animations tab, in the Animation group, click the Show Additional Effects Options dialog box launcher. In the Spin dialog box, on the Effect tab, do the following:
In the Smooth start box, enter 5 sec.
In the Smooth end box, enter 5 sec.
Also in the Spin dialog box, click the Timing tab, and then do the following:
In the Start list, select With Previous.
In the Duration box, enter 20 sec.
Select the small oval at the top edge of the freeform shape. On the Animations tab, in the Advanced Animation group, click Add Animation, under Motion Paths, click Shapes.
On the slide, drag the bottom, left, and right sides of the motion path so that it matches the inside edge of the freeform shape.
Also on the Animations tab, in the Animation group, click the Show Additional Effects Options dialog box launcher. In the Circle dialog box, on the Effect tab, do the following:
In the Smooth start box, enter 5 sec.
In the Smooth end box, enter 5 sec.
Also in the Spin dialog box, click the Timing tab, and then do the following:
In the Start list, select With Previous.
In the Duration box, enter 20 sec.
To reproduce the background effects on this slide, do the following:
On the Design tab, in the Background group, click Background Styles, and then click Style 9.