The primary analysis estimated the change in direct care costs associated with introducing 'enhanced' multi-disciplinary wound care teams (EMDTs) compared to 'usual' care (UC) for the treatment of pressure ulcers in LTC facilities in Ontario.
Our study findings suggest that policy makers should shift their focus away from specialty multi-disciplinary wound care teams external to facilities and direct their attention towards strengthening evidence based primary care within LTC.
This study was limited to one particular expert wound care team located within a large teaching hospital and may not be representative of all expert multi-disciplinary wound care teams.
Enhanced multi-disciplinary wound care teams were cost effective, with most benefit through cost reduction initiated by APNs, but did not improve the treatment of pressure ulcers in nursing homes.
APNs spent one day per week at each facility to establish multi-disciplinary wound care teams within facilities, and to educate direct care staff (personal support workers, nursing assistants, registered nurses) about PU prevention and treatment (case based teaching at the bedside, and structured group sessions customized to meet facility's needs).
An advance practice nurse (APN) with expertise in skin and wound care visited intervention facilities to educate staff on pressure ulcer prevention and treatment, supported by an off-site hospital based expert multi-disciplinary wound care team via email, telephone, or video link as needed.
Wounded, wounded, wounded!
After six defeats in their previous 14 games this setback, amid all Mourinho's disciplinary issues, only adds salt to Chelsea's festering wounds.
Muizelaar and Schrot's conduct in the wound-infection procedures might have remained an internal disciplinary matter at U. C.
To determine from a multi-disciplinary and international perspective current practice in the management of wound odour.
Apart from the knock-ons, inconsistent refereeing and disciplinary rulings, Stacey Jones's broken arm, yesterday's bombshell that Hull's Paul Cooke has been charged with wounding and assault, and the growing uncertainty about Wembley's readiness to host the Challenge Cup final in August, the 11th Super League season could hardly have made a more encouraging start.
