Knight C L
J Wound Ostomy Continence Nurs. 1996 Mar;23(2):92-9. doi: 10.1016/s1071-5754(96)90068-6.
Skin care and wound management are integral components of practice for nurses who care for frail, elderly, and chronically ill persons. However, "knowing which dressing to use and when to use it can be a mystery for those who lack the opportunity and time to study wound care and thoroughly evaluate the products." In our long-term care facility in Edmonton, it was not uncommon to find that treatment decisions were inconsistent, fluctuating with individual nurses' and physicians' knowledge, experience, training, and preferences. Although the skin problems of residents in our long-term care facility were few in number, we believed that we could provide better wound care. Our goal was to develop a chronic wound care protocol to assist nursing staff in making consistent, correct wound care choices. The Chronic Wound Management Decision Tree is the result of our efforts. In this article we review the development, use, implementation and evaluation of this tool in our long-term care organization.
皮肤护理和伤口管理是照顾体弱、老年和慢性病患者的护士工作的重要组成部分。然而，“对于那些没有机会和时间学习伤口护理并全面评估产品的人来说，知道使用哪种敷料以及何时使用它可能是个谜。”在我们位于埃德蒙顿的长期护理机构中，经常发现治疗决策不一致，随个别护士和医生的知识、经验、培训和偏好而波动。尽管我们长期护理机构中居民的皮肤问题数量不多，但我们认为我们可以提供更好的伤口护理。我们的目标是制定一项慢性伤口护理方案，以帮助护理人员做出一致、正确的伤口护理选择。慢性伤口管理决策树就是我们努力的成果。在本文中，我们回顾了该工具在我们长期护理机构中的开发、使用、实施和评估情况。
