Cost-effective non-surgical treatment of chronic pressure ulcers in the community.
Br J Community Nurs
; Suppl: S6, S8-12, 2014 Mar.
Article
em En
| MEDLINE
| ID: mdl-24642745
ABSTRACT
The Salisbury Pressure Ulcer Outreach Service successfully treats patients with chronic pressure ulcers that have not healed during routine community treatment. These patients have grade 4 pressure ulcers, involving extensive destruction, or damage to muscle and bone. A combination of scientific, seating and tissue viability expertise with a holistic approach results in non-surgical healing for 70% of patients. For those who still require surgery, outcomes are more successful with this approach, resulting in low recurrence rates. Prior to creation of the outreach service, patients were referred directly for surgical closure, resulting in high recurrence levels and long waiting lists. The authors compared costs of the Pressure Ulcer Outreach Service with the previous system of surgical closure. The model base case found that the Pressure Ulcer Outreach Service saved £8588 per patient, and that cost savings could be even greater if the outreach service was extended into preventative work.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Higiene da Pele
/
Serviços de Saúde Comunitária
/
Úlcera por Pressão
Tipo de estudo:
Diagnostic_studies
/
Health_economic_evaluation
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Br J Community Nurs
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2014
Tipo de documento:
Article