Objectives
"Every wound care record should have an objective. This is also an NIHDI requirement," Evy Verbruggen continues. "These range from complete healing or a reduction in the moisture in the wound bed to reducing the size of the wound. There are several existing objectives that we have defined together with healthcare institutions, but you can also create new objectives in nexuzhealth pro nurse and then link interventions, such as daily disinfection, to them."
|
The tissue – granulation tissue (red) – is optimally preserved.
|
|
The tissue – necrosis (black) and fibrin (yellow) – has been removed.
|
|
The wound is not infected.
|
|
The moisture content of the wound remains optimal.
|
|
The wound environment is too moist; it must be optimised.
|
|
The wound environment is too dry; it must be optimised.
|
|
The wound environment remains optimal.
|
|
The wound environment is being remedied.
|
|
Pain due to wound/wound care is minimal.
|
|
Free text field
|
Complex wound care
"Perhaps you have noticed, during a home visit, that the patient has an ulcer? Then you can immediately start providing complex wound care on site and link it to the wound care record. To describe the wound, you can once again use the international SNOMED list – e.g. a venous ulcer on the ankle.
To set up a treatment plan, the most commonly occurring remedies can also be found here in practical lists. For example, you can very quickly indicate that the wound should be cleaned with wound cleanser (and even specify a specific brand, if desired) and rinsed with tap water.
The same applies to the care itself. For example, with just a few clicks you can indicate that a hydrogel and a barrier film are required on the wound, together with a non-woven compress and a compression bandage. If you know in advance that complex wound care is needed, you also know that you will need extra time and more material."
There is also a screen dedicated to the two-weekly mandatory TIME observation (Tissue, Infection, Moisture and Edge). Using the preset windows, this can be accomplished very quickly. You can record the depth, length and width of the wound as well as the wound colours (black, yellow, red). Are there any signs of infection, such as redness, swelling, warmth or odour? Then simply tick the boxes. There are also standardised quantities for indicating whether the wound is producing fluid and keywords that describe the appearance of the wound edges: eczematous, oedematous, maceration, scaly, atonic, irritated, etc.
And, you can indicate how much pain the patient is experiencing using the NRS pain score. Conveniently, this pain scale is also automatically stored in the parameter module. Furthermore, it is possible to add a photo.
And finally, you can enter the wound status: favourable, deteriorated, stable as expected or stable but not as expected. In the case of 'deterioration' or 'stable but not as expected', a wound care reference nurse is automatically scheduled for an advisory visit.
Specialised ostomy care
An ostomy may not be a wound, but since the NIHDI still requires an ostomy record, we developed a similar functionality for the creation of an ostomy record. "In that case, you will see other options, such as the ostomy construction method (terminal, double-barrel, temporary or permanent) and the various cleaning options. The TIME observations here are also fully adapted to ostomy care. Many home nurses feel that this ostomy-oriented wound care record is a genuine added value."
Overview
Once you have saved everything, you receive a wound care report with a summary of the most important observations. You can then immediately forward this report via eHealth to the GP or the specialist at the hospital. As the nurse, you can even choose what is forwarded. You yourself select the treatment plans (for example, the last two) and the most important photos. If you wish, you can also add comments or ask a question.
Conclusion
Wound care administration runs efficiently using nexuzhealth pro nurse and generates complete, standardised wound care reports including all NIHDI requirements and crucial parameters. You can use the application on a smartphone, tablet or in your laptop's browser. Even if you lose your Internet connection for a time while with your patient, because the application works perfectly offline. Nexuzhealth automatically syncs everything as soon as you are back online.
Are you interested or would you like more information about nexuzhealth pro nurse? Please contact us at support.pro@nexuzhealth.com.
