An application for real-time, remote consultations for wound care at home with wound, ostomy and continence nurses: a case study

IF 0.6 Q4 DERMATOLOGY Wound Practice and Research Pub Date : 2022-09-01 DOI:10.33235/wpr.30.3.158-162
A. Kitamura, G. Nakagami, Miho Okabe, Shinsuke Muto, Tomomi Abe, A. Doorenbos, H. Sanada
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Abstract

Background Real-time remote consultations could be a way for wound, ostomy and continence nurses (WOCNs) to provide wound care alongside visiting nurses. We developed an application (app) for remote wound care consultations that facilitated high quality video calling and patient data sharing which was specifically designed for Japanese home care settings. In this report, we discuss the case of a patient who received real-time remote consultations through the app. Case A woman aged in her 90s had a wound on the posterior aspect of her left lower leg. The wound did not show any healing progress for 3 weeks. A WOCN obtained the patient’s information through the app which was uploaded by a visiting nurse before the first consultation. Weekly real-time remote consultations were conducted through the app using video calls. The WOCN could observe the wound in detail, and communicate with both the visiting nurse and the patient. The WOCN assessed that a factor of delayed wound healing was venous insufficiency, and then gave care recommendations. The wound healed within 6 weeks. and and
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伤口护理、造口术和失禁护士在家进行实时远程会诊的应用:一项案例研究
背景实时远程会诊可能是伤口、造口和失禁护士(wocn)与来访护士一起提供伤口护理的一种方式。我们开发了一个用于远程伤口护理咨询的应用程序(app),促进了高质量的视频通话和患者数据共享,这是专门为日本家庭护理环境设计的。在这篇报告中,我们讨论了一个患者通过应用程序接受实时远程会诊的案例。案例一名90多岁的女性,左小腿后部有伤口。伤口3周未见愈合进展。WOCN通过一名来访护士在第一次会诊前上传的应用程序获取了患者的信息。每周通过该应用通过视频通话进行实时远程咨询。WOCN可以对伤口进行详细观察,并与来访护士和患者进行沟通。WOCN评估延迟伤口愈合的一个因素是静脉功能不全,然后给出护理建议。伤口在6周内愈合。和
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