Wound/Ostomy Management Services:

The VNA of LI's Comprehensive Wound/Ostomy Management Services:

• Enables case managers and discharge planners to efficiently plan home discharges for clients with wound/ostomies.
• Provides physicians with the security that the client's wounds/ostomies will receive appropriate care at home.
• A Certified Wound/Ostomy Care Nurse is available to make home visits.
• Allows the client with a wound to safely live at home rather than remain in the hospital or sub-acute facility, thereby improving the quality of life for the client and their family.

Goals/Objectives:

• Early identification of those clients with a wound.
• Provide the latest and most innovative wound/ostomy management treatments:
  • With the oversight of the physician, our certified wound/ostomy care nurse assesses and may modify the treatment if wound healing is not occurring or if the ostomy site/ostomy care requires a change in treatment/management
  • Identify appropriate medical supplies to assist in wound healing/ostomy management. 
• Assist clients/caregivers to learn appropriate ostomy management skills and techniques. 
• Prevent hospitalization and unnecessary visits to healthcare professionals.
• Collect information to track improvement

Specifics:

• All wounds are assessed upon admission onto VNA of LI's home health care program.  All wounds are measured and staged upon identification.
• The Certified Wound/Ostomy Care Nurse will do an evaluation:
  • Upon admission in the following circumstances:
    • Diabetic-related wounds
    • Infected wound/ostomy
    • Client with a wound/ostomy who is on an immunosuppressive treatment
  • After 72 hours with twice a day wound care with no change in treatment/status.
  • On wounds that:
    • Haven't healed after 30 days
    • Develop an infection
    • Have received treatment for six months or more.
  • On ostomies where:
    • Client is having difficulty with ostomy6 management.