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Wound/Ostomy Management Program:

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

  • 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 recieve appropriate care at home.
  • A Certified Wound/Ostomy Care Nurse is availible to make home visits.
  • Allows the client with a wound/ostomy 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.

Program Goals/Objectives:

  • Early identification of those clients with wounds/ostomies.
  • Provide the latest and most innovative wound/ostomy management treatements:
    • With the assistance of the physician and certified wound/ostomy care nurse assess and modify the treatment if wound/ostomy healing is not occuring.
    • Identify and provide appropriate Home Medical Equipment to assist in would healing.
    • Prevention of infection.
  • Prevent hospitalization and unnecessary visits to healthcare professionals.
  • Collect information to track improvement

Program Specifics:

  • All wounds/ostomies are assessed upon admission onto VAN of LI home health care program:
    • All wounds/ostomies are staged, measured, photographed.
    • Special instruments are used to assist the nurse in her assessment of the wound/ostomy, such as a Doppler.
  • The Certifed Wound/Ostomy Care Nurse will do an evaluation:
    • Upon admission in the following circumstances:
      • Diabetic-related wounds/ostomies
      • Infected wound/ostomy
      • Client with a wound/ostomy who is on an immunosuppresive treatment
    • After 72 hours with twice a day wound/ostomy care with no change in treatement/status.
    • On wounds/ostomies that:
      • Haven't healed after 30 days
      • Develop an infection
      • Have recieved treatment for six months or more.
  • For those clients needing infusion therapy at home, VNA of LI can coordinate these services.