Wounds
Conditions
Keywords
wound healing, self-management, patient education
Brief summary
The purpose of this research study is to evaluate a patient education program for chronic wound care. The wound care nurse practitioner (NP) at the Ann Arbor VAMC will use a wound self-management after-care summary with approximately half of her patients. This study will examine whether using this patient education tool for self-management of wound care results in improved patient outcomes.
Interventions
The wound care NP will measure the wound and assess adherence to the following self-management activities: visiting the wound care clinic as scheduled; offloading; applying dressings; obtaining assistance at home; and participating in social activities. This information will be entered into a computer database on a VA computer that will generate a summary chart showing the relationship between adherence and wound healing. The generated after-care summary will be discussed with the patient and used to set self-management goals.
Patients in the control group will receive usual counseling for self-management.
Sponsors
Study design
Eligibility
Inclusion criteria
All patients presenting for outpatient wound care at the Ann Arbor VA Medical Center NP wound care clinic, who meet the following inclusion criteria for chronic wounds: stage II, III, IV pressure ulcers; venous stasis ulcers, and diabetic ulcers.
Exclusion criteria
Cognitively impaired patients who cannot give informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| patient satisfaction, frequency of self-management activities, time to healing | Outcomes are measured at each participating patient's visit for one year or until the patient's wound is healed, whichever comes first. |
Countries
United States