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The Wholeness of Healing: Benefits of Restorative Wound Care in a Palliative Setting

Cheryl A. Walker-Ridder, BSN, RN, CWON, Hospice of Chattanooga, Hospice wound care nurse, 58 Commons, Suite 101, 4355 Highway 58, Chattanooga, TN 37416 and Judy A. Berube, BSN, RN, CHPN, CWCN, CCCN, Hospice of Chattanooga, Hospice wound nurse, 58 Commons, Suite 101, 4355 Highway 58, Chattanooga, TN 37416.

TOPIC/PURPOSE: A wound is a very visible reminder of a patient's illness and declining condition and is seen as a breach in the integrity or wholeness of the person. A wound can cause the family extreme guilt as they may feel they have failed in their efforts to care for the patient. Wound care programs within the hospice environment are often aimed at methods of palliation for end-of-life conditions. Establishing a program of restorative wound care through new technology and evidence-based wound care practices has offered immeasurable benefits to the terminally ill patient, their caregivers and staff. OBJECTIVE: This poster will provide the reader with information on how the hospice restorative model was established and implemented. We will demonstrate that by following standardized wound care guidelines using new wound product technology, comfort and healing can be provided to the dying patient. The reader will appreciate the positive impact the restorative program has had on the end-of-life experience. OUTCOMES: In 2004, Hospice of Chattanooga developed a comprehensive, standardized skin and wound care program which incorporated a restorative model of healing. The institution of this model involved developing and implementing a program for over 200 professionals throughout community settings which included education on topical dressing selection, support surfaces, and healing expectations. The restorative model challenged several of the barriers prevalent in hospice wound care such as attitude, misconceptions, and lack of knowledge. This program has repeatedly demonstrated positive outcomes in physical, spiritual, and emotional comfort to our patients. As an added benefit, we have found that staff satisfaction has improved as well. The overall result has been improvements in quality of life and enhancement of patient dignity and family well-being.

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See more of The WOCN Society 39th Annual Conference (June 9 -- 13, 2007)