Clinical Challenges Require Creative Solutions

Statement of Problem:  Patient management today is more demanding in part due to increased obesity, higher acuity level, evolving technologies which create new clinical challenges, and different sites of care in the continuum.  The WOC nurse is uniquely qualified to assist in the management of patients with various clinical challenges including difficult stomas, ostomy complications, fistulas and wounds.  

Overview:  The wound, ostomy, continence, and skin care knowledge of the WOC nurse provides a solid foundation to the management of these patients.  In large medical centers, some of the most challenging patients are cared for.  These experiences enhance the ability of the WOC nurse to adapt.  The knowledge of products and pouching techniques are called into practice every day. 

This poster will look at experiences in two large medical centers and a long term acute care (LTAC) setting.  Through the presentation of multiple complex case studies we will illustrate the problem solving process and lessons learned which improved patient outcomes.  Techniques and approaches were often modified and refined to achieve a satisfactory solution.  In addition, through these case studies we will emphasize the importance of collaboration with colleagues and thinking outside the box.  Although products may vary across the world, the WOC nursing principles are the basis for these clinical solutions. 

Conclusion:  Sharing and networking with international colleagues is one way in which we can continue to expand upon creative solutions to some of our most challenging patient situations.  This poster will encourage fellow clinicians to think beyond the widely accepted uses of different products to solve challenges unique to their practice.