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Strengthening Wound Management Practice in VictoriaPage content: Introduction | Rural region wound...nurse consultants | Evaluation of regional wound management initiative | Connected wound care project | Download
Skin integrity is a significant issue for older people. Complications from chronic wounds significantly reduce quality of life for many older people. The treatment of chronic wounds also places a considerable burden on the Victorian health system, a situation that will only increase as the population ages. The Strengthening Wound Management Practice strategy aims to benefit older people and staff caring for older people and strengthen wound management practice across the state. The funding is targeted to older people living at home and in public sector residential aged care services (PSRACS).
This initiative aims to improve outcomes for clients in rural Victoria who are receiving Home and Community Care (HACC) funded district nursing and bush nursing services and residents of high level care public sector residential aged care services (PSRACS) by establishing wound management clinical nurse consultant (CNC) positions. CNCs provide access to expert advice in the management of chronic and complex wounds and build capacity in staff through mentoring, on site support and the delivery of specialist training sessions. The equivalent of one full time position has been established in each rural region.
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Victorian Rural Wound Management Clinical Nurse Consultant (CNC) project
The department has undertaken an evaluation of the Regional wound management clinical nurse consultant (CNC) initiative. The evaluation conducted by Campbell Research and Consulting, showed very positive results and has underpinned the department’s decision to fund the regional wound projects through Home and Community Care growth funds in 2012-13.
The executive summary from the Campbell Research and Consulting evaluation report is provided below.
The department agrees that the focus of the CNC positions should continue to concentrate on:
In the next phase of the projects, the ongoing strategic directions for the positions will be jointly developed and managed by department Regional offices in collaboration with the funded projects and CNCs.
This is a collaborative project between the regional wound management clinical nurse consultants, the Royal District Nursing Service (RDNS) and the department. The Connected Wound Care project has joined the expertise and experience of the CNCs and RDNS staff to focus on targeted strategies to support more consistent and quality wound care practice with nursing staff in high care PSRACs and HACC district nursing and bush nursing centres.
The focus of the first phase of the project has been on developing educational and information resources to assist nurses and the people they care for in preventing and managing wounds. A suite of materials has been developed including:
The anticipated benefits of the resources for nurses and individuals across the state are:
The department has distributed copies of these resources to all high care PSRACS and HACC funded district nursing and bush nursing services in rural regions.
To download electronic versions please go to the following website -
Funding for Special Equipment in PSRACS
Support has also been provided to public sector residential aged services to maintain the skin integrity and comfort of frail, older residents. In April of this year, over $1.5 million of funding was provided to public sector services across Victoria for new specialised electronic beds with pressure care mattresses. This builds on over $10 million of state funds previously invested in beds and mattresses specifically for aged care residents living in public sector services.