Leadership and Capacity Building - Professional Plan

Assignment 2

Leadership and Capacity Building:   Professional Plan

Lynn Knowles

Managing wounds in Residential Aged Care can be extremely difficult and this is often impeded with lack of knowledge from nursing staff, misunderstood or miscommunicated instructions, inadequate documentation, minimal or inadequate wound dressings; and finally noncompliance from residents regarding wound dressings.   As indicated in (O’Brien et. al. 2011), lack of a co-ordinated approach or inconsistencies with often an outdated regime, can make wound care a costly and harmful.

Kerr (2014), indicated from his research that competence in managing patients with problematic wounds, requires knowledge in identifying and addressing underlying causes that will include holistic assessment, accurate documentation and effective dressing selection.   The author found in World Union of Wound Healing Societies (2007) and Wounds UK (2013), that having good documentation ensures effective clinical judgements and decisions; supports patient care and communication; greater continuity of care;   multiskilling between the multidisciplinary healthcare team, as well as   identifying   possible risks of deterioration or complications.  

Mercy Community Services is currently utilising a wound care form that is outdated and inappropriate for complex wounds, (see appendix 1).   Nursing staff have indicated on numerous occasions that the form was not adequate for complex wounds.   This was pointed out after an impromptu spot check from the ACFI (Aged Care Funding Instrument) auditors in November 2014 who commented that the current wound care form was inadequate and confusing.     Kerr (2014), describes “that good documentation and its care provides a baseline and acts as a performance indicator from which a patient’s plan of care can be evaluated”.   (Ousey and Cook, 2011) signify the importance of understanding and assessing the complexities of wounds, ensuring cost-effective and...