Chronic wounds consultation by telemedicine between a rehabilitation healthcare center and nursing home or home - 26/09/15
Résumé |
Saint-Hélier Rehabilitation Center (pôle MPR Saint-Hélier), located in Rennes, has been selected for a regional telemedicine project in 2014 about chronic wounds.
Aim |
To make care access easier for heavy disabilities patients in nursing homes or at home with chronic wounds.
Method |
The members of TLM Pl@ies chronic team are specialist doctors and nurses for wounds. On request, the occupational therapist or dietician involve in the consultation (multidisciplinary approach). A secure videoconference (web) is used.
Results |
Since July 2014, over 100 teleconsultations have been done. Targeted population is constituted by patients:
– whose access to care is decreased due to moving difficulties;
– of which the health care team is crossing difficulties in the care process (wound care but also disability, nutrition..).
Seventy percent of requests come from the nursing home, 30% from homes (pressure ulcers stages 3 and 4, arterial ulcers, venous or mixed). Middle age: 78 years (20–101 years). Only 3 patients refused. Time to organize the teleconsultation is on average 13 days. Consultations last on average 25 minutes. In 30% of cases the teleconsultation is extended by a real live training time for the nurse at home guided by the TLM Pl@ies chroniques team. We evaluate professional satisfaction and technical satisfaction. Without teleconsultation, in 77% of cases transportation request for consultation would be made, in 5% hospitalization. In 18% no request would be done.
Discussion/conclusion |
These first results, encouraging, confirms the interest of specialized consultations in medico-social settings, and telemedicine can be an effective solution.
Le texte complet de cet article est disponible en PDF.Keywords : Telemedicine, Pressure ulcer, Chronic wound, Nursing home, Disability, Care access, Elderly
Plan
Vol 58 - N° S1
P. e44 - septembre 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.