Financial Aspects in Wound Care Wounds in nursing homes are extremely expensive. Wounds can affect the quality of life for a patient and the bottom line of a nursing home. In order to decrease costs and increase quality of life it is necessary to treat wounds early on with the most effective means possible. Included in this paper are two articles discussing wound care costs. The first is written by Diamond (2010) concerning benchmarks in wound care and the second is by Vu, T., Harris, A., Duncan, G., & Sussman, G., (2007) regarding the cost effectiveness of wound care. The first article can be summarized as nursing homes overusing outside sources as the primary means of wound care instead of taking the more direct hands on approach by using recommended wound care guidelines in house. The cost of using outside facilities and treatments is almost double to treatment within the nursing home (Diamond, 2010). This article contains excellent information. It points out the positives of maintaining wound care within the facility and the negatives of using outside sources. Although there were not specific cost data included into the article cost saving suggestions included: Avoidance of in house injuries that may cause further complications, for example, removing wheelchair pedals during transfers, quickly establishing a wound care program upon wound identification, managing associated risk factors such as: diabetes, peripheral arterial disease, venous insufficiency, incontinence, nutritional compromise and if outside assistance becomes necessary, develop a facility wound care formulary so that the clinical specialist can prescribe treatments that are available within the facility.
The second article which is actually a study can be recapitulated as chronic wound healing can be improved and cost effective with a standard treatment regimen and trained personnel versus random care and personnel without wound
References: Beaufort Memorial Hospital, (2011). Shared governance. Retrieved September 23, 2011 from http://www.bmhsc.org/job_nurse_sharedgovernance.htm Caramanica, L., (2004). Shared governance: hartford hospital 's experience. Online journal of issues in nursing Davis, E., (2010). Top 5 reasons for Medicare denial. Retrieved September 14, 2011 from http://www.associatedcontent.com/article/2572409/top_5_reasons_for_medicare_claim_denial.ht ml?cat=5 Delozier, H., (2011) guide planning excellence. Retrieved September 23, 2011 from http://www.clubnewsmaker.net/activate/e_article002148177.cfm?x=b11,0,w Delnor Hospital. (2011). Common types of chronic wounds. Retrieved September 14, 2011 from http://www.delnor.com/commontypesofwounds Diamond, M., (2010). Physician led wound program in skilled nursing and rehabilitation facilities GlaxoSmithKline, (2009). The value of benchmarking: realizing total value through employee health management Motta, G., (2009). Pearls for practice: The true cost of gauze. Retrieved September 27, 2011 from http://o-wm.com/archive National Conference of State Legislatures. (2011). Medicare nonpayment for hospital acquired conditions Retrieved September 14, 2011 from http://www.ncsl.org/default.aspx?tabid=14747 Rosenfield, J., (2011). How does the use of the braden’s scale help in the prevention of bed sores? Retrieved September 7, 2011 from http://www.bedsorefaq.com/how-does-the- use-of-the-braden-scale-help-in-the-prevention-of-bed-sores/ Taylor, J., Pinczuk, J., (2010) U.S. Department of Health & Human Services. (2011). CMS centers for medicare & medicaid services. Retrieved September 14, 2011 from https://www.cms.gov/DeterminationProcess/ Vu, T., Harris, A., Duncan, G., Sussman, G., (2007) 379. Cost-effectiveness of multidisciplinary wound care in nursing homes: a pseudo-randomized pragmatic cluster trial. Retrieved September 1, 2011 from http://fampra.oxfordjournals.org/content/24/4/372.full