Criterios de derivación entre niveles asistenciales de pacientes con patología vascular. Documento de consenso semFYC-SEACV

Abstract

The Spanish Society of Family and Community Medicine (semFYC) and the Spanish Society of Angiology and Vascular Surgery (SEACV), through a Joint Working Group, have prepared a document on between care-level referrals of patients with the main vascular diseases; peripheral arterial disease, venous insufficiency, and diabetic foot. The responsibilities and skills required at each care level have been defined, as well as the criteria for mutual referral and how to prioritise them. The preparation of this consensus document attempt to provide an efficient tool that may ensure the continuity of health care, always respecting the specific characteristics and needs of each health care area.

The Effectiveness of Advanced Practice Nurses with Respect to Complex Chronic Wounds in the Management of Venous Ulcers

“…They are also the most common in diagnosis, treatment, and prevention of relapses [1]. These ulcers underlie chronic venous insufficiency (CVI) with a common pathophysiological basis, such as chronic venous hypertension (VHT) with valvular insufficiency in the lower extremities [2]. It is estimated that venous ulcers affect 1%-2% of the world population.…”

“…In these cases, in addition to effective compression therapy, it is important and essential to plan and coordinate the care and follow-up of these patients. As Bellmunt et al say, "The problem of coordination has never occupied a privileged place on the agenda of healthcare authorities, although it is increasingly necessary due to the high prevalence of chronic diseases, comorbidity and the presence of new technologies; in short, the need to ensure continuity in care, since it is necessary to understand the coordination between levels as a synonym of care continuity" [2]. For this reason, the Public Health System of Andalusia (Spain) has developed and set in motion a program promoting the figure of the advanced practice nurse with respect to complex chronic wounds (APN-CCW).…”