Wound Management in Vulnerable Populations

Pieper, Barbara

doi:10.1002/j.2048-7940.2005.tb00370.x

Cited by 2 publications

(8 citation statements)

References 22 publications

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“…Since the 1970s, there has been a dramatic increase in uninsured and underinsured people seeking free clinics [3,8]. In 1980, the number of people without insurance was near 30 million and has since increased by 50%.…”

Section: Discussionmentioning

confidence: 99%

“…Vulnerable populations include people of color, people of lower economic backgrounds, people with low educational backgrounds, and people who are marginalized due to their sexual preference, immigration status, and religion [3]. Due to the high cost of health insurance, patients who are in these demographics often lack health insurance, which can lead to them facing a myriad of obstacles when it comes to social, economic, and healthcare resources.…”

Section: Introductionmentioning

confidence: 99%

“…Uninsured patients' experiences in a healthcare setting are often limited to emergency departments and/or free clinics. This results in these patients having little familiarity with continuity of care in terms of coordination and communication with their healthcare team [3][4]. Individuals lacking health insurance also have increased difficulty obtaining care in comparison to insured patients.…”

Section: Introductionmentioning

confidence: 99%

“…This leads to a lack of routine medical visits with a primary care physician; subsequently resulting in unmet health-related needs, a decline in health, and increased rates of hospitalizations. The inability to afford the cost of the multiple and frequent follow-up visits required for wound management can become a barrier for uninsured patients in receiving chronic wound care [3].…”

Section: Introductionmentioning

confidence: 99%

“…According to the National Hardship and Debt Relief program, patients who are uninsured report more problems accessing care and avoid seeking non-urgent care visits. This could lead to late disease recognition, poor health status, and an increased likelihood of death during hospitalizations [3,[6][7]. Additionally, uninsured patients are reportedly less likely to receive any recommended follow-up care from a recent medical visit [6][7].…”

Section: Introductionmentioning

confidence: 99%

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Complicated Open Wound Management in a Free Clinic Setting

Blackmond¹,

Provencher²,

Provencher³

et al. 2022

Cureus

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Wound healing is a complex and integrated process that involves several interdependent overlapping stages, including hemostasis, inflammation, proliferation, and vascularization. Cellulitis and skin abscesses are among the most common skin and soft tissue infections. Cellulitis typically involves the deeper dermis of subcutaneous fat and tends to have a more indolent course with the development of localized symptoms over a few days. Skin abscesses are described as a collection of pus within the dermis or subcutaneous space. Diabetes mellitus (DM) is the leading cause of impaired wound healing and consequently has higher rates of patients developing soft tissue infections. Diabetic patients experience decreased early inflammatory cell infiltration but increased numbers of neutrophils and macrophages. Complications include bacteremia, metastatic infection, sepsis, and toxic shock syndrome.In this case, we describe a 50-year-old Caucasian uninsured male who was referred to the Gary Burnstein Clinic (GBC) from a nearby hospital for wound management after an incision and drainage of a large back abscess and uncontrolled type 2 diabetes mellitus (T2DM). The patient presented with a large erythematous, indurated lesion with a cruciate incision that spanned from his mid-thoracic spine to the medial border of his left scapula. The wound management course required strict follow-up to the clinic every 48-72 hours for debridement and monitoring. This was complicated by the GBC's limited resources along with the volunteer nurses' and physicians' availability. To avoid the patient being lost to follow-up, shared decision-making was utilized to create a schedule that was advantageous for both the patient and the clinic. Ultimately, the patient made a full recovery without any adverse events. This case highlights the gaps in care for the medically uninsured. We also showcase the passion and dedication our medical volunteers exhibit to care for the community. The GBC provides high-quality healthcare to bridge gaps in access to care by offering broad specialist access while ensuring continuity of care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Complicated Open Wound Management in a Free Clinic Setting

Blackmond¹,

Provencher²,

Provencher³

et al. 2022

Cureus

View full text Add to dashboard Cite

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Evaluation of nurses’ practices toward orthopaedic wound infection

Bader¹,

Kadhim²

2018

INJNS

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Objective(s): To evaluate of nurses practice toward orthopaedic wound infection and to determine therelationship between orthopaedic nurses practice and their demographic data characteristicMethodology: A descriptive study was carried out at orthopaedic wards of Baghdad Teaching Hospital startedfrom February 1st, 2011 to August 30th, 2011. A non-probability sample of (39) orthopaedic nurses who wereworking in orthopaedic wards were selected from Baghdad Teaching Hospital. The data were collected throughthe use of questionnaire , which consists of two parts (1)Demographic data form that consists of a(10) itemsand (2) orthopaedic nurses practice form that consists of (4)sections contain (69) items, by mean of directobserve technique with orthopaedic nurses. The validity of the questionnaire was determined throughpresenting it to (20) specialist expert and its reliability were determined through a pilot study which wascarried out through the period from April 1st, 2011 to June 15th, 2011. Descriptive statistical analysisprocedures (frequency, percentage, mean of score) and inferential analysis procedures (person correlationcoefficient, contingency coefficient) were used for the data analysis.Results: The findings of the study indicated that the orthopaedic nurses have inadequate or deficit in someaspects relative to wound infection in orthopaedic wards. No significant relationship was found betweenorthopaedic nurses practice and their gender, years of employment in nursing field, years of experience inorthopaedic wards and duration of the training session, while a significant relationship was found betweenorthopaedic nurses practice and their age, marital status, level of education, sharing in training session and thenumber of training session that orthopaedic nurses were engaged it.Recommendations: The researcher recommend that special training session , concerning wound infection andstandards orthopaedic nurses practice toward wound infection control that should be followed in orthopaedicwards ,and booklets should be designed and presented all orthopaedic nurses, in addition to make a new studythat can evaluate orthopaedic nurses knowledge concerning wound infection control in orthopaedic wards.

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Wound Management in Vulnerable Populations

Cited by 2 publications

References 22 publications

Complicated Open Wound Management in a Free Clinic Setting

Complicated Open Wound Management in a Free Clinic Setting

Evaluation of nurses’ practices toward orthopaedic wound infection

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