Chronic wound – Organisation of Medical and Nursing Care at Czech republic Jana Strakova Department of Nursing Faculty of medicine, Masaryk university Czech republic, Brno 2012

Chronic Wound healing – organisation and development at CZE Progressive development from 90‘s Intake and cooperation of foreign business companies with hospitals and medical centres Using modern healing materials, covers, bandages… during healing process Involving objective scales and methods, recomanded procedures to the delivered care Study visiting at the cooperating universities, employment in foreign countries, university hospitals etc. Nursing department, Faculty of medicine, Strakova@med.muni.cz

Nursing care towards to client with Non-healing wound at CZE Objective identification of clinical wound stage Choosing of adequate strategy of healing process Proving nursing care by cooperation with medical and paramedical staff Reporting provided nursing care to the wound specific nursing documentation Development and practical applicability nursing documentation Nursing department, Faculty of medicine, Strakova@med.muni.cz

Institutions involved to the providing care by client with chronic wound at CZE Faculty/local hospitals Outpatient‘s departments GP diabetology, podiatry, dermatology, surgery dept.) Outpatient‘s Centres of Non-healing wound Certificated or not-certificated dept. Nursing department, Faculty of medicine, Strakova@med.muni.cz

Medical and paramedical staff involved to the providing care by client with chronic wound at CZE GPs Physicians specialized on … Nurses at the hospitals, outpatient‘s dept. home care services hospicies (paliative care) Other paramedical staff (nutitionists, rehabilitation workers, social workers Nursing department, Faculty of medicine, Strakova@med.muni.cz

System of Education by Nurses taking care for Clients with Chronic wound at CZE Secondary school for Nursing Higher school of Nursing Universities degree Longlife Education (seminary, course, practical training, certification) Employer Private agencies Centrum for Longlife education of Paramedical staff Nursing department, Faculty of medicine, Strakova@med.muni.cz

System of quarantee high-declated Nursing and medical care Care focused on cooperation more subjects – nurses, GPs, medical specialists (diabetologists, dermatologists, podologist, etc.), home care nurses, nutritionists… Trend of providing care in specialized ambulances High defined conditions to established new specialized ambulance Necessity to longlife education for all professionals Positive is increasing numbers of nurses with high quality certificates toward to providing care Nursing department, Faculty of medicine, Strakova@med.muni.cz

Weakness of system providing care to Client with Chronic wound at CZE Missing of national and united strategy of preventive strategy all over Czech population Missing clear setting of Nursing competence in taking care Lack of finance Missing of well established national strategy for longlife education of paramedical staff (nurses) Questionable quality of some egency focused on longlife Nursing education Nursing department, Faculty of medicine, Strakova@med.muni.cz

Associations and unionizations professional staff at CZE Czech Medical Association for Wound healing (unionisation of medical and paramedical staff too) Specialized section of Czech medical association Well established cooperation with international associations (EWMA, EPUAP) Interpretation of international research, guidelines etc. Conferences organization, etc. Czech Nursing association Nursing department, Faculty of medicine, Strakova@med.muni.cz

Orientation, trends and wishes in taking care to the future Unambiguity in Nursing competences To motivate medical and paramedical staff for longlife education To set effecive cooperation with health care insurance companies and care providers Highly developed system of education and preventive measures More centres specialized on taking care Nursing department, Faculty of medicine, Strakova@med.muni.cz

Thank you for your attention Nursing department, Faculty of medicine, Strakova@med.muni.cz