Geriatric Quick Consult      Pressure Ulcers      Do #7

Be sure goals of wound care are consistent with overall goals of care.

Knowledge Action

To succeed, a treatment program must continue after acute care into the home or long-term care facility setting.

In the home, an adequate caregiver and equipment must be available.

The caregiver needs to understand and be able to implement the treatment plan.

Economic factors should be considered. For example:

  • using saline-soaked gauze is labor intensive
  • a specialized bed may not be available in all settings
    • if it is available, a specialized bed may increase electric costs and make transfer of the patient more difficult.
  • Plan for care at home.


  • Assess caregiver capability.


  • Order professional help (home healthcare).


  • Consider economic factors.
Treatment goals should reflect the values of the patient and caregiver.

In a dying patient, a realistic goal might be avoiding deterioration of a wound and preventing additional wounds rather than healing1.
  • Adjust treatment goals to reflect values and situation.

References:

  1. Bergstrom N, Bennett A, Carlson CE, et al. Clinical Practice Guideline Number 15: Treatment of Pressure Ulcers.
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