Bedside Advanced Wound Care in Nursing Homes

As it stands now, we have 1.6 million nursing home residents in the United States; that number is expected to double by the year 2030. Bringing advanced wound care to the long-term care arena is becoming more common throughout the country. Physician-based wound groups can bring their expertise to the patient’s bedside, thereby saving the patient pain during transport to the wound center and lowering costs. However, certain procedures—such as total contact casting and bioengineered skin substitutes—cannot be performed at the bedside because of billing and reimbursement guidelines.


Physician-Based Wound Care Groups: Rationale and Challenges in the Long-Term Care Setting

Utilizing a wound care physician-based group has many advantages in long-term care. Residents build a trusting relationship with their providers who come weekly to assess and treat their wounds. Wound rounds are also the perfect opportunity for the physician and nurse to collaborate. However, providers tend to have somewhat of a learning curve, as well as culture shock stepping into the long-term care arena for the first time. Being competent in wound care is not sufficient to work as a provider in this setting. The long-term care arena is surprisingly different from the hospital. The best way to describe it is, you are on their turf. Nursing homes are under a microscope, and federal regulations must be followed accordingly or facilities are at risk for fines and penalties. Providers must be compliant with the state survey process and associated wound care federal tags … read more