Using integrated care to advance healing and promote wellbeing for leg ulcer patients in the community
ISPAH ePoster Library. Bloxham S. Oct 15, 2018; 225337
Assoc. Prof. Saul Bloxham
Assoc. Prof. Saul Bloxham
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Abstract
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Abstract Introduction:<\b>
Leg ulcers tend to manifest in older age adults that are living in social isolation and suffering from loneliness. Estimated UK Incidents rates and costs to NHS community nursing services are significant and likely to underestimate the problem’s true extent. Examples of community services, general practice and 3rd sector collaboration for leg ulcer management are required to deliver the NHS 5 year forward view. Methods:<\b>
Nine leg ulcer patients aged over 65 years volunteered to pilot a new service where all aspects of patient care were delivered in the community from a UK University’s Sport & Health Centre. Nurses tended to patient clinical needs after which patients immediately joined a 1-hour, 12-week group wellbeing class designed to encourage social integration, active movement, nutritional guidance and relaxation techniques. Classes were delivered by a certified Sport Therapist with support from University students. Results:<\b>
Pre-post programme improvements were identified for leg ulcer healing (80%) aerobic fitness (15% - 6-minute walk), ankle mobility (53%), timed up and go (11%), balance (Berg -10%), wellbeing (11% - Warwick and Edinburg), pain (VAS - 20%), and flexibility (59% - Chair sit and reach). Patients reported increased social confidence and improved understanding of leg ulcer self-management and prevention. Healed patients did not want to exit the service citing the transformational educational and social benefits. Conclusions: Our integrated model of care shows promise to augment conventional treatments and healing rates, whilst also encouraging better self-management and disease prevention through improved social integration, feelings of empowerment, wellbeing, physical fitness and functional mobility.
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