Home-based medical care providers manage pressure injuries by creating a holistic care plan based on patient preferences and capabilities of an interdisciplinary care team, including caregivers, to provide the necessary day-to-day support of a patient’s needs. The framework of TIME (tissue, inflammation/infection, moisture, edge/epithelialization) guides interventions to optimize wound healing. Home-based medical care providers must evaluate the capacity of caregivers to engage with and help administer the care plan. Social workers and care managers can help implement coordinated care plans and address social and economic burdens. In some cases, a temporary admission to a skilled nursing facility may be necessary.
KeywordsWound care Home-based medical care Interdisciplinary team care Pressure ulcers Pressure injuries House call Homebound
- 1.McInnes E, Dumville JC, Jammali-Blasi A, Bell-Syer SE. Support surfaces for treating pressure ulcers. Cochrane Database Syst Rev. 2011;(12):CD009490.Google Scholar
- 6.Meah YS, Gliatto PM, Ko FC, Skovran D. Wound care in home-based settings. In: Hayashi JL, Leff B, editors. Geriatric home-based medical care: principles and practice. 1st ed. Switzerland: Springer; 2016. p. 195–236.Google Scholar