Working around a patient, core concept of the patient-centered care with a focus on diabetes mellitus and associated chronic wounds; A review
DOI:
https://doi.org/10.22122/cdj.v9i2.601Keywords:
Chronic Diseases, Diabetes Mellitus, Wounds, Multidisciplinary Research, Patient-Centered CareAbstract
Management of chronic diseases is a challenging task in current medical practice and treatment of such conditions and their complications is not very straight forward as we deal with multiple clinical problems. This review article provides an overview of the core concept of patient-centered care, effects of diabetes mellitus (DM) on wound healing, and implication of the multidisciplinary team concept for such patients. The literature was searched using “wounds”, “chronic wound healing”, “multidisciplinary team and chronic wound healing” and “patient-centered care and wound healing” as keywords on PubMed as the main source of search. Every chronic disease can involve many health professionals at various stages. The patient-centered approach is a concept that is proving beneficial clinically. This concept considers patient as a center of the circle, and every facility is connected and based upon the patient’s needs. In this article, we have briefly explained implication of such multidisciplinary teams by considering DM management, with a focus on chronic wounds. DM is one of the systemic diseases which puts a significant financial as well as health quality related burden on health systems worldwide. Out of these complications, diabetic foot ulcers (DFUs) and effects of DM on wound healing are extremely important. This clinically important concept of making “teams” to manage various chronic diseases should be investigated in various clinical settings. The data from further research should be analysed to standardize this globally for different categories of wound patients.
References
Krasner DL, Rodeheaver GT, Sibbald RG, Woo KY. International interprofessional wound caring. In: Krasner DL, van Rijswijk L, Editors. Chronic Wound Care: The Essentials e-Book. Malvern, PA: Chronic Wound Care: The Essentials e-Book; 2018.
Nolte E, Knai C, McKee M. Managing chronic conditions experience in eight countries. Geneva, Switzerland: World Health Organization; 2008.
Paschou SA, Stamou M, Vuagnat H, Tentolouris N, Jude E. Pain management of chronic wounds: Diabetic ulcers and beyond. Maturitas 2018; 117: 17-21.
Flores AM, Mell MW, Dalman RL, Chandra V. Benefit of multidisciplinary wound care center on the volume and outcomes of a vascular surgery practice. J Vasc Surg 2019; 70(5): 1612-9.
Harris MF, Chan BC, Daniel C, Wan Q, Zwar N, Davies GP. Development and early experience from an intervention to facilitate teamwork between general practices and allied health providers: The Team-link tudy. BMC Health Serv Res 2010; 10: 104.
Proctor RW, Vu KL. How psychologists help solve real-world problems in multidisciplinary research teams: Introduction to the special issue. Am Psychol 2019; 74(3): 271-7.
Xyrichis A, Ream E. Teamwork: a concept analysis. J Adv Nurs 2008; 61(2): 232-41.
Lockhart C. Collaboration and referral practices of general practitioners and community mental health workers in rural and remote Australia. Aust J Rural Health 2006; 14(1): 29-32.
Tallia AF, Lanham HJ, McDaniel RR Jr, Crabtree BF. 7 characteristics of successful work relationships. Fam Pract Manag 2006; 13(1): 47-50.
Norris Patricia E., O'Rourke M, Mayer AS, Halvorsen KE. Managing the wicked problem of transdisciplinary team formation in socio-ecological systems. Landscape and Urban Planning 2016; 154: 115-22.
D'Amour D, Ferrada-Videla M, San Martin RL, Beaulieu MD. The conceptual basis for interprofessional collaboration: core concepts and theoretical frameworks. J Interprof Care 2005; 19(Suppl 1): 116-31.
Kirby SE, Chong JL, Frances M, Powell DG, Perkins DA, Zwar NA, et al. Sharing or shuffling-realities of chronic disease care in general practice. Med J Aust 2008; 189(2): 77.
Dayrit M. Transformative scale-up of health professional education. International Journal of Person Centered Medicine 2012; 2(2): 161-4.
Snyder RJ. Venous leg ulcers in the elderly patient: associated stress, social support, and coping. Ostomy Wound Manage 2006; 52(9): 58-66, 68.
Barber LA. Clean technique or sterile technique? Let's take a moment to think. J Wound Ostomy Continence Nurs 2002; 29(1): 29-32.
Heijmans M, Waverijn G, Rademakers J, vander V, Rijken M. Functional, communicative and critical
health literacy of chronic disease patients and their importance for self-management. Patient Educ Couns 2015; 98(1): 41-8.
Sibbald RG, Ayello EA, Alavi A, Ostrow B, Lowe J, Botros M, et al. Screening for the high-risk diabetic foot: a 60-second tool (2012). Adv Skin Wound Care 2012; 25(10): 465-76.
Lavery LA, Peters EJ, Williams JR, Murdoch DP, Hudson A, Lavery DC. Reevaluating the way we classify the diabetic foot: restructuring the diabetic foot risk classification system of the International Working Group on the Diabetic Foot. Diabetes Care 2008; 31(1): 154-6.
Scales BS, Huffnagle GB. The microbiome in wound repair and tissue fibrosis. J Pathol 2013; 229(2): 323-31.
Woodbury MG, Sibbald RG, Ostrow B, Persaud R, Lowe JM. Tool for Rapid & Easy identification of high risk diabetic foot: validation & clinical pilot of the simplified 60 second diabetic foot screening tool. PLoS One 2015; 10(6): e0125578.
McCarty SM, Cochrane CA, Clegg PD, Percival SL. The role of endogenous and exogenous enzymes in chronic wounds: a focus on the implications of aberrant levels of both host and bacterial proteases in wound healing. Wound Repair Regen 2012; 20(2): 125-36.
Guo S, Dipietro LA. Factors affecting wound healing. J Dent Res 2010; 89(3): 219-29.
Rodriguez PG, Felix FN, Woodley DT, Shim EK. The role of oxygen in wound healing: A review of the literature. Dermatol Surg 2008; 34(9): 1159-69.
Bishop A. Role of oxygen in wound healing. J Wound Care 2008; 17(9): 399-402.
Hussain MA, Rathnayake IU, Huygens F. The importance of anaerobic bacteria in non-healing wounds. Wound Practice & Research: Journal of the Australian Wound Management Association 2016; 24(4): 218-23.
