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Pilot evaluation of the management of chronic oedema in community settings project

Published on Dec 2, 2017in British Journal of Community Nursing
· DOI :10.12968/bjcn.2017.22.12.578
Ioan Humphreys10
Estimated H-index: 10
,
Melanie J Thomas3
Estimated H-index: 3
,
Karen Morgan3
Estimated H-index: 3
Abstract
Aims: The aim of this economic analysis was to estimate the economic impact of the On the Ground Education Programme (OGEP) within one local University Health Board (UHB) in Wales. Background: The burden of managing chronic oedema can be considerable to the NHS. Developing innovative solutions to the care and management of patients with chronic oedema has the potential to deliver prudent, cost-effective and high quality care within NHS Wales. Design: The study was a pilot Evaluation of the OGEP using retrospectively and prospectively collected patient recalled data. Methods: A questionnaire collected health care service use data prior to receiving the OGEP (baseline) and at 3 months follow-up from 97 patients during the period June 2016 and January 2017. In addition, we analysed a patient reported health outcome using the EQ-5D 5L, which was completed by patients at the same two assessment points. Results/Findings: The total cost of managing chronic oedema in the 97 patients recruited was £563 729 (mean p...
  • References (2)
  • Citations (7)
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References2
Newest
#1Rebecca L Ashby (Ebor: University of York)H-Index: 8
#2Rhian Gabe (Ebor: University of York)H-Index: 19
Last. David Tappin (Ebor: University of York)H-Index: 77
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Summary Background Drawbacks exist with the standard treatment (four-layer compression bandages) for venous leg ulcers. We have therefore compared the clinical effectiveness and cost-effectiveness of two-layer compression hosiery with the four-layer bandage for the treatment of such ulcers. Methods We undertook this pragmatic, open, randomised controlled trial with two parallel groups in 34 centres in England and Northern Ireland. The centres were community nurse teams or services, family doctor...
101 CitationsSource
Chronic oedema of all causes is thought to be more prevalent than studies have shown. The impact of this chronic condition encompasses many physical, psychological and social domains, many of which are not acknowledged nor addressed. Successful management relies on three factors. The first is early detection and commencement of treatment to prevent complications occurring. The second is an holistic multidimensional approach to address all the associated physical, psychological and social sequell...
21 CitationsSource
Cited By7
Newest
#1Melanie J. ThomasH-Index: 1
#2Karen MorganH-Index: 3
Last. Diane JehuH-Index: 1
view all 5 authors...
Background: Patients with lymphoedema referred to a lymphoedema service from care homes in one health board area in Wales were often complex cases, with repeated cellulitis, a history of falls and ...
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The prevalence of venous leg ulcers and chronic oedema is increasing because of the rise in the older population who have comorbidities. Managing and living with these conditions is extremely costl...
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Ioan Humphreys, Research Assistant, College of Human and Health Sciences, Swansea University (i.humphreys@swansea.ac.uk), describes his involvement in evaluating some exciting initiatives to improve care
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2 CitationsSource
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Marie Todd, Lymphoedema Clinical Nurse Specialist, Specialist Lymphoedema Service, Glasgow, discusses the difficulties of caring for people with compounding conditions
1 CitationsSource
#1Diane JehuH-Index: 1
#2Linda JenkinsH-Index: 1
Last. Melanie J ThomasH-Index: 3
view all 4 authors...
This case study demonstrates the benefits of early intervention and a proactive approach for a patient with chronic oedema living in the community. These benefited the patient and also supported value-based healthcare in the NHS. The patient's health and wellbeing significantly improved with an assessment of his chronic oedema and a management plan consisting of skincare, an exercise and movement programme and the introduction of a class 1 British standard compression garment.
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