The use of PICO negative pressure wound therapy system for a patient following incision and drainage of breast abscess: A case study that shows the cost benefit of the PICO system for this patient and a Breast Care Nurse Specialists perspective.
Association of Breast Surgery ePoster Library. Mcgeown E. 05/15/17; 166195; P115
Eimer Mcgeown

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Abstract
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As a breast care nurse specialist (BCN) keeping up with modern advances in wound care is essential and one must ensure that a deep understanding of best practice in wound management and healing is maintained. Breast care nurse specialist are responsible for improving wound outcomes for their patient group while at the same time conserving resources within the healthcare environment. Antony (2015) concluded following a review of the literature on the use of negative pressure wound therapy (NPWT) the nurses perception of caring for patients with this form of wound dressing was not taken into account. Guest et al (2016) noted in his 2012/2013 study that annual NHS cost for abscess wound care was £274.26 million pounds. Having been recently introduced to the PICO NPWT system the BCN was keen to see how this advanced dressing could be used within her clinical setting. PICO is operated by a small battery pack which provides NPWT at 80mmHg. It is a single use device which is fully disposable.
Method: The surgeon asked the BCN advice re dressing a wound of a 34yr old lady who had had 71 days of standard daily dressings following day 4 dehiscence of a post-op breast abscess wound. With the patients informed consent the BCN applied a PICO dressing. The wound was fully healed within 21 days.
Conclusion: The BCN found this high quality dressing easy to apply and was delighted with the speed of wound healing and reduction of pain due to fewer dressing changes. The patients quality of life was greatly improved as was her mood and satisfaction with breast care service. Potential savings £2,445 if PICO system had been applied post-op Day 4 when dehiscence occurred. References: Antony, H. (2015),nursing standard,30,8,64-70.
Method: The surgeon asked the BCN advice re dressing a wound of a 34yr old lady who had had 71 days of standard daily dressings following day 4 dehiscence of a post-op breast abscess wound. With the patients informed consent the BCN applied a PICO dressing. The wound was fully healed within 21 days.
Conclusion: The BCN found this high quality dressing easy to apply and was delighted with the speed of wound healing and reduction of pain due to fewer dressing changes. The patients quality of life was greatly improved as was her mood and satisfaction with breast care service. Potential savings £2,445 if PICO system had been applied post-op Day 4 when dehiscence occurred. References: Antony, H. (2015),nursing standard,30,8,64-70.
As a breast care nurse specialist (BCN) keeping up with modern advances in wound care is essential and one must ensure that a deep understanding of best practice in wound management and healing is maintained. Breast care nurse specialist are responsible for improving wound outcomes for their patient group while at the same time conserving resources within the healthcare environment. Antony (2015) concluded following a review of the literature on the use of negative pressure wound therapy (NPWT) the nurses perception of caring for patients with this form of wound dressing was not taken into account. Guest et al (2016) noted in his 2012/2013 study that annual NHS cost for abscess wound care was £274.26 million pounds. Having been recently introduced to the PICO NPWT system the BCN was keen to see how this advanced dressing could be used within her clinical setting. PICO is operated by a small battery pack which provides NPWT at 80mmHg. It is a single use device which is fully disposable.
Method: The surgeon asked the BCN advice re dressing a wound of a 34yr old lady who had had 71 days of standard daily dressings following day 4 dehiscence of a post-op breast abscess wound. With the patients informed consent the BCN applied a PICO dressing. The wound was fully healed within 21 days.
Conclusion: The BCN found this high quality dressing easy to apply and was delighted with the speed of wound healing and reduction of pain due to fewer dressing changes. The patients quality of life was greatly improved as was her mood and satisfaction with breast care service. Potential savings £2,445 if PICO system had been applied post-op Day 4 when dehiscence occurred. References: Antony, H. (2015),nursing standard,30,8,64-70.
Method: The surgeon asked the BCN advice re dressing a wound of a 34yr old lady who had had 71 days of standard daily dressings following day 4 dehiscence of a post-op breast abscess wound. With the patients informed consent the BCN applied a PICO dressing. The wound was fully healed within 21 days.
Conclusion: The BCN found this high quality dressing easy to apply and was delighted with the speed of wound healing and reduction of pain due to fewer dressing changes. The patients quality of life was greatly improved as was her mood and satisfaction with breast care service. Potential savings £2,445 if PICO system had been applied post-op Day 4 when dehiscence occurred. References: Antony, H. (2015),nursing standard,30,8,64-70.
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