1. Chronic wound – Organisation of Medical and Nursing Care at Czech republic Jana Strakova Department of Nursing Faculty of medicine, Masaryk university Czech republic, Brno 2012

2. Chronic Wound healing – organisation and development at CZE
Progressive development from 90‘s
Intake and cooperation of foreign business companies with hospitals and medical centres
Using modern healing materials, covers, bandages… during healing process
Involving objective scales and methods, recomanded procedures to the delivered care
Study visiting at the cooperating universities, employment in foreign countries, university hospitals etc.
Nursing department, Faculty of medicine,

3. Nursing care towards to client with Non-healing wound at CZE
Objective identification of clinical wound stage
Choosing of adequate strategy of healing process
Proving nursing care by cooperation with medical and paramedical staff
Reporting provided nursing care to the wound specific nursing documentation
Development and practical applicability nursing documentation
Nursing department, Faculty of medicine,

4. Institutions involved to the providing care by client with chronic wound at CZE
Faculty/local hospitals
Outpatient‘s departments GP
diabetology, podiatry, dermatology, surgery dept.)
Outpatient‘s Centres of Non-healing wound
Certificated or not-certificated dept.
Nursing department, Faculty of medicine,

5. Medical and paramedical staff involved to the providing care by client with chronic wound at CZE
GPs
Physicians specialized on …
Nurses
at the hospitals, outpatient‘s dept.
home care services
hospicies (paliative care)
Other paramedical staff (nutitionists, rehabilitation workers, social workers
Nursing department, Faculty of medicine,

6. System of Education by Nurses taking care for Clients with Chronic wound at CZE
Secondary school for Nursing
Higher school of Nursing
Universities degree
Longlife Education (seminary, course, practical training, certification)
Employer
Private agencies
Centrum for Longlife education of Paramedical staff
Nursing department, Faculty of medicine,

7. System of quarantee high-declated Nursing and medical care
Care focused on cooperation more subjects – nurses, GPs, medical specialists (diabetologists, dermatologists, podologist, etc.), home care nurses, nutritionists…
Trend of providing care in specialized ambulances
High defined conditions to established new specialized ambulance
Necessity to longlife education for all professionals
Positive is increasing numbers of nurses with high quality certificates toward to providing care
Nursing department, Faculty of medicine,

8. Weakness of system providing care to Client with Chronic wound at CZE
Missing of national and united strategy of preventive strategy all over Czech population
Missing clear setting of Nursing competence in taking care
Lack of finance
Missing of well established national strategy for longlife education of paramedical staff (nurses)
Questionable quality of some egency focused on longlife Nursing education
Nursing department, Faculty of medicine,

9. Associations and unionizations professional staff at CZE
Czech Medical Association for Wound healing (unionisation of medical and paramedical staff too)
Specialized section of Czech medical association
Well established cooperation with international associations (EWMA, EPUAP)
Interpretation of international research, guidelines etc.
Conferences organization, etc.
Czech Nursing association
Nursing department, Faculty of medicine,

10. Orientation, trends and wishes in taking care to the future
Unambiguity in Nursing competences
To motivate medical and paramedical staff for longlife education
To set effecive cooperation with health care insurance companies and care providers
Highly developed system of education and preventive measures
More centres specialized on taking care
Nursing department, Faculty of medicine,

11. Thank you for your attention
Nursing department, Faculty of medicine,