PMID: 11915092Mar 28, 2002Paper

How accurate are chronic wound assessments using interactive video technology?

Journal of Gerontological Nursing
S E GardnerJ Flanagan

Abstract

This project examined the accuracy of chronic wound assessments made using an interactive, video telecommunications system (Teledoc 5000, NEC America, Inc., Irving, TX) by comparing a nurse expert's in-person wound assessments with wound assessments made from taped Teledoc sessions. Wound assessments determined the absence or presence of nine wound characteristics instrumental in guiding treatment (e.g., tunneling, undermining, granulation tissue, necrotic tissue, epithelial tissue, purulent exudate, erythema, edema, induration). A sample of 13 paired wound observations was analyzed. The accuracy of the Teledoc technology was examined by calculating the amount of agreement between the in-person assessments and the taped Teledoc assessments for each of the nine characteristics. Agreement for eight of the nine wound characteristic exceeded 75%, suggesting this telehealth medium does not alter wound assessment data, which are essential in guiding treatment decisions. In addition to connecting the remotely based nurse with nursing expertise to improve patient care, telehealth technology seemed to increase the remotely-based nurses' knowledge of wound assessment and treatment as well.

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Citations

Mar 28, 2002·Journal of Gerontological Nursing·J K SpechtJ Flanagan
Jun 5, 2007·Physical Medicine and Rehabilitation Clinics of North America·Chester H Ho, Kath Bogie
Apr 17, 2004·Journal of the American Geriatrics Society·Bonnie J WakefieldMichael G Kienzle
Mar 29, 2008·International Journal of Telemedicine and Applications·Jane ClemensenNiels Ejskjaer
Sep 11, 2004·Assistive Technology : the Official Journal of RESNA·Jon A SanfordTina Butterfield
Nov 4, 2011·The Gerontologist·Anna N RahmanJohn F Schnelle
May 26, 2006·International Wound Journal·Sophie M JonesPeter G Shakespeare
Jun 7, 2008·Journal of Telemedicine and Telecare·Taxiarchis Botsis, Gunnar Hartvigsen
May 28, 2009·Journal of Telemedicine and Telecare·Michelle L HillB Jenny Kiratli
Sep 23, 2006·Journal of Telemedicine and Telecare·William R HershMark Helfand
May 25, 2010·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Elisabeth S PapazoglouMichael S Weingarten
Nov 13, 2019·Journal of the European Academy of Dermatology and Venereology : JEADV·V AndreesM Otten
Aug 2, 2002·Advances in Skin & Wound Care·Julie C LoweryEllen Clements
Jan 17, 2007·The Journal of Cardiovascular Nursing·Kathryn H Bowles, Amy C Baugh
Jul 12, 2003·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Hyungjin Myra KimEdwin G Wilkins
Nov 21, 2007·Journal of Gerontological Nursing·Lanny HammettDaniel Olson

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