Residents of long-term care (LTC) homes in the Island Health region are benefiting from innovation through more timely access to wound care via virtual appointments with nurses specializing in skin, wound, ostomy, and continence care (NSWOC).
Virtual care appointments allow LTC clinicians and residents to consult with a NSWOC nurse by video using an iPad. Previously, clinicians took photos of a wound and sent them by secure email to the nurse, who would then follow up by phone to provide care and treatment advice. In addition, LTC residents with complex wounds had to be seen in-person by the nurse, either at the care home or in a hospital setting.
Erin Ballard, one of two Island Health NSWOC nurses at LTC homes, said innovative technologies like virtual care provide the opportunity to engage with residents and clinical staff in a more meaningful way.
“Virtual appointments allow me to talk with the resident and their family and understand their goals for care,” she said. “With video, I can see the resident, care staff, and the wound in real-time, which fosters a more thorough holistic assessment. In this way, we can create a treatment plan that is uniquely tailored to the resident and aims to improve their comfort and quality of life.”
Virtual visits are especially valuable for many LTC residents living in rural and remote areas who no longer have to travel long distances to receive specialty wound care.
Pat Lesieur, a resident of Westhaven LTC home in Port Alberni, is appreciative of the care she received during her virtual appointment. "Thank you for your outstanding care, time and attention to help me heal. I felt truly cared for and looked after by the online nurse and the care staff,” she said.
Janice Mangano, a clinical nurse leader at The Summit long-term care home in Victoria, said feedback has been positive. “I find virtual calls easy-to-use and efficient at connecting both the residents and the on-site care team with the clinical expertise we need. Residents are happy to receive an appointment so quickly and to be a part of the assessment, and I receive a care plan after the call.”
The innovative technology necessary to host virtual care is currently in place or in progress in 59 of 61 LTC homes located in the Island Health region.
“We are excited to expand virtual care into long-term care homes to improve the experience for residents. Virtual care breaks down geographical barriers, making specialized care available throughout the Island Health region,” said Lisa Saffarek, Director, Virtual Care Services.
Since its implementation in July, 123 virtual visits have been carried out, showcasing the innovative use of technology in care delivery. With the technology now in place, Island Health’s long-term care program will expand virtual care services this winter to include complex behaviour care planning.