Presented by :

Agus Sudiana Nurmansah, S. Kep., Ns., CWCS Ike Nurjana Tamrin, S. Kep., Ns., CWCS

Diyanah Syolihan Rinjani Putri, S. Kep., Ns., CWCS Siti Fatimah M.A, S. Kep., Ns., CWCS

Eka Rivana, S. Kep., Ns., CWCS Siti Zuraida Muhsinin, S. Kep., Ns., CWCS
Erwin Wiksuarini, S. Kep., Ns., CWCS
Tria Prasetya Hadi, S. Kep., Ns.,
Madihah Bt Abdullah, CWCS CWCS
 TAIWAN’S

• The services provides based on the evidence of the results of

research that has been done
• The nurse's work is very systematic, well-planned and well-
executed

• Health education center for patients in every department

• Nurses and other healthcare providers able to communicate
well with the patients and family
• Allocation specific nurse educator in educating patients and
family on wound care (eg. stoma nurse, respiratory nurse)
• Hyperbaric oxygen therapy (HBO) –well developed
(available for inpatients and outpatients)
• Hydrotherapy (especially in burn wound
management unit)
• Operation room specific for skin grafting (in burn
unit)

• All the wound photos are taken everyday (to monitor

the wound progress)
• All patients’ data can be accessed (paperless)
• Helping ech other in doing the work in
treating wounds
• Lunch together to create a close
relationship between nurses so as to
create a comfortable work environment

• The hospital provides holistic services,

namely physical, psychological, social and
spiritual
Hospital Tengku Ampuan Afzan Kuantan
 Wound care management

• The wound care performed in Malaysia is a

patient with DFU, decubitus and cancer cases
• Wound care management in hospital clinic
HTAA done by doctor and assisted by nurse
 The role of nurse wound care

• There is no definite prohibition for nurses

should not perform wound care.
• The nurse also performs home care but
remains under the watch of a doctor.
• HTAA hospitals work with institutions to create
home care programs and are carried out by
hospital nurses and advisory teams or
counselors
 Wound care service system

• The service at the clinic is an outpatient, the

patient is present on schedule in the
appointment book.
• Treatment is done in the action room located in
the clinic.
• All the preparations are done by the nurse and
done by the doctor
 Innovation and Technology

• Book of appointment
• Insurance
• Maggot Theraphy
Magot (Belatung) Therapy
MALAYSIA TEAM
SRINAGARIN HOSPITAL KHON KAEN HOSPITAL
 Hyperbaric
Chambers
Monoplace

HYPERBARIC OXYGEN THERAPY

MONITORING
MACHINE
 BURN UNIT

Thailand policy in burn unit

specially wound clean and
debridment that was performed
by doctor and nursing only help
and do nursing care

IN INDOENSIA SPECIALLY IN
PONTIANAK ALL ACTION
TREATMENT WORK WRITTEN
CARE IS TAKEN BY NURSE

Bath up for burn wound patient

dependon the condition and
indication
BURN UNIT TEAM
EXAMPLE OF DRESSING USED IN
WOUND CARE IN THAILAND
 Wound Care Performed
Before Debridmen After Debridmen

NECROTISING FASCITIS
COLOSTOMI WITH FISTULA
 Service System

One hospital in Thailand

especially at Khon Kaen
hospital every wound care, Discharge Planning in Thailand
nurses must have special is carried out by a special team
that will connect patients
certificate in handling between hospitals and
misses nurses stoma community services
wounds
KHON KAEN HOSPITAL TEAM
GUANGXI MEDICAL UNIVERSITY
Wound managment in China

Before
wound

Wound
managment
After In
wound wound
 Before Wound

Featuring a variety of healthy foods and

choosing menu diet for patient with diabetic
/diabetic foot ulcer

Choosing the right shoes / footwear for

diabetic foot ulcer patient

Teach how to cook healthy and appropriate for

diabetics
 Continue....

Explains how to care for the right foot in

diabetic patients

Explains risky activity in diabetic patients /

diabetic foot ulcer

Explain the site of insulin injection using

dolls
 Continue....

Doing exercise diabetes

Test sensitivity with monovilament and

machine Vibration perception threshold
(VPT) , and tes ABI

Education on the walls of patient wards

 In Wound

Only done by nurses who are certified

Used braden scalle to assesment of wound

Only used Normal salin for cleansing

Using modern dressing

Using insulin pump to control blood sugar

 After Wound

When patients go home:

Nurse will give the book and also

explain it. It is about the diabetes, diet
guidance, physical activity, blood
glucose testing schedule, diagnostic
testing schedule, and the guidance
about how to gain the nearest hospital.
GUANGXI MEDICAL UNIVERSITY TEAM
 co

In wound care management, either using the modern

and advanced wound care devices and dressing or
using traditional dressing, the goal is the same which
is to heal the wound.

In Indonesia, the traditional and natural resources

has been used. Many research has been done which
prove their effectiveness. They not only able to heal
the wound but it is also cost effective.