Tissue Viability (1)
OVERARCHING OUTCOME
PREDICTIVE FACTORS
MEASURES
Adequate risk
assessment
Use of
evidence base
to reduce risk
Identify overall
deterioration
Provide
equipment
advice
Actions to
mitigate risk
Prevent wounds
Optimise lifestyle
behaviours
Patient and carer
knowledge
Manage obesity
Education
provided for
patient and
carer
Ensure patient
concordance with
advice
Information
provided by
team
Increase mobility
Patient/carer
believe in
treatment
Posture seating
Tissue viability
nurse support
% newly acquired
pressure sores/ulcers
Integrated care
system
Complexity of
caseload
GP, practice nurse,
agency care
knowledge
Presence of
comorbidities
(PVD, diabetes)
Staff skills and
knowledge of
tissue viability
Presence of
other LTCs
MDT/stakeholder
communication
and information
Discharge
acuity with
wounds
Podiatry input for
diabetic foot
Patient
population,
age and
functioning
Tissue Viability (2)
OVERARCHING OUTCOME
PREDICTIVE FACTORS
Optimal functioning
through rapid healing
MEASURES
Clinical excellence
Timely referral
and assessments
Patient
concordance
Provision of
specialist
clinics
Timely and
appropriate
referral to service
Informed
patient to self
care
Efficient use of
highly skilled
staff
Assessment to
identify and
mitigate risks
Improve
Lifestyle
behaviours
Prompt treatment
(referral to
treatment time)
Patient/carer
agreed goals
and actions
Evidence
based care and
dressings
Use of
telehealth/
technology
Post-healing
regimen to
minimise
recurrence
Confidence/
expectations of
recovery
Time from onset of ulcer to
heal by type, duration and
size of ulcer
Communication and
information
Complexity of
caseload
GP, practice nurse,
agency care
knowledge
Presence of
comorbidities
(PVD, diabetes)
Tissue viability
nurse supporting
staff skills
Duration of
wound, size of
wound
MDT/stakeholder
communication
and information
Discharge
acuity with
wounds
Hospital
awareness and
knowledge
Case-mix of
wound types
Tissue Viability (3)
OVERARCHING OUTCOME
PREDICTIVE FACTORS
Minimise impact of
chronic wounds on
patient QoL
MEASURES
Resources
Equipment for
patients
IT specialist, TV
telehealth
Wound
measurement
IT
Whiteboard
Virtual Ward
Skilled Staff
Specialist Tissue
Viability nurse
Link nurse in
every area
Informed external
care/stakeholders
Practice Nurses
and GPs
Nursing Homes
Private/ social
Empowered/
competent
generalists
Acute and
community
hospitals
Number staff
with basic TV
knowledge
Mental Health
and LD
Patient perceived Qual
of Life, inc pain, odour,
mobility
Specialist Clinics
Designated
specialist staffing
Equity of access
Access to
specialist
interventions
Leg ulcer venue,
Complex venue
Continuity of
trained staff
Early referral and
full assessment
Resources –
equipment,
transport
Voluntary
sector input
Geographic
accessibility