Living With Chronic Wounds: Finland – Clinical

Living with chronic wounds in Finland
Video from Finland focusing on the health care professional's view.

In these videos we follow a patient with Crohn's disease and Pyoderma gangrenosum and watch her story being told from three different angles: the patient's, the health care professional's and the institution's.

The videos were created by filmmaker Aurora Piaggesi. Copyright © EWMA 2018.

Description
The 36 year old woman had a stoma as a consequence of Crohn's disease. In 2017 she developed very painful peristomal pyoderma gangrenosum –ulcers affecting her quality of life. The ulcers were treated first with systemic prednisolone and mycophenolate mofetil, then with biologic agents such as ustekinumab and vedolizumab. Finally, the ulcers healed 16 months later during adalimumab treatment and the patient has been in remission since then. More information about pyoderma gangrenosum is available in the EWMA document Atypical Wounds.

Helsinki Wound Healing Centre is a collaborating organization which aims to a strong relationship between Helsinki University Central Hospital and Primary care. The main team consists of plastic surgeon Heli Lagus, vascular surgeon Milla Kallio, dermatologists Kirsi Isoherranen and Heini Halme, tissue viability nurse Opri Kuokkanen and nurse Tuula Laiho.” The video is in Finnish with English subtitles.

Finnish Description
Potilas on 36-vuotias nainen jolla on Crohnin taudin johdosta avanne. Vuonna 2017 hänelle ilmaantui hyvin kivuliaita Pyoderma gangrenosum-haavoja avanteen ympärysiholle. Ne alensivat hänen elämänlaatuaan. Haavoja hoidettiin ensin systeemisellä prednisolonilla ja mykofenolaattimofetiililla. Niistä ei tullut vastetta, ja siirryttiin biologisiin lääkkeisiin kuten ustekinumabiin ja vedolitsumabiin. Lopulta haavat parantuivat 16 kk päästä adalimumambilääkityksen aikana ja ovat olleet kiinni siitä lähtien. Lisäinformaatiota löytyy EWMA-dokumentista Epätyypilliset haavat.

HUS Haavakeskus on yhteistyöorganisaatio, jonka tavoite on saavuttaa vahva yhteistyö erikoissairaanhoidon ja perusterveydenhuollon välillä. Päätiimiin kuuluvat osastinylilääkäri, plastiikkakirurgi Heli Lagus, verisuonikirurgi Milla Kallio, ihotautilääkärit Kirsi Isoherranen ja Heini Halme, auktorisoitu haavahoitaja Opri Kuokkanen ja sairaanhoitaja AMK Tuula Laiho.

This video is part of EWMA's Living with Chronic Wounds (LWCW) project created by filmmaker Aurora Piaggesi. LWCW aims to illustrate the experience of the wound patient in a number of recorded interviews with the patient and the health care professional(s) responsible for the treatment and care of the patient, as well as a representative of the health care institution.

More information available here: https://ewma.org/what-we-do/ewma-proj...