Brainstorming ways wound care directly those in need By Grace Jenkins

n event to dream up innovative approaches to wound care has prompted an idea to bring a pop-up wound clinic to underserved people, right in their communities.

Skunkworks: Hacking Wounds recently gathered diverse minds in Vancouver to come up with ideas to target this area. Providence Research organized the event.

Getting Out Of Your Sandbox

The term ‘skunkworks’ originated in the 1940s as an alias for an American engineering lab that worked on top-secret and innovative programs at Lockheed Aircraft Corporation. Today, ‘skunkworks’ describes a proj- ect developed by a loosely structured group of people who identify issues and pilot creative solutions.

The wound-clinic team included people from several disciplines, from Providence Health Care nurses to students from the University of British Columbia’s School of Biomedical Engineering.

“We kind of put a dream team together without knowing it,” says Lisa Maks, diabetes clinical nurse specialist with Providence Health.

“What really intrigued me about Skunkworks was bringing together people from different specialties and backgrounds, who shared the common goal of making a change,” says Theresa Khosrovi, a clinical nurse educator at Providence Health Care.

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Each Member Brings Different Skills

Because they had unique experiences and skills, the participants learned from each other.

“My main takeaway is how helpful it is to step outside of your regular sandbox and to toss around ideas with other professions,” says Aggie Black, Director, Health Services and Clinical Research and Knowledge Translation at Providence Health.

The team took on the problem of how to help people underserved by the health care system to take care of their acute and chronic wounds.

Maks originally brought the problem pitch forward. She’s worked in diabetes care for 18 years, and has seen the impact that wounds have on patients’ quality of life. As soon as she heard about Skunkworks, which was an opportunity to work on ways to prevent wounds from escalating, she was in.

Repeat Visits From Patients Who Lack Support

Working in the acute medicine unit at St. Paul’s Hospital, Khosrovi would see patients returning with unhealed wounds due to a lack of support. “That made me think, what I could do to solve this never-ending cycle so that these people could actually fully heal and live their lives to the fullest?”

The team pitched a pop-up clinic that would bring wound care directly to underserved populations. It would offer to-go kits for those who can’t wait or would rather do the dressing themselves. The team would bring care where people already are by partnering with existing services like shelters and soup kitchens. During the event, they received feedback from patient partners and mentors that this is an important and unmet need.

Benefits Of Treating Wounds Early

By catching wounds in early stages, they would prevent hospital admissions, readmissions, and escalations of care like amputations. The pop-up clinic is not meant to be the ultimate solution, but to gradually get everyone in need connected with the health care system and to more permanent services.

“Ideally, the goal would be to work ourselves out of a job,” says Black. “Until we have a perfect health care system, where everyone feels welcome and respected, we sometimes need to take care to people where they are.”

CARING FOR PATIENTS “STILL FALLING THROUGH THE CRACKS”

“I felt like the judges really saw what we were trying to get them to see – that this is a gap, and that we can provide an innovative solution, evaluate, and see if it makes a difference,” says Black.

“Part of the social justice mission is taking a hard look at how we’re doing things, and how we could do them better. Who are the patients that are still falling through the cracks?”

Looking Back And Looking Forward

Skunkworks: Hacking Wounds is a unique way for people from across disciplines to put their heads together and come up with creative solutions to problems surrounding wounds.

“It was a fabulous experience that I would do again in a heartbeat,” says Maks. ■ H