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Clinics GRP Nursing pathway

Wound and skin care for older adults at home

Assessment-led nursing support for acute and chronic wounds, skin tears, pressure injuries and postoperative wound needs, with documented review and escalation when the clinical picture changes.

Care is subject to referral information, clinical fit, address, required equipment, accepted scope and nurse availability. This is not an emergency or 24-hour response service.

Clinics GRP nurse providing wound and skin care for an older adult at home.

Who it may suit

Reasons this pathway may be requested

  • An acute, chronic or postoperative wound needs nursing review and an agreed care plan
  • A skin tear, pressure injury or fragile-skin concern needs assessment and monitoring
  • A wound is changing, not progressing as expected or creating uncertainty for the person or care team
  • A provider or referrer needs wound measurements, progress documentation and communication

What nursing can include

Care within an accepted nursing plan

  • Nursing assessment of the wound, surrounding skin, relevant risks and current treatment plan
  • Wound measurement and documented progress at clinically appropriate review points
  • Dressing care and practical planning for approved dressings and consumables
  • Education for the person, family or care team about the agreed wound-care plan
  • Communication with the GP, specialist or provider when review or escalation is indicated
First nursing visit

Assessment, priorities and a clear next step

The first visit confirms what can be safely delivered, what needs monitoring and who must be informed if the clinical picture changes.

  1. 1

    Review the referral, diagnosis or treating-clinician instructions, wound history and current supplies.

  2. 2

    Assess the wound and surrounding skin, document priorities and identify any need for prompt medical review.

  3. 3

    Agree the immediate nursing plan, review timing, consumable requirements and communication pathway.

Expected review points

What the nurse reviews over time

  • Wound dimensions, tissue and surrounding-skin changes
  • Pain, exudate, odour or other clinically relevant changes
  • Tolerance of the agreed dressing plan and availability of consumables
  • Whether GP, specialist, hospital or other clinical review is required

Scope and boundaries

What must be clear before care begins

  • The service does not guarantee healing time or replace medical assessment when deterioration is suspected.
  • Advanced wound products or procedures are used only when authorised, available and within the allocated nurse’s scope and competence.
  • Consumables, prescriptions and external specialist costs are confirmed separately from the nursing visit.

Call Triple Zero (000) for a life-threatening situation. Sudden or severe deterioration, heavy bleeding, acute obstruction, chest pain, severe breathlessness or new stroke-like symptoms require urgent medical assessment rather than a routine website enquiry.

Nurse allocation

Matched to the accepted task

Intake confirms the registration, competence and authorised scope required before allocating a nurse.

Communication

Connected with the care team

With consent, relevant findings and escalation can be communicated to family, GPs, hospitals, providers and other clinicians.

Funding and access

Confirmed before commencement

If eligible nursing is included in an approved Support at Home plan, a 0% participant contribution applies to that clinical service. The service still uses available programme funding and remains subject to the service agreement, registered-provider arrangements and accepted nursing scope.

Frequently asked questions

Common questions about wound and skin care

Can a nurse provide wound care at home?

Yes, when an in-home visit is clinically appropriate and the referral, wound-care plan, required supplies and nurse capability are confirmed before care begins.

Do you care for postoperative wounds and skin tears?

The pathway may support postoperative wounds, skin tears, pressure injuries and other acute or chronic wounds. Intake confirms the exact need and whether medical or specialist review is required first.

Are dressings and consumables included?

Consumable arrangements depend on the wound plan, funding and provider agreement. Intake confirms what is supplied, what must be available at the visit and any separate costs.

Your next step

Ask intake to review this nursing need

Share the main concern, suburb, preferred timing, current care-plan or provider context and any information needed to understand the requested nursing task.