[Reference care plans and clinical pathways, from standardisation to personalisation]

The reference care plan and clinical pathway are complementary tools. Their implementation, once the method is acquired, is a real scientific approach. It formalises a clinical reasoning shared between the professionals involved in the patient's care. These tools are quality reference guides which give meaning to the caregiving activity. They help to consolidate competencies. This approach guides the clinical judgement and reasoning of caregivers. It is a health care decision support tool. This collective work is the result of reflective practice and is built on experiential knowledge.

[Initial management of foot wounds]

Foot wounds are frequent and not usually serious. The first caregiver to provide treatment must decide on the most appropriate action to take, sometimes in inadequate places. We present an analysis of the management of these traumas to highlight the key stages of the evaluation and initial treatment of the wound while placing the patient on a coherent and efficient clinical pathway.

[Combining clinical pathway and patient education approaches]

The integration of the therapeutic education of the patient into a clinical pathway approach helps to optimise nursing practice. Despite some limits, this method allows the position of the caregiver to evolve, going beyond the required methodological framework. It results in the emergence of several new educational facets which are essential for the patient and enable them to become a player in their own care.