Full Course Description


 

The Ultimate Hands-On Wound Care Clinical Lab

OUTLINE

Wound Bed Tissue Types: Presentation & Treatment

  • Epithelial Tissue
  • Granulation Tissue
    • Healthy Granulation
    • Hypergranulation
  • Fibrin
    • Scaffolding for granulation
    • Characteristics of presentation
  • Necrotic—When to remove, when to leave alone
    • Slough—Devitalized, must be debrided
    • Eschar—Devitalized
    • Dry Gangrene—Necrosis/Tissue Demise

Wound Margin Issues and Strategies

  • Epiboly—Rolled Edges
  • Hyperkeratotic—Dry, Calloused Edges
  • Jagged
  • Epithelialization
  • Peri-Wound Issues
    • Macerated
    • Desiccated
    • Erythema
    • Indurated
    • Atrophic/Fibrotic
    • Fluctuant

Characteristics of Common Wounds

  • Phases of Healing
  • Etiology, Appearance, Location, Exudates
    • Arterial Insufficiency
    • Venous Insufficiency
    • Diabetic/Neuropathic
    • Pressure Ulcers - Demystifying Staging
    • Skin Tears

Hands-On Clinical Lab

  • Using the latest in wound care model technology, participate in skill-based exercises in:
    • Wound staging
    • Tissue type identification
    • Proper measuring techniques
    • Tunneling/Undermining
    • Wound care product awareness and application

Wound Care Products

  • Characteristics of Each Dressing Category
    • Hydrogel, Hydrocolloid, Collagen
    • Calcium Alginate/Hydrofiber
    • Silver products, Foam, Honey
    • Multi-layer compression
    • Gauze/Composite
    • Exudate determines dressing

Strategies to Select Primary Dressings for:

  • Dry/Minimally Draining Wounds
    • Hydrogel
    • Oil emulsions
    • Ringer’s Lactate impregnated
    • Combinations
  • Moderate/Heavy/Copious drainage
    • Alginates/Hydrofibers
    • Topical Medications
  • Critically Colonized/Infected Wounds
    • Silver Dressings
    • Silver Alginates/Hydrofibers, Hydrogels and Collagens
    • Antimicrobial impregnated dressings
    • Enzymatic debriders
    • Cleansing agents and other topicals
  • Proper Application and Cost Considerations
  • Alternative Options and Substitutions

OBJECTIVES

  • Distinguish at least 6 tissue types found in chronic wounds.
  • Identify and differentiate at least 4 wound etiologies.
  • Compare and contrast 6 terms used to document peri-wound status.
  • Demonstrate accurate measurement and documentation of wounds, tunneling and undermining, according to the clock method, using a wound teaching model.
  • Identify and categorize at least 7 dressing types, including the indications for use, precautions and contraindications.
  • Develop an appropriate dressing/ treatment protocol for a wound, based upon exudate, wound status, and products discussed.
Copyright : 10/26/2016

Advanced Wound Care Treatments for the Lower Extremity

OUTLINE

So Many Dressings, So Little Time

Dressing Fundamentals for Advanced Practice

  • Choosing the appropriate dressing based on the wounds needs
  • New versions of older products
  • Does higher cost mean better results?
  • Is silver becoming resist?

Cut It Out? - Proper Debridement and Reduction of Bioburden

  • Eschar, gangrene, fibrin, and slough – best way to treat: remove or leave alone
  • Biofilm: identify, reduce and remove
  • Surgical vs. Non-surgical ways to debride a wound
  • Infection: can we treat without antibiotics?

Common Chronic Wounds and Advanced Treatments

  • Normal wound healing pathway
  • In-depth review of the pathophysiology, appearance, location and treatments for:
    • Diabetic / Neuropathic Foot Ulcers
    • Venous Insufficiency
    • Arterial Ulcers
    • Pressure Injuries
  • Vascular Testing: Ankle-Brachial Index, Doppler – understanding the results
  • Step-by-step foot exams: Identify the high risk patient
  • Diabetic foot deformities: how to treat and protect from recurrence

Hands-On Lab

  • Review of off-loading devices:
    • Total Contact Cast
    • CamWalker vs. CroWalker
    • Diabetic shoes
    • Custom inserts

Hands-On Off-loading Workshop (secrets from Dr. Farrer’s lab)

Advanced Dressings – What Works, What Doesn’t

  • Biological and tissue grafts
  • Prepping the wound for graft placement
  • Mechanical Negative Pressure
  • Topical Oxygen

Lower Leg Edema and Compression Treatments: It’s More Than Just Compression

  • Compression pumps: what are the differences?
  • Elastic vs. inelastic dressings
  • Multi- layered compression wraps
  • Protecting the periwound and drainage control

Hands-On Lab

  • Compression workshop to practice your skills

“I’m stressing over my wound” - Understanding the Role of Stress in Delayed Wound Healing

  • Identify stress-induced factors in the wound patient
  • Clinical strategies to overcome delayed healing

The Psychology of Wound Healing

  • Making your patient part of the Wound Care Team
  • Communication techniques to encourage compliance
  • Easy strategies to promote positive change in patient behavior

Hands-On Labs

  • Application of compression dressings
  • Off-loading Techniques
  • Show and Share some of the newest dressings

OBJECTIVES

  1. Develop the proper treatment protocol for the most common lower extremity wounds.
  2. Justify the importance of off-loading and demonstrate techniques to protect the wound from pressure.
  3. Explain the latest methods to reduce biofilm levels in chronic wounds.
  4. Compare and contrast the benefits of advanced tissue products and discuss how to prepare the wound for application.
  5. Describe the major groups of dressings by structural characteristics and utility.
  6. Differentiate the variety of compression devices, dressings and stockings.
  7. Identify the underlying physical and biological mechanisms for stress-induced delayed wound healing.
  8. Display effective communication techniques that encourage positive change in patient behavior.
Copyright : 12/15/2016

Is it a pressure ulcer or moisture-associated skin damage? Wound identification tips, prevention strategies and tissue pressure management systems

OUTLINE

Moisture Associate Skin Damage (MASD)

  • Common & Uncommon Sources of Moisture
  • Prevention & Treatment Strategies

Incontinence-Associated Dermatitis (IAD)

  • Prevention Strategies
    • Skin Protectants & Barriers
    • Pouching Systems
  • Differentiate Between (IAD) and Pressure Ulcers
  • Treatment Techniques for Candidiasis

Pressure Ulcers

  • Risk Factors and Vulnerable Populations
  • The Latest Staging Guidelines
  • Suspected Deep Tissue Injury Identification and Treatment
  • Best-Practice Prevention Guidelines
    • Repositioning Considerations
    • Shear Force Minimization
    • Friction Minimization
    • Tissue Load/Pressure Management

Specialized Support Surfaces for Tissue Load Management

  • Pressure Mapping Systems
  • The Role of Microclimate
  • Support Surface Overlay Options
  • Reactive Surfaces
  • Mattresses & Chair Cushions
  • Selection Criteria & Patient Safety Considerations

OBJECTIVES

  • Recognize moisture associated skin damage.
  • Communicate prevention, presentation, and treatment of incontinence associated dermatitis.
  • Point out pressure ulcer staging and risk factors.
  • Breakdown examples of pressure ulcer prevention measures.
  • Compare and contrast three therapeutic support surfaces.
Copyright : 05/01/2015

Palliative Wound Care: Realistic Wound Management Goals and Best-Practice Guidelines

OUTLINE

Palliative Wound Assessment Considerations

  • Holistic Approach to Assessment
  • Risk Assessment
    • Pressure Sore Risk
    • Hospice Pressure Ulcer Risk
    • Skin Failure Risk
  • Pain Assessment
    • Nociceptive vs Neuropathic Pain
    • Wong Baker Pain Scale
    • Non-verbal Pain Indicators

Common Types of Wounds in Palliative Care

  • Pressure Ulcers
  • Malignant Wounds (Fungating Tumors)
  • Arterial Ulcers
  • Kennedy Terminal Ulcers

Avoidable vs. Unavoidable Pressure Ulcers

  • WOCN Position Paper
  • F-Tag 314
  • SCALE

Wound Management Goals & Strategies in Palliative Care

  • Pain Reduction Topically and Orally
  • Moist Wound Healing
  • Odor & Infection Control
  • Dressing & Product Optimization
  • Wound Debridement
  • Bleeding
  • Other Handy Tips

Communication and Documentation Musts

OBJECTIVES

  • Communicate three risk considerations for palliative wounds
  • Describe topical and oral pain management
  • Investigate avoidable vs. unavoidable wounds, and list steps a facility must take as related to F-Tag 314.
  • Connect common palliative wounds to best-practice management techniques.
Copyright : 05/01/2015