Full Course Description
The Ultimate Hands-On Wound Care Clinical Lab
Wound Bed Tissue Types: Presentation & Treatment
- Epithelial Tissue
- Granulation Tissue
- Healthy Granulation
- Scaffolding for granulation
- Characteristics of presentation
- Necrotic—When to remove, when to leave alone
- Slough—Devitalized, must be debrided
- Dry Gangrene—Necrosis/Tissue Demise
Wound Margin Issues and Strategies
- Epiboly—Rolled Edges
- Hyperkeratotic—Dry, Calloused Edges
- Peri-Wound Issues
Characteristics of Common Wounds
- Phases of Healing
- Etiology, Appearance, Location, Exudates
- Arterial Insufficiency
- Venous Insufficiency
- 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
- 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
- Exudate determines dressing
Strategies to Select Primary Dressings for:
- Dry/Minimally Draining Wounds
- Oil emulsions
- Ringer’s Lactate impregnated
- Moderate/Heavy/Copious drainage
- 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
- 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.
Advanced Wound Care Treatments for the Lower Extremity
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
- 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
- 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
- Application of compression dressings
- Off-loading Techniques
- Show and Share some of the newest dressings
- Develop the proper treatment protocol for the most common lower extremity wounds.
- Justify the importance of off-loading and demonstrate techniques to protect the wound from pressure.
- Explain the latest methods to reduce biofilm levels in chronic wounds.
- Compare and contrast the benefits of advanced tissue products and discuss how to prepare the wound for application.
- Describe the major groups of dressings by structural characteristics and utility.
- Differentiate the variety of compression devices, dressings and stockings.
- Identify the underlying physical and biological mechanisms for stress-induced delayed wound healing.
- Display effective communication techniques that encourage positive change in patient behavior.
Is it a pressure ulcer or moisture-associated skin damage? Wound identification tips, prevention strategies and tissue pressure management systems
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
- 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
- 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.
Palliative Wound Care: Realistic Wound Management Goals and Best-Practice Guidelines
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
Wound Management Goals & Strategies in Palliative Care
- Pain Reduction Topically and Orally
- Moist Wound Healing
- Odor & Infection Control
- Dressing & Product Optimization
- Wound Debridement
- Other Handy Tips
Communication and Documentation Musts
- 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.