Full Course Description

Module 1 – Importance of Glycemic Control: Acute Complications, Symptoms, and Treatment

It is often thought that diabetes is “caused” by weight gain and that weight loss “cures” diabetes.

I’m going to share with you evidence that paves the way for a paradigm shift to more weight neutral diabetes care. I will discuss emerging evidence that supports patient motivation for healthy behaviors rather than focusing on weight loss alone. My 2-day comprehensive training will include case studies, demonstrations, and simulations to illustrate current best practices and clinical insights to improve patient outcomes. After all, when patients succeed, providers succeed.

I’m Laurie Klipfel, RN, MSN, ANP-BC, CDCES, WCC. I’ve been a Certified Diabetes Care and Education Specialist for over 20 years managing both inpatient and outpatient care for patients with diabetes. I’m excited about this opportunity to provide you with all the tips and strategies I’ve accrued through my own experiences with patients. Diabetes management is ever changing. It really is essential that you have a thorough understanding of glycemic control, acute/chronic complications, AADE-7® behavioral goals and all the newer treatment options (glucose sensors. sensor-augmented insulin pumps…).

Management of diabetes is more complex than I’ve ever seen it. And it’s more critical than ever that we all practice up-to-date, incorporating the current diabetes standards and guidelines. Together, I am confident that we can empower patients to take control of their health and lives.

Laurie Klipfel, RN, MSN, ANP-BC, CDCES, WCC,
and the PESI Healthcare Team

Program Information

Objectives

Determine diagnostic criteria for the different types of diabetes.
Evaluate the relationship between metabolic syndrome and pre-diabetes.
Analyze optimal treatments based on ADA Standards of Care and AADE-7® behavioral goals.
Appraise the basal/bolus concept of insulin administration including various insulin administration schedules.
Assess for prevention/treatment techniques for acute and chronic complications.
Integrate evidence-based research to focus on healthy behavior rather than weight loss.
Plan to address tight glycemic control, including management strategies during illness or surgery.
Determine what to do when a patient is wearing an insulin pump.
Analyze motivational techniques to assist patients to progress.
Distinguish the benefits of new treatment therapies.
Analyze basal/bolus administration of insulin and how to adjust insulin dosages.
Plan to improve patient outcomes through evidence-based strategies.

Outline

Importance of Glycemic Control – Acute Complications, Symptoms and Treatment

Diabetic ketoacidosis (DKA)
Hyperglycemic hyperosmolar
Non-ketotic syndrome (HHNK)
Hypoglycemia
Infection
Fatigue/depression

Chronic Complications, Prevention, Identification, and Treatment

Cardiovascular disease
Peripheral vascular disease
Retinopathy
Nephropathy
Neuropathy

Goals of Therapy

Glucose control
Blood pressure control
Lipid management
Smoking cessation
Improved “well-being”

AADE-7 ®Behavioral Goals

Healthy eating (carbohydrate counting, balanced fat/protein/carb)
Being active with complications of diabetes
Healthy coping/stress management/ depression treatment
Monitoring: frequency, timing and evaluation of results
Risk reduction
Problem-solving with case examples
Medication: indications and Contraindications

Oral Medications

Sulfonylureas
Meglitinides
Thiazolidinediones (TZD)
Biguanides
Alpha-glucosidase inhibitors
DPP-4 inhibitors
SGLT-2 inhibitors
Incretin Mimetics
Combinations

Injectables

-Insulin

Action times
Basal/bolus dosing
Benefits of insulin pump therapy
Management of insulin pump in the hospital

-Incretin Mimetics

Amylinomimetics
- Newer Therapies
- Glucose sensors
- Sensor-augmented insulin pumps
- On the Horizon:
Closed loop insulin pumps
Improved pancreatic transplants
Many combination pills
More DPP-4 inhibitors
Obesity medications
Stem cell research

Healthy Coping/Stress Management Skills

-Healthy Weight

Genetic component
The Obesity Paradox
Healthy choices
Treatment options with pros/cons
Focus on healthy behaviors

-Patient Education and Empowerment

Techniques
Adult learning styles
Setting “SMART” goals
Motivational techniques

-Improving Glycemic Management In Hospitalized Patients

Standards of care
Goals
Surgical considerations
Insulin pumps in hospitalized patients
Resources for patients and professionals

Case Studies

Delaying onset of diabetes for at risk patient
Choosing the best initial treatment for newly diagnosed diabetes
How to advance therapy with optimization of oral agents
Advancing to combination therapy
Optimizing basal bolus insulin therapy
Motivational techniques
How to address weight issues
Improving glycemic management in hospitalized patients

Target Audience

Nurses
Nurse Practitioners
Clinical Nurse Specialists
Certified Diabetes Care and Education Specialists
Physician Assistants
Pharmacists

Copyright : 06/21/2021

Module 2 – Chronic Complications: Prevention, Identification, and Treatment

Copyright : 06/21/2021

Module 3 – Comprehensive Diabetes Management: ADCES7® Self Care Behaviors and Medication Strategies

Copyright : 06/21/2021

Module 4 – Case Studies

Copyright : 06/21/2021

Diabetes Meal Planning

You are seeing an increased volume of patients with diabetes and many of these cases are very challenging. You need practical strategies and meal plans you can put into practice the very next day. In this program, you’ll learn recommendations for specific nutrient modifications, nutrition assessment, patient monitoring and evaluation methods, and problem solving skills. Don’t miss this opportunity to advance your clinical practice and improve patient outcomes.

Program Information

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Dietetic Technicians

Objectives

Choose questions to ask patients before establishing a meal plan.
Consider dietary considerations beyond carbohydrates in meal planning.
Recommend meal planning considerations for exercise.
Analyze the evidenced-based recommendations for the key diabetes nutrition interventions related to; glycemic index, plant based diets, very low calorie diets, hypoglycemia, exercise, weight control and sick day management.

Outline

Meal Planning Considerations for:

Blood Glucose Control
Current Diet
Meal Preferences
Type of Work
Medications
Socioeconomic
Cultural
Willingness to Change

Nutrition Management Priorities

Type I Diabetes
Type II Diabetes

Problem Solving

Sick Day Management
Travel Days
Weight Loss

Diabetic Foot Ulcer Solutions

Wound care has become increasingly complex! There are literally hundreds of wound care product and treatment options to be considered for patients. How can you feel confident that you are recommending the BEST option for the patient’s wound presentation?

Does this real patient scenario sound familiar…

Mrs. K is a 72-year-old female with chronic edema of both lower legs. She refused to use compression stockings, to later experience inflammation and weeping blisters. When Mrs K was admitted to the hospital for worsening heart failure, orders were given for TED stockings and Vaseline gauze to the blistered areas.

The provider wasn’t aware that those interventions were contraindicated. Would you feel confident to suggest a one-sided silicone mesh to protect the blistered areas instead? Or application of two layers of a compression sleeve, if her physician felt the return of fluid to her system would not worsen congestive heart failure symptoms? Or daily chlorhexidine soap wash to both lower legs to help prevent infection?

National wound care expert, Joan Junkin RN, MSN, will demonstrate best practice use of a variety of wound products and treatments, including monofilament pads for mechanical debridement of biofilm and slough, negative pressure disposable options and tools available to greatly simplify use of compression for lower extremity edema.

She will break down the very latest coming from research to support your own complex patient care decisions.

Program Information

Objectives

Catalogue products that provide antimicrobial protection for wounds without causing toxicity. Differentiate pros and cons of five methods of debridement. Appraise off-loading devices available for diabetic foot ulcers. Appraise the tools available for easy application of compression stockings. Anticipate challenges for choosing appropriate solutions for an intact seal when using negative pressure wound therapy. Examine application techniques for disposable negative pressure wound therapy devices. Defend the use of modalities for arterial insufficiency wounds based on research results provided. Evaluate lower extremity pumps safe for use with arterial insufficiency.

Outline

Infection Control Solutions: Bacterial loads, Debridement Devices, Maggots and Biofilm

Surfactants and non-toxic antiseptics to decrease bacterial load
Debridement devices allow all clinicians to provide excellent mechanical debridement
Don’t discount maggots - latest research results
Update on biofilm research findings

Diabetic Foot Ulcer Solutions: Circulation Challenges, Off-loading and Complex Healing

Circulation criteria before debriding
Off-loading devices help you comply with the latest guidelines
Research to address the complex healing challenges

Edema-Caused Leg Ulcer Solutions: Address Edema, Compression Options and Slough Interventions

Address circulation and edema first
Numerous compression products and donning devices (adequate arterial flow)
One compression device or pumps (inadequate arterial flow)
Speed up healing through new interventions to address the challenges with slough

Complex Pressure Ulcer Solutions: Tools and Algorithms to Take Back to Work

Microclimate management tools and techniques to treat
Repositioning tools
Support surface algorithm
Nutrition recommendations from current guidelines

Open Surgical Wound Solutions: Negative Pressure Devices, Instillation Therapy, Isolate a Fistula

Use the wide variety of negative pressure devices effectively
Why a leased device for high exudate
Disposable options for low to moderate exudate Instillation therapy combined with negative pressure
Devices to isolate a fistula

Arterial Insufficiency Wound Solutions: Diagnosis, Treatment Modalities, Arteriovenous Pumps

New diagnostic options
Research results by therapy modality
Arterio-venous pumps

Target Audience

Nurses
Nurse Practitioners
Wound Care Nurses
Physician Assistants
Physical Therapists
Nursing Home Administrators