Full Course Description

Skin & Wound Care: 15 Assessment and Treatment Techniques You Didn't Know

OUTLINE

Wound and Skin Care Challenges

Traumatic Lesions
- Skin Tears
- Surgical
Pressure Ulcers
- Controversies & Trends in Staging
- Deep Tissue Injury
- The Specifics on Heel Ulcers
- Pressure Management
Infection
- Candida
- Colonization
- Obtaining Wound Cultures the Right
- Way
- Dehisced Surgical Wounds
- Necrotizing Soft tissue Infections
- Grafting
- Cellulitis
- Chronic Sub-Clinical Infections
- Osteomyelitis
Circulatory Disorders
- Vascular Lesions
- Arterial Insufficiency
- Venous Stasis disease
Special Population Considerations
- Diabetic
- Bariatric
- Neonatal
- Advanced Age

Achieving Successful Wound Healing

Overcoming Common Impediments
- Nutritional Challenges
  - Unintentional Weight Loss
  - Malnutrition
  - Protein-Energy Malnutrition (PEM)
- Tissue Perfusion & Oxygenation
- Necrosis
Wound Assessment
- Location
- Age
- Measurement
- Base
- Odor
- Drainage
- Wound Edge
- Pain
Wound Staging
- In-depth Description of
  - Stage 1, 2, 3, 4
  - Suspected Deep Tissue Injury (SDTI)
  - Unstageable Wounds
- Case Studies
Topical therapy
- Dressing Selection & Use
- Antimicrobials
- Pain Management
- Cost/Reimbursement Considerations
Debridement
- Treatment Choices
- Pulsed Lavage
- Maggot Therapy
Moist Wound Healing
- Exudate Management
- The Latest in Dressing Options
- Avoiding Maceration
Negative Pressure Wound therapy
- Active Therapy: Vacuum-Assisted
- Wound Closure
  - Usage Tips
  - Issues and Complications
Adjunctive Wound Therapies
- Ultrasound
- Estim
Discharge Planning/Plan of Care

Strategies for Continence Care

Skin Cleansing Techniques
Moisture Management
Treatment Strategies
- Pharmacological
- Fecal Containment Devices: Beyond
- Traditional Rectal Tubes
- Surgical
- Barrier Ointments & Creams

Tips, Tricks & Techniques for Ostomy & Fistula Care

Choosing the Right Appliance & Accessories
Pouch Application Techniques
Products for Gaps/Defects
Crusting: Treatment of Peri-Stomal Skin Damage

Beyond Treatment: Safeguarding Your License & Practice

Reimbursement
Documentation & Coding Strategies
National Treatment Guidelines

OBJECTIVES

Explain the comprehensive plan of care to promote optimal wound healing.
Identify characteristics of vascular, neuropathic and pressure ulcers, including deep tissue injury.
State several new interventions useful to support successful wound healing.
Differentiate between urostomy, ileostomy and colostomy.
List effective strategies and techniques for simple and complicated ostomies.
Identify appropriate interventions for urinary and fecal incontinence.
Implement tools to assist with assessment and management of patients with wounds, ostomies and incontinence.

Program Information

Objectives

Explain the comprehensive plan of care to promote optimal wound healing.
Identify characteristics of vascular, neuropathic and pressure ulcers, including deep tissue injury.
State several new interventions useful to support successful wound healing.
Differentiate between urostomy, ileostomy and colostomy.
List effective strategies and techniques for simple and complicated ostomies.
Identify appropriate interventions for urinary and fecal incontinence.
Implement tools to assist with assessment and management of patients with wounds, ostomies and incontinence.

Outline

Wound and Skin Care Challenges

Traumatic Lesions
- Skin Tears
- Surgical
Pressure Ulcers
- Controversies & Trends in Staging
- Deep Tissue Injury
- The Specifics on Heel Ulcers
- Pressure Management
Infection
- Candida
- Colonization
- Obtaining Wound Cultures the Right
- Way
- Dehisced Surgical Wounds
- Necrotizing Soft tissue Infections
- Grafting
- Cellulitis
- Chronic Sub-Clinical Infections
- Osteomyelitis
Circulatory Disorders
- Vascular Lesions
- Arterial Insufficiency
- Venous Stasis disease
Special Population Considerations
- Diabetic
- Bariatric
- Neonatal
- Advanced Age

Achieving Successful Wound Healing

Overcoming Common Impediments
- Nutritional Challenges
  - Unintentional Weight Loss
  - Malnutrition
  - Protein-Energy Malnutrition (PEM)
- Tissue Perfusion & Oxygenation
- Necrosis
Wound Assessment
- Location
- Age
- Measurement
- Base
- Odor
- Drainage
- Wound Edge
- Pain
Wound Staging
- In-depth Description of
  - Stage 1, 2, 3, 4
  - Suspected Deep Tissue Injury (SDTI)
  - Unstageable Wounds
- Case Studies
Topical therapy
- Dressing Selection & Use
- Antimicrobials
- Pain Management
- Cost/Reimbursement Considerations
Debridement
- Treatment Choices
- Pulsed Lavage
- Maggot Therapy
Moist Wound Healing
- Exudate Management
- The Latest in Dressing Options
- Avoiding Maceration
Negative Pressure Wound therapy
- Active Therapy: Vacuum-Assisted
- Wound Closure
  - Usage Tips
  - Issues and Complications
Adjunctive Wound Therapies
- Ultrasound
- Estim
Discharge Planning/Plan of Care

Strategies for Continence Care

Skin Cleansing Techniques
Moisture Management
Treatment Strategies
- Pharmacological
- Fecal Containment Devices: Beyond
- Traditional Rectal Tubes
- Surgical
- Barrier Ointments & Creams

Tips, Tricks & Techniques for Ostomy & Fistula Care

Choosing the Right Appliance & Accessories
Pouch Application Techniques
Products for Gaps/Defects
Crusting: Treatment of Peri-Stomal Skin Damage

Beyond Treatment: Safeguarding Your License & Practice

Reimbursement
Documentation & Coding Strategies
National Treatment Guidelines

Copyright : 09/29/2015

Legal and Regulatory Issues in Wound Care: Avoid Wound Issues and Keep Yourself Out of Court

Program Information

Outline

Introduction

Basics of the U.S. legal system
Why do people sue?
Chronic wounds (especially pressure ulcers) – why are they such a hot topic?
Negligence
Definition of adverse events
Standards of Care – where do we find them?
The economic, professional, and personal impacts of litigation

Regulatory Issues and How They Affect Your Wound Care Practice

Federal statutes and regulations
Hospital Acquired Conditions and Never Events – can we really always avoid them?
Those dreaded Department of Health and Joint Commission surveys
Code of Federal Regulations – Requirements for Long-Term Care Facilities
State Practice Acts and practicing within your scope

Assessment Essentials

Risk assessment
Patient assessment
Wound assessment
Nutrition assessment
Mobility assessment

Legally Defensible Documentation

What MUST be in the record to effectively defend yourself and your institution
The 5 Cs of effective documentation
Pitfalls to avoid
Electronic Health Records: a boon or a bust when it comes to wound documentation?

Communication Essentials

With the patient
With the family
With the physician
Multidisciplinary involvement and communication

Sticky Situations in Wound Care: Helpful Hints to Minimize Your Legal Risk

Pain management - Avoiding a “Pain and suffering” allegation
Nutritional allegations - Delay or failure to provide appropriate nutritional interventions
Policies and procedures – can make or break your defense
Staffing levels and competency
Wound photography – pro’s and con’s and guidelines
Malpractice insurance – is it necessary for nurses?

Issues with Select Types of Wounds

Pressure ulcers – avoidable versus unavoidable
Arterial ulcers
Diabetic ulcers
Know the etiology: dangers in failing to correctly diagnose and treat

You Make The Call

Case studies and scenarios

Objectives

Explain the U.S. legal system and the current wound litigation environment.
Describe regulatory and legal principles of wound care.
Examine the essentials of wound assessments and legally-defensible documentation.
Analyze necessary communications to avoid wound issues and keep yourself out of court.
Describe how to establish a wound program that is legally defensible.
Evaluate high-risk wound care situations that are prone to litigation.