Full Course Description
Current state of Wound Care: Trends, Barriers, and Opportunities
Wound Care is a complex and multifaceted specialty! Regardless of the type, wounds are devasting for your patients and a never ending challenge for you! Almost every day, new information, new products are introduced, and technology evolves. It is not easy to keep up with it all. Frank and Lizzie will launch the summit with an exciting session that will provide you with the latest evidence to help you keep up with it all and help your patients heal! By sharing the best practices from many wound care providers, you do not need to “reinvent the wheel,” but instead can learn from the best and take away new strategies that you can implement immediately!
In this recording, Frank Aviles and Elizabeth Faust, the co-hosts of The Frank & Lizzie Show, will go over some of latest trends in wound care, talk about challenges of our specialty and highlight the amazing opportunities on the horizon! We promise a fun and interactive session!
Program Information
Objectives
- Determine two new innovations in wound care.
- Analyze two challenges in wound care delivery.
- Evaluate a process for evaluating new products.
- Assess two hot topics in the wound care space.
Outline
- Current Situation
- Number of chronic wounds continue to rise
- Outcome needle is not moving in the right direction
- Evidence based practice
- Hot Topics
- Innovations in wound care
- How technology may change the way we practice
- Innovations
- Infrared Thermography
- Fluorescence Imaging
- Topical Oxygen
- Evaluating New Products
- Barriers to Evidenced Based Practice
- Translating the evidence to practice
- Factors that halt the progression of wounds
- Normal overlapping healing cascade
- Need for Interdisciplinary Collaboration
Target Audience
- Nurses
- Nurse Practitioners
- Occupational Therapists
- Occupational Therapy Assistants
- Physical Therapy
- Physical Therapy Assistants
- Physicians
- Physicians Assistants
- Podiatrists
Copyright :
12/08/2022
Master Class in Debridement
This recording provides a comprehensive review on sharp debridement and its application in wound management. Attendees’ virtual participation will increase their knowledge, skills, ability and confidence leading to improved patient outcomes. It aims to address the learning needs of healthcare practitioners who would like to develop and enhance their theoretical and practical knowledge when managing complex, hard to heal wounds that require sharp debridement.
Program Information
Objectives
- Analyze conservative sharp debridement.
- Demonstrate sharp debridement techniques, including safe use and disposal of sharps.
- Determine the indications and contraindications of sharp debridement.
- Differentiate between selective debridement versus non-selective debridement.
Target Audience
- Nurses
- Nurse Practitioners
- Occupational Therapists
- Occupational Therapy Assistants
- Physical Therapy
- Physical Therapy Assistants
- Physicians
- Physicians Assistants
- Podiatrists
Outline
- Goals of Debridement
- Types of Conservative and Sharp Debridement
- Selective vs Non-Selective Debridement
- Tools of the Trade: Types of Instruments Used for Debridement
- Safe Use and Disposal of Sharps
- Patient Pain Control
- Tissue Identification and Documentation
- Wound Measurements: Pre and Post Debridement
- Proper Hand Position for Safe Debridement
- Hands on Workshop: Attendee will use an orange and disposable scalpel to follow along in a proper debridement activity
Copyright :
12/08/2022
Understanding Basic and Advanced Wound Care
Wound healing is a complicated process with success based on many different factors. One key factor for success is selecting the most appropriate wound dressing. With so many options available, learning about each dressing can be overwhelming. This recording will breakdown each of the most commonly used wound cleansers and dressings and explain how to select each one based on the wound presentation and patient’s needs.
Program Information
Objectives
- Discuss wound management and goals of wound care.
- Discuss wound cleansing techniques and wound cleansing products.
- Discuss basic and advanced wound dressings.
- Discuss how wound dressings promote wound bed preparation and management of bioburden.
Outline
- Goals of Wound Care
- Promote wound bed preparation
- Managing bioburden and preventing infection
- Addressing physiological needs of the wound
- Facilitate granulation and epithelialization
- Protect wound and periwound from trauma
- Continuously evaluate for effectiveness of treatment plan
- Wound Cleansing techniques and cleansing agents
- Wound cleansing vs. irrigation
- Basic wound cleansers
- Commercially prepared wound cleansers
- Antiseptic wound cleansers
- Wound Dressings
- Understanding Primary, Secondary, and Securement dressings
- Basic wound dressings
- Advanced Wound Dressings
- Separated by category
- Includes wear time, indications, contraindications
- Antibacterial/Antimicrobial wound dressings
Target Audience
- Nurses
- Nurse Practitioners
- Occupational Therapists
- Occupational Therapy Assistants
- Physical Therapy
- Physical Therapy Assistants
- Physicians
- Physicians Assistants
- Podiatrists
Copyright :
12/08/2022
Nutritional Management of Wounds
The media bombards us with information about nutrition so it seems that we all should know what to eat to be healthy. Yet many of our patients are malnourished, which contributes to both the development of wounds and chronic non-healing wounds. This recording will review the etiology-based definition of malnutrition as well as body composition issues such as sarcopenic obesity, that may mask malnutrition. The attendee will also learn how to assess a patient's caloric, protein and fluid needs and describe the role of each macronutrient in healing. Micronutrients relevant to the healing process will be reviewed as well as the latest research on collagen dipeptides.
Program Information
Objectives
- Recognize the role nutrition plays in acute and chronic wounds.
- Define the term malnutrition and list the current criteria used to diagnosis malnutrition.
- Identify the key macro- and micronutrients needed to fuel the wound healing process.
- Describe the current research on collagen peptides in wound healing.
Outline
- Malnutrition
- Current definition
- Etiology based requirements
- Nutrition focused exam
- Body Composition
- Understanding scale weight
- Sacropenic obesity may mask malnutrition
- Distinguishing between cachexia and sarcopenia
- Medical Nutrition Therapy
- General Goals of Medical Nutritional Therapy (MNT)
- Caloric (energy) needs
- Protein and amino acid needs
- Fluid needs
- Developing a nutrition care plan
- Realistic goals
- Interventions that are acceptable to patient
- Vitamin and mineral supplementation
- Vitamin C
- Zinc
- Vitamin D
- Role of multi-vitamins
- Collagen and Dipeptides
- Current research on prolyl-hydroxyproline and hydroxyprolyl glycine
- Role in fibroblast activity
Target Audience
- Nurses
- Nurse Practitioners
- Occupational Therapists
- Occupational Therapy Assistants
- Physical Therapy
- Physical Therapy Assistants
- Physicians
- Physicians Assistants
- Podiatrists
Copyright :
12/08/2022
Wound Skills Demonstration Lab: Negative Pressure Wound Therapy & Wound/Fistula Managers
Using lecture and demonstration this recorded session will provide special tips and essential information to improve knowledge and skills in hands-on aspects of caring for a wound. Information about wound measurement and cleansing will be shared based on questions the speaker has received the past 15 years during seminars. Negative pressure wound therapy options are presented including the comparison of the various disposable systems. Troubleshooting will be easier with knowledge about various tools available for special situations such as open abdomen, fistulas, infected wounds needing instillation and therapy for closed incisions. When NPWT is not available for highly exudating wounds a wound manager is a viable option. There are various styles to consider as well as occasional use of ostomy pouches on a wound. This demonstration-based recording is guaranteed to advance your current wound care knowledge!
Program Information
Objectives
- Determine essential steps of wound bed preparation.
- Demonstrate initial application and removal of negative pressure wound therapy.
- Choose appropriate tools for achieving a reliable seal with negative pressure wound therapy drape.
- Evaluate tools to meet special negative pressure wound therapy needs such as open abdomen, skin grafts, closed incisions and wounds needing instillation of solutions.
- Compare pros and cons of various styles of wound/fistula manager pouches available for highly exudating wounds.
Outline
- Negative Pressure Wound Therapy: Prior to Initial NPWT Placement
- Assess wound size and depth to determine dressing size
- Check for contours that may present challenges for a reliable seal
- Assess wound readiness for NPWT-
- Review contraindications
- Check anticoagulant status if indicated
- Is a debridement plan needed for necrotic tissue
- Assess need to protect exposed organs, tendons, bone, nerves or blood vessels
- Negative Pressure Wound Therapy: Initiation of Therapy
- Proper wound cleansing
- Open foam or gauze for wound
- Dressing sizing for skin and tunneling
- Compare techniques for best obtaining a reliable seal
- Thin hydrocolloid frame
- Ostomy barrier rings or strips to fill creases or for moist areas
- Durable skin barrier wipes
- Special silicone/acrylic drape for those with very fragile skin
- Cutting drape to fit
- Continuous vs. intermittent indications
- Negative Pressure Wound Therapy: Removal of Dressing
- Let wound decompress
- If foam/gauze difficult or painful to remove, instill saline or wound cleanser
- Consider using a perforated interface at wound surface for next application
- Negative Pressure Wound Therapy: Tools for Special Needs
- Open abdomen dressings and fistula management tools
- Skin graft bolstering
- Incision management systems
- Instill therapy and dressings to allow best solution distribution and exudate flow
- Interface materials that can be used at wound surface for pain reduction and for antimicrobial properties
- Wound/Fistula Managers
- Great for high exudate when NPWT not available/appropriate
- Compare varieties available including use of ostomy pouches for wound exudate containment
- Application of various styles including those able to attach to bedside drainage bag for extra high output
Target Audience
- Nurses
- Nurse Practitioners
- Occupational Therapists
- Occupational Therapy Assistants
- Physical Therapy
- Physical Therapy Assistants
- Physicians
- Physicians Assistants
- Podiatrists
Copyright :
12/09/2022
Phlebolymphedema: Clinical Presentation, Complications, and Treatment
Phlebolymphedema is a consequence of venous and lymphatic insufficiency. Underdiagnosed and poorly treated, phlebolymphedema can cause venous ulcers, recurrent skin infections or cellulitis, and decreased quality of life. Clinicians frequently recommend compression therapy including pneumatic compression pumps to treat venous insufficiency and lymphedema. Though these are appropriate, a thorough assessment must be completed to ensure the right treatment for each patient, and when it is indicated to incorporate these modalities into the plan of care. In addition, when patients develop venous ulcers as a complication of phlebolymphedema, clinicians must know evidence-based treatments, incorporating a patient-centered approach to manage these types of wounds. This recorded session attempts to educate clinicians about the most current evidence in the diagnosis, complications( such as venous ulcers), and treatment of phlebolymphedema. This session will also provide some tools to successfully manage this condition.
Program Information
Objectives
- Formulate the clinical picture of phlebolymphedema, stages of phlebolymphedema, and comorbidities.
- Propose the gold standard treatment of venous and lymphatic insufficiency (venous insufficiency and lymphedema).
- Differentiate and compare the signs and symptoms of lymphedema, venous insufficiency, and phlebolymphedema.
- Differentiate and evaluate the best treatment options for each of the case studies presented (phlebolymphedema, lymphedema, venous insufficiency).
Outline
- Introduction
- Incidence of Phlebolymphedema
- CVI + Stage 2 lymphedema = Phlebolymphedema
- Pathophysiology of CVI
- Pathophysiology of lymphedema
- Causes
- Risk Factors
- Non-cancer related-causes
- Diagnosis
- Patient History
- Clinical presentation
- Tests
- Complications
- Venous ulcers
- Pathophysiology
- Clinical presentation
- Difference between arterial vs. venous ulcers
- Treatment
- Wound management
- Assessment
- Debridement
- Dressing selection
- Compression therapy
Target Audience
- Nurses
- Nurse Practitioners
- Occupational Therapists
- Occupational Therapy Assistants
- Physical Therapy
- Physical Therapy Assistants
- Physicians
- Physicians Assistants
- Podiatrists
Copyright :
12/09/2022
Lower Extremity Wounds: Management Pearls
Chronic wounds are wounds that fail to heal according to a normal healing trajectory and are often a symptom of an underlying health condition. As a result, chronic wounds, especially on the lower extremity can be challenging. In addition to determining the cause of the wound, such as pressure, venous disease, diabetes, ischemia, or more, a comprehensive management plan is key. Clinicians working with these patients need to develop a plan for successful healing, which may include, off-loading, edema management, nutrition interventions, evaluation of arterial flow, infection control and local wound care. This recorded session will include useful tips for working with patients who may be frustrated, non-adherent, or lacking in resources.
Program Information
Objectives
- Analyze the incidence and prevalence of leg ulcers globally.
- Differentiate between venous leg ulcers arterial ulcers and diabetic foot ulcers.
- Distinguish between current classification schemes for venous leg ulcers and diabetic foot ulcers.
- Evaluate current standards of care for management of venous, diabetic and arterial leg ulcers.
- Evaluate surgical interventions for leg ulcers and indications for surgical consultation.
- Compare and contrast compression modalities.
- Investigate emerging technologies in leg ulcer management.
Outline
- Analyze the incidence and prevalence of leg ulcers globally
- Incidence and prevalence of venous, arterial and diabetic ulcers
- Morbidity and mortality issues regarding lower extremity ulcers
- Financial burden to patient and society
- Differentiate between venous leg ulcers arterial ulcers and diabetic foot ulcers
- Venous ulcer location, wound characteristics and pathophysiology
- Arterial ulcer location, wound characteristics, pathophysiology and symptoms
- Diabetic ulcer locations, wound characteristics, pathophysiology, concept of neuropathy
- Pain experiences in different types of lower extremity ulcers
- Noninvasive vascular studies: arterial dopplers, ABIs, TBIs, venous dopplers
- Distinguish between current classification schemes for venous leg ulcers and diabetic foot ulcers
- CEAP model
- Wagner and UTHSCSA classifications
- Fontaine classification
- Evaluate current standards of care for management of venous, diabetic and arterial leg ulcers
- Compression modalities: indications and contraindications
- Identification and management of infection
- Debridement indications and types of debridement
- Offloading techniques and indications
- Topical therapies
- Evaluate surgical interventions for leg ulcers and indications for surgical consultation
- When to refer for surgical evaluation
- Podiatric surgical interventions
- Vascular/endovascular interventions
- Compare and contrast compression modalities
- Short stretch compression
- Long stretch compression
- Compression stockings
- Compression garments
- Lymphedema pumps
- Investigate emerging technologies in leg ulcer management
- Use of allografts, xenografts
- Perfusion assessment/fluorescence angiography
- Moleculight
Target Audience
- Nurses
- Nurse Practitioners
- Occupational Therapists
- Occupational Therapy Assistants
- Physical Therapy
- Physical Therapy Assistants
- Physicians
- Physicians Assistants
- Podiatrists
Copyright :
12/09/2022
Palliative Wound Care
Palliative wound care utilizes mutual goal setting to maximize quality of life in patients where wound healing may not be the primary goal. Knowledge of pain management, decreased dressing change frequency, and infection prevention methods can facilitate successful outcomes in this specialized cohort of wound patients. Learn about the special considerations of palliative wound care including an increased emphasis on infection prevention, comfort, and pain management. In addition, hear which management strategies are contraindicated in certain palliative wound types to avoid complications.
Program Information
Objectives
- Define palliative wound care and what constitutes a palliative wound.
- List common palliative care wound types.
- Describe core management concepts of palliative wounds.
- Determine interventions to treat common complications seen in palliative wounds.
Outline
Palliative wound care and what constitutes a palliative wound
- When to choose palliative care
- Wound healing v symptom palliation
- How to prioritize symptom relief
Common palliative care wound types and review management considerations
- Wound in patients with cancer
- Fungating tumors
- Cancerous wounds
- Arterial ulcers
- Non-adherence to medical plans of can in medically complex patients
- Overwhelming comorbidities
Core management concepts of palliative wounds
- Infection prevention
- Pain reduction
- Odor and drainage management
Target Audience
- Occupational Therapist
- Occupational Therapy Assistant
- Physical Therapist
- Physical Therapist Assistant
- Registered Nurse
- Licensed Practical Nurse/Licensed Vocational Nurse
- Certified Nurse Assistant
- Medical Assistant
- Nursing Home Administrator
- Nurse Practitioner
- Podiatrist
- Physician Assistant/Associate
- Physician
Copyright :
06/19/2023
Professional Considerations in Wound Management
Wound care has unique professional considerations for all members of the interdisciplinary team. In this session, you will learn how to navigate potential ethical issues, ensure you are providing culturally competent care, and how to avoid legal complications…all within a team environment.
Program Information
Objectives
- Identify ethical concerns encountered in wound management.
- Define and integrate cultural competence into the delivery of wound care.
- Review scope of practice considerations.
- List common legal issues encountered and interventions in prevention.
- Discuss how an interdisciplinary wound care team is necessary for effective wound management.
Outline
Professional concerns in wound care
- Ethical issues
- Cultural competence into the delivery of wound care
- Scope of practice considerations
- Common legal issues encountered and interventions in prevention
Interdisciplinary wound care
- Team approach
- Effective wound management
Target Audience
- Occupational Therapist
- Occupational Therapy Assistant
- Physical Therapist
- Physical Therapist Assistant
- Registered Nurse
- Licensed Practical Nurse/Licensed Vocational Nurse
- Certified Nurse Assistant
- Medical Assistant
- Nursing Home Administrator
- Nurse Practitioner
- Podiatrist
- Physician Assistant/Associate
- Physician
Copyright :
08/23/2023
Skin Injuries and the Critically Ill Patient
The Critically ill population offers complex clinical situations that can alter their skin integrity. In the battle of the ABC’s of resuscitation, the skin is often left behind. This session will focus on the unique clinical factors that make the critically ill population so susceptible to skin injuries, identify common skin manifestations seen in the critically ill, and describe management of patients with these skin injuries.
Program Information
Objectives
- Formulate three patient factors that make the critically ill patient population more susceptible to skin injuries.
- Analyze physiology behind common skin injuries in the critically ill.
- Differentiate between common presentations of skin injuries.
- Determine prevention and treatment for common skin injuries in the critically ill patient.
Outline
Risk for critically ill patients for skin injuries
- Elevated Risk for PI Development
- Latest Data
- Quality Indicator
- Increased Length of Stay and Cost
Risk Scales and Assessment
- Braden
- Jackson Cubbin
- Pressure Injury Staging
Case Studies of Critically Ill Patients with Skin Injuries
- Bundle Care
- Immobilization
- Conceptual Schema
- What Caused this Injury?
Target Audience
- Nurses
- Nurse Practitioners
- Physicians Assistants
- Physical Therapists
Copyright :
10/27/2022
How to Market Your Wound Care Business with Impact: Multi-Million Dollar Marketing Secrets
The business of wound care is very different from the clinical aspect of wound care. As nurses and healthcare professionals, we understand and are very comfortable with the clinical skills needed to take care of our client base. The business side of wound care and how to create a steady stream of referrals can be elusive. Your business needs referrals to thrive. Join Teresa Sanderson, RN, CCM for this session to learn the basics of how to market your wound care business with impact, make your business stand out from the rest, and create a steady stream of referrals.
Program Information
Objectives
- Propose ways to market your business with impact.
- Develop two strategies to increase referrals.
- Plan 3 ways to differentiate your business from all the rest.
- Propose ways to create winning business partnerships that result in referrals.
Outline
1. Welcome & Overview
- You will learn:
- How to market your business with impact
- Understand 2 strategies to increase referrals
- 3 ways to differentiate your business from all the rest
2. How I Grew My Hospice To $3M With Just A $6K Investment
- What I Wanted To Avoid
- Succeeding at the expense of someone else
- Legal/Ethical issues
- Accepting the status quo as excellence
- What I Wanted To Achieve
- Establish my hospice as the premier provider of hospice care
- Be a beacon everyone in need of end of life care information & resources
- Increase length of stay
- My Multi-Million Dollar Marketing Method
- Education
- Clinical Education
- Nursing CE provider
- Get past the gatekeeper and educate nurses in MD offices, case managers in hospitals, and more
- Become a value-added partner and not just another face asking for a referral
- Get referrals WITHOUT asking
- Become the only logical choice in providers of your service
- Community Education/Engagement
- Connect with your CLIENTS where they are
- Educate NOCs (naturally occurring groups)
- Get new potential clients asking for you by name
- The BIG Lessons I Learned
- Investing in partner relationships FIRST yields BIG rewards
- The community is hungry for knowledge & resources & will act on meaningful information.
- When you do what you say you will do…and then some - everyone becomes your champion
- Service from the heart combined with clinical excellence & transformational customer service will win every single time.
3. Worksheet Work - 3 minutes
- What do YOU want to avoid as you grow your wound care business?
- What do YOU want to achieve?
- Imagine your phone ringing with new referrals. How do you feel?
4. One Marketing Pitfall To Avoid
- Stark Anti-Kickback Statute
- Don’t pay physicians for or incentivize patient referrals
- Don’t provide any services or benefits unique to one physician/facility that you don’t provide to everyone else
- How To Stay Out of Trouble?
- Do the right thing every time.
- Lead with value
- Lead with the difference
- Lead with integrity
5. Market Your Business With Impact
- Introduce Yourself With Impact & Have Everyone Asking For More Info!
- Share The Difference
- All wound care businesses are essentially the same
- Focus On What Makes Your Business
- Easier To Work With
- Referral process
- Patient evaluations
- Continuity of care practices
- Better For The Patient
- Ease of admission
- Bilingual staff members
- Home visits
- On Call
- 24/7 support
- Transportation
- Billing & insurance assistance
- More Valuable To Your Business Partner
- Invest in their organization
- Complimentary continuing education for partner staff
- Participate in organizational Quality Improvement Initiatives
- Charity care
- Serve as a resource for wound questions
- Survey support
6. CreateA Steady Stream Of Referrals With Continuing Nursing Education Using The Nursing Process
- Assessment
- What impact do you want to have on patient care?
- What could be better in your current referral process?
- Is there a patient demographic or sector being missed frequently?
- Are there sentinel events you want to avoid?
- Collect supportive data
- Diagnosis
- Create 1.0 CE Offerings With The Intention of Changing Behaviors
- Identify the problem or knowledge gap (Title)
- Planning
- Identify 3 behavioral objectives
- Create an outline
- Welcome & Overview
- Statement of Problem
- Why The Problem Matters
- Solutions
- Summary
- Bibliography/References
- Program Evaluation
- What would you like to learn more about?
7. Implementation
8. Evaluation
- Measure
- Current practice patterns based on educational objectives
- Give feedback to partners
- Provide supportive education as needed
- Repeat the process as needed to develop new CE offerings beneficial for both you and your business partners
9. Summary
Target Audience
- Nurses
- Nurse Practitioners
- Physicians Assistants
- Physical Therapists
Copyright :
10/11/2022
Advanced Treatments in Wound Care: Hyperbaric Oxygen Therapy and Topical Oxygen
Oxygen is an important component in wound healing. It contributes to a number of crucial processes including immune response, fibroblast replication, collagen deposition, and angiogenesis. Wounded tissue requires far more oxygen to stabilize and heal than intact tissue. Both hyperbaric oxygen therapy (HBOT) and transdermal continuous oxygen (TCO) therapy contribute additional oxygen to support wound healing. Understanding the differences and similarities between these therapies assists clinicians in choosing which modality may be the best fit for patient goals and clinical outcomes.
Program Information
Objectives
- Evaluate the role of oxygen in wound healing.
- Provide an overview of hyperbaric oxygen therapy history of, devices for delivery, expectations, patient selection.
- Provide an overview of transdermal continuous oxygen therapy history of, devices for delivery, expectations, patient selection.
- Apply knowledge of oxygen delivery in hard-to-heal wounds in the selection of modalities on patient presentations and goals of care.
Outline
Oxygen and the healing process
- Review oxygen as a molecule and the history of oxygen for medical use
- Discuss the role of oxygen in the wound healing process
- Limitations in routine blood oxygen transport to the wound site including disease processes that complicate this process
Hyperbaric Oxygen Therapy
- Review the history of hyperbaric oxygen therapy and medical organizations that represent its use
- Establish the definition of hyperbaric oxygen compared to other forms of oxygen delivery
- Discuss devices for the delivery of hyperbaric oxygen and how patient selection for a mono place vs a multiplace chamber may occur
- Patients undergoing hyperbaric oxygen must qualify by their medical status, comorbidities, and indications for use
- Examination approved therapeutic indications vs off-label uses of hyperbaric oxygen
Transcutaneous Oxygen Therapy
- What is TCO and how does this differ from other forms of oxygen used in medical care?
- Techniques and devices for the delivery of TCO vary, and can include multiple devices
- Discuss current limitations in the use of TCO
- Review emerging evidence on healing outcomes and ulcer recidivism in the use of TCO therapy
Target Audience
- Nurses
- Nurse Practitioners
- Physicians Assistants
- Physical Therapists
Copyright :
10/10/2022
Advanced Pressure Injury Course: Strategies for Prevention, Assessment & Treatment
Pressure injury prevention, assessment and treatment. This is such complex and specialized care to provide to patients. There are co-morbidities to consider, rising costs, ever changing regulations and increased scrutiny. Do you feel confident you are up-to-date on the latest evidence that should be guiding your pressure injury decision making?
Prevention
As a frontline health care provider, you play a critical role in preventing pressure injuries from ever occurring - or not developing again. This course will provide you with the most need-to-know knowledge to effectively achieve your goals in a cost effective and evidence-based manner. Discussion will focus on the best in pressure injury prevention, including: risk factor reduction, standards of care, root cause analysis, support surface options, nutritional factors and repositioning frequency.
Assessment
Once a pressure injury develops, it is critical that it is promptly identified and assessed so proper treatment can begin. Rest assured….you will get everything you need to know when it comes to pressure injury staging, recognition of wound infection, avoidable vs. unavoidable wounds and the ability to differentiate pressure injuries from moisture associated skin breakdown.
Treatment
Once a pressure injury has been thoroughly assessed, the appropriate treatment plan needs to be implemented as quickly as possible to avoid deterioration and complications. You will take away the best knowledge and insights in pressure injury treatment, to include: wound bed preparation, debridement options, the newest product selection options hitting the market, cost-effective considerations, and when antimicrobial dressings should be used.
In addition to all the clinical insights to be gained, valuable documentation tips will be shared so that going forward you appropriately reflect your practice, protect your license, and avoid legal risks. You are guaranteed to increase your confidence, effectiveness, and career opportunities with this course recording on Pressure Ulcers.
Program Information
Target Audience
Nurses, Nurse Practitioners, Clinical Nurse Specialists, Nurse Educators
Objectives
- Explain the best pressure injury prevention practices, using the most up-to-date guidelines.
- Evaluate pressure injury risks based on extrinsic and intrinsic risk factors.
- Explore optimal measures for skin and nutrition maintenance.
- Recommend the current best practices related to repositioning and support surface selection.
- Examine proper wound assessment techniques and practices.
- Analyze the current controversies surrounding the staging of pressure injuries.
- Recognize wound infection and other complications.
- Differentiate between avoidable and unavoidable pressure injuries.
- Explain the importance of proper wound bed preparation.
- Explore evidence based wound care dressing selection.
- Appraise advanced wound dressing and therapy options.
- Criticize documentation examples to learn how to avoid legal pitfalls.
Outline
Pressure Injury Prevention
Evidence Based Guidelines
- National Pressure Ulcer Advisory Panel
- Wound, Ostomy, and Continence Nurses Society
The Etiology of Pressure Injuries
- Mechanical load: Magnitude and time
- Mechanisms that lead to tissue damage
Risk Factors and Risk Assessment
- Assessing risk using the Braden Scale correctly
- Intrinsic and extrinsic risk factors - you need to know
- Skin and tissue assessment
Practice Tips for Prevention
- Skin care: Moisturization is key
- Repositioning frequency: Is it really every 2 hours?
- Get those heels up!
- The RIGHT surface at the RIGHT time
The Role of Nutrition in Pressure Injury Development
- Lab values
- Avoiding unintentional weight loss
Pressure Injury Assessment
Wound Assessment
- Look at the whole patient, not just the hole in your patient
- Necessary elements of wound assessments
- Decisions, decisions: Is it incontinence associated dermatitis or a pressure ulcer?
Pressure Injury Staging
- Deep tissue injury and medical device related injuries
- Controversies
- STAGING QUIZ!!!
Wound Infection and Complications
- The emerging role of biofilms
- NERDS and STONEES - huh?
- Sepsis
- Osteomyelitis
- Malignancy
- Recurrence
Avoidable vs. Unavoidable Injuries
- Skin failure
- Kennedy Terminal Ulcers
Skin Changes at Life’s End (SCALE)
- F-Tag 314
- WOCN document
- Antibiotic therapy
Pressure Injury Treatment
Wound Bed Preparation
- The principle of TIME
- Importance of cleansing
- Debridement: What works, when and how
Basic Wound Dressings
- The importance of moist wound healing
What needs to be on every formular
Vendor support and caveats
Advanced Wound Dressings and Therapies
- When do we need to step it up and to what?
Antimicrobial dressings
- There are so many……how to choose
- Silver
- Honey
- Hydrofera Blue
- PHMB
Iodosorb
- Dakin’s Solution and vinegar (yes, we still use it)
- Hypochlorous Acid
- Sorbact
Collagen dressings
- Negative pressure wound therapy
- Other modalities
Surgical Repair
Documentation Tips
- What you need to know and what MUST be in the record
- Examples of good documentation
- Tips to keep yourself out of court
Copyright :
02/28/2018
Wound Care Documentation: Assessment and Intervention Mistakes to Avoid
Wound care is a specialty for a reason. Correct etiology assignment, diagnostics, treatment, and documentation are essential pieces of knowledge in the successful management of wounds. While this video training will focus more specifically on documentation, the assessment and intervention are the key factors to accurately reflect in the historical notes made.
Kim Saunders, MSN/Ed, RN, CWON®, CFCN, will break down her practice tips as far as what you MUST start including in your charting. As you consider development of an initial plan of care for a newly identified wound or an evolving treatment plan to address a non-healing wound, there are considerations that need to be made clear in your written thought process.
Fascinating and complicated patient scenarios will be presented during this discussion. You will have the time to critically think through what went right... and what went wrong…in comprehensive wound care both documented and provided. Learn now how to avoid the mistakes that could lead you down a frightening path, confronting personal or professional litigation.
Program Information
Target Audience
Nurses
Outline
- Wound Healing
- The complicated phases of healing
- Ways to reduce the risk factors that contribute to nonhealing
- Wound Assessment
- Skin tones
- Clues regarding wound etiology
- Predicting wound healing
- Wound bed descriptors
- Principles of Wound Management
- Wound care goals
- Developing the comprehensive plan of care
- Challenges to seamless care across healthcare continuum
- Nutrition Assessment
- Align a patient’s nutritional needs with the wound healing goals
- Address the compromised nutritional status
- Specific nutritional needs for a pressure injury
- Special Populations
- Neonates, geriatrics, bariatrics, spinal cord injuries
- Pressure Injuries
- NPUAP definitions & staging
- Assessment tools, documentation, & treatment of DTPI
- Mucosal pressure injuries
- Medical devise-related pressure injuries
- Pressure injuries in the critically ill patient
- Skin failure
- MARSI & Abrasions
- Types of medical-adhesive related skin injuries
- Mechanical Injuries: Top-down
- Top-down vs bottom-up tissue damage
- Moisture-associated skin damage
- Skin tear assessment and treatment
Objectives
- Examine strategies to prevent medical devise-related pressure injuries.
- Predict wound healing based on presentation and interventions.
- Create wound care goals.
- Appraise challenges to seamlessly care across a healthcare continuum.
- Correlate wound healing goals with optimal nutrition.
Copyright :
12/11/2017
Lawsuits & Wounds: The Latest Trends & Risk Reduction Strategies to Protect Your Patients and Your License
Nurse Sue was wondering why she was being called to the nursing administration office. She mentally went over the list of tasks she was already behind on, as she hurried to meet Terry, her boss. Terry had someone else in her office as Sue sat down. “Hi Sue, this is the lawyer from our corporate office. You remember Mr. F. who was in about a year ago? The family has filed a lawsuit related to the pressure injury care you provided to him. We will need a list of the wound care classes you have taken before you are expected to give a deposition next week.”
The panic set in very fast for this actual nurse. What went wrong with this all-too-real scenario? What is the facility’s responsibility? What should Sue do? Is Sue the only team member who should be pursued? You will be able to answer these questions, practice more confidently and formulate strategies to protect yourself after spending one enlightening day with Ann Taylor MS, RN, CWOCN®, National Wound Expert and Legal Consultant.
Program Information
Objectives
- Analyze 5 common wound care failures.
- Summarize costly – and common – documentation mistakes.
- Select interventions to manage wounds with current care guidelines in place.
- Formulate appropriate plans of care for different wound presentations.
- Incorporate algorithms to improve your care.
- Differentiate care considerations for specific populations at risk for pressure injuries.
Outline
Lawsuits and Wounds
- Legal terms that should cause concern
- Commonly-cited failures in wound management
- Where do you find standards of care?
- Competencies you should have on file
- Staffing impact for patients and you
Policy Updates: What May Sound Unimportant One Day, Can Become Critical
- Photo documentation
- Assessment & reassessment
- Consultations you should request
- Don’t fail to follow your own policies!
Pressure Injury Prevention
- Avoidable versus unavoidable
- Skin failure
- Terminal ulcers
- Avoid failure to prevent injury
Assessments: The Courtroom Downfall
- Determine risk to put proper prevention measures in place
- Nutritional needs and realistic goals
- Mobility challenges solved!
- Develop an individualized plan of care
- Reassessment… again and again!
- Pain management strategies
- Do not fail to properly assess
Guideline Updates for Your Clinical Practice
- Pressure injuries
- Lower extremity ulcers
- Other skin damage
- Continuing education
Wound Care Challenges: It’s Not Always Pressure…
Documentation Pitfalls
- Electronic charting
- Policies
- Drop boxes
- The ‘ideal‘ wound notes
Take-Home Algorithms to Put into Practice Tomorrow
- Topical therapy
- Lower extremity ulcers
- Ostomy management
- Support surfaces
Case Studies: Costly Mistakes Made in Wound Care
- Risk assessment
- Topical formularies
- Wound assessment
- Differential diagnosis
- Care plans
- Patient record
Target Audience
- Nurses
- Nurse Practitioners
- Physician Assistants
- Nursing Home Administrators
- Risk Management
- Physical Therapists
- Legal Nurse Consultants
Copyright :
04/02/2019
Managing the Diabetic Foot: Protocols That Work
According to the National Diabetes Statistics Report, 37.3 million adults are diabetic, 8.5 million are yet undiagnosed and 96 million are prediabetic. Up to 20% of these will develop a diabetic foot ulcer, 80% of which will result in amputation. It doesn’t have to be this way! This session will provide the assessment skills, common causes, complications, and treatment strategies both to prevent ulceration and achieve healing in these difficult cases.
Program Information
Objectives
- Assess the characteristics of a diabetic foot ulcer.
- Appraise the factors that contribute to the development of a diabetic foot ulcer.
- Apply evidenced based interventions to promote healing.
- Determine when to refer to other disciplines to complement healing.
- Develop individualized treatment programs for each patient.
Outline
Comorbidities
- Coronary artery disease
- Large and small vessel damage
- Depression
Causes of Foot Ulcerations
- Peripheral & autonomic nervous system neuropathy
- Mechanical stress
- Foot deformities
Assessment and Diagnostic Tools
- Loss of protective sensation
- Semmes- Weinstein 5.07 monofilament
- 128hz tuning fork
- Capillary refill
- ABI
Managing the Diabetic Foot
- L.E.A.P
- Callus management
- Footwear
Characteristics of a Diabetic Foot Ulcer
- Location
- Shape
- Exudate
- Wound bed appearance
Assessment of Bacterial Burden
- Signs of infection
- Silent infection
- Quantitative tissue biopsy
- Wound cultures
- Proper wound cleansing
Orthopedic Assessment
- X ray
- Osteolysis
- Charcot foot
- Total contact casting
- Offloading boots
- Custom shoe inserts
- Osteomyelitis
Vital Role of Dietitian
- Protein & carbohydrates
- RDA’s for adults
- Amino acids
- Nitric oxide
Optimal Wound Healing Requirements
- Too wet/too dry
- Dressings
- Biologics
- Silvers
- Cytotoxics
Therapy Modalities
- High and low frequency ultrasound
- Pulsed lavage/jet ox
- Hyperbaric oxygen
- Topical/transcutaneous oxygen
- Electric Stimulation (HVPG)
- MIRE
- Wound Vac
Target Audience
- Nurses
- Nurse Practitioners
- Physicians Assistants
- Physical Therapists
Copyright :
10/20/2022