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Digital Seminar

Diabetic Foot Care: Assessment and Treatment Solutions

Joan Junkin
Full Day
Audio and Video
Copyright :
Jul 24, 2015
Product Code:
Media Type:
Digital Seminar


  • Diabetic Foot Exam Techniques
  • Strategies to Protect a Neuropathic Foot Ulcer from Infection
  • Off-Loading Methods: Pros and Cons
  • Treatment Modalities: What is the best for YOUR Patient?
  • Patient Education and Compliance Techniques


Foot and lower extremity care in Diabetic patients is more than “challenging”; it’s downright perplexing at times. Improper foot care in diabetic patients can lead to extremely high risk wounds, amputation and even death. Identifying care needs in this population is a complex maze of unique neuropathic changes in the diabetic patient, further complicated by a tangled web of co-morbidities. Foot examinations are a whole other challenge, riddled with sometimes obscure cues as to what is going on with the diabetic patient’s health. Diabetic foot and lower extremity care doesn’t have to be perplexing or scary any more. Wound care expert, Joan Junkin, MSN, CNS, has been in your shoes, and wants to share wisdom and insights from her 20 plus years of wound care with you.


Join Joan as she teaches you practical strategies to perform a proper foot exam. She will also show you how to use the visual and physical cues found in foot exams to treat the patient, and when to refer to a specialist. Pulling from her years of patient care, Joan will share proven methods to help the person with diabetes understand why it is so important to monitor and control blood glucose levels. Joan will show you why normal saline and gauze are not enough to count on for cleansing these extremely high risk wounds – and show you alternate product options that work, including off-loading devices. She will delve into modalities of physical science that have proven to have a positive effect toward healing neuropathic foot ulcers. Leave the day with a deeper understanding of the complexities of foot and lower extremity care in diabetic patients, and sound skills to perform foot exams and address wound challenges.





NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards

Nurses, Nurse Practitioners, and Clinical Nurse Specialists

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses completing these self-study materials will earn 6.0 contact hours. Expires: .

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses

CE Broker

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.4 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Florida Occupational Therapists & Occupational Therapy Assistants

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 6.0 self-study continuing education credits.

California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.0 continuing competency hours.

Physical Therapists & Physical Therapist Assistants

This self-study course consists of 6.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.4 contact hours.

Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

Other Professions

This self-study activity qualifies for 6.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Joan Junkin Related seminars and products: 4


Joan Junkin, MSN, CNS, chose a wound care specialization in 1992 after working as a research analyst for the first pressure ulcer treatment guidelines. Her wound care education was through MD Anderson Cancer Center with ANCC board certification following in 1997. She has primarily shared her wound expertise in the acute care, outpatient and long-term care settings. In 2014, she was tapped as consultant for the international best-practice consensus document on incontinenceassociated dermatitis prevention and treatment. When not traveling to teach, Joan provides clinical consults in her region to remain in touch with bedside realities.

Joan has contributed to the science with published research and as invited faculty at WOCN and SAWC conferences. Her clinical focus for wound care has been in the acute, outpatient and long-term care settings. In the WOCN society, Joan has chaired the national committee for accrediting wound, ostomy and incontinence nursing (WOCN) education programs and has been president of her state WOCN group. Joan’s passion for education and evidence-informed practice come through clearly in each of her presentations, which have been held at locations in all 50 of our states and three Canadian provinces.

Speaker Disclosures:

Financial: Joan Junkin is the Owner of The Healing Touch, Inc. She is on the speaker’s bureau for Sage Products Inc. Ms. Junkin receives a speaking honorarium from PESI, Inc.

Nonfinancial: Joan Junkin has no relevant nonfinancial relationship to disclose.

Additional Info

Program Information


Click here to purchase the DVD or CD recording from our product store.

Additional Resources

To order the book, Wound Care Pocket Guide: Clinical Reference, please visit our product store.

To order the book, Wound and Skin Care Pocket Guide, please visit our product store.

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Understanding the Impact of Neuropathy in the Lower Extremity

  • Sensory nerve damage
    • Neuropathic pain
    • Effect on balance and sensation
    • Lack of awareness of a break in skin or infection
    • Lack of awareness of footwear proper fit
  • Motor nerve damage
    • Change in gait (slapping)
    • Increase in flexor tendon strength causing deformities in toes and metatarsals
  • Autonomic nerve damage - peripheral and central
    • Lack of sweating, so skin excessively dry
    • Decrease in vasomotor control
    • Gastroparesis with resulting nutritional deficiencies

Diabetic Foot Exam Techniques

  • Strategies to identify the visual cues signifying an abnormal exam
    • Xerosis
    • Foot Shape and color
    • Toenails
    • Evidance of previous ulcers
    • Callus formation
  • What can we learn from foot pulses and temperature variation?
  • Screening tools
  • When to refer a patient

Strategies to Protect a Neuropathic Foot Ulcer from Infection

  • Hyperglycemia impact on immune response
  • Prevention, Prevention, Prevention!
    • Proper cleansing techniques
    • Product selection strategies - utilizing germ reducing dressings such as silver, cadexamer iodine, PHMB, methylene blue/gentian violet, salt, sugar, honey and sodium hypochlorite
    • Ways to break biofilm
      • Ultrasound
      • Sharp or mechanical debridement
      • Pulsed lavage
    • Debridement – when and what type
      • Mechanical
      • Sharp
      • Biological
      • Enzyme
      • Autolytic
    • Negative pressure wound therapy.

Off-Loading Methods: Pros and Cons

  • Healing boot or shoe
  • Total contact cast and TCC EZ
  • Bedrest
  • Kneeling walker or crutches

Treatment Modalities: What is the best for YOUR Patient?

  • Negative Pressure Wound Therapy
  • Hyperbaric
  • Electrical Stimulation
  • Pulsed Lavage
  • Light & Ultrasound Therapy

Advanced Therapies

  • Living Skin Equivalents
  • Platelet Rich Plasma
  • Stem Cell Applications

Assessing for and Meeting the Diabetic Patient’s Psychological Needs

  • Depression’s impact on patient adherence and outcomes
  • Depression screening
  • Interventions that release endorphins
  • Tips to improve patient health education and compliance



  • Employ data from the literature to assure evidence-informed practice for psychological needs likely for persons with a diabetic foot ulcer
  • Perform a foot exam using visual cues, circulation assessment and a monofilament
  • Design an educational intervention for diabetics based on knowledge of how poorly controlled diabetes physically affects the nerves, bones and microcirculation
  • Examine the effects of neuropathy in the lower extremity: sensory, motor, autonomic
  • Identify methods of protecting a neuropathic foot ulcer from infection
  • Summarize the pros and cons of various off-loading methods for neuropathic foot ulcers
  • Paraphrase data from recent literature reporting effectiveness of modalities such as negative pressure wound therapy (NPWT), hyperbarics, electrical stimulation, pulsed lavage, light and ultrasound therapies for diabetic foot ulcers
  • Evaluate appropriate uses of advanced therapy such as living skin equivalents, platelet rich plasma (PRP) and stem cell applications



Target Audience

Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals



Overall:      4.5

Total Reviews: 8

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