Wound Management, Unwrapped

#1 - Basic Principles of Wound Healing

I. Anatomy of the Skin

1. Epidermis
2. Dermis
3. Subcutaneous Tissue

1. Inflammation
2. Proliferation/Granulation
3. Re-epithelialization
4. Remodeling/Maturation

IV. Barriers to Wound Healing

1. Extrinsic Risk Factors
2. Intrinsic Risk Factors

1. Holistic Evaluation
2. Wound Evaluation
3. Differential Diagnosis

1. Initial Evaluation
2. Consecutive Treatments
3. Reimbursement Guidelines

VIII. Wound Healing Terms

Behavioral/Learning Objectives:

1. Describe the anatomy and physiology of wound healing.
2. Identify barriers to normal wound healing.
3. Explain how to perform a basic wound assessment.
4. Explain how to document a basic wound assessment.

#2 - Diabetic Foot Ulcer

I. Pathophysiology of Diabetic Foot Ulcers

A. Etiology

B. Neuropathy

C. Angiopathy

D. Immunopathy

A. Osteomyelitis

B. Charcot Foot

C. Infection

D. Typical presentation of a diabetic foot ulcer

A. Monofilament testing/Protective sensation

B. Temperature Assessment

C. Deformities

D. Calluses

E. Diabetic foot screening

A. Glycemic Control

B. Diabetic foot care

1. Hygiene

2. Inspections

C. Specialized Treatments

1. Off-loading and footwear

2. ROM

i. 1st MTP

ii. Ankle

D. Treatments

1. Debridement

2. HBO

3. Anodyne

4. Offloading

5. Electrical Stimulation

E. Dressings

1. Basic dressings

2. Hydrogels

3. Alginates

4. Skin Substitutes

5. Growth Factors

Behavioral/Learning Objectives:

1. Describe the pathophysiology of diabetic foot ulcers.
2. Describe the treatments of diabetic foot ulcers.

#3 - Venouse and Arterial Insufficiency

I. Vascular Assessment

A. Ankle-Brachial Index (ABI)

1. Toe Pressures

2. When ABI is not accurate

B. Rubor of Dependency

C. Arteriogram

D. Laser Doppler and Transcutaneous Partial Pressure of Oxygen (TCPO2)

A. Valve incompetence, fibrin cuffs, leukocyte trapping, ischemia/re-perfusion cycle

B. Risk Factors and Patient History

C. Signs and Symptoms / Assessment

A. Compression

1. Unna Boot

2. Multilayer Compression

3. Intermittant pneumatic compression

4. Stockings

B. Dressings

1. Alginates

2. Antimicrobials

3. Foams

4. Skin Substitutes

5. Etc

C. Functional Support of the venous system

1. Elevation

2. Mobility

3. Ankle ROM/Calf muscle pump

A. Risk Factors and Patient History

B. Signs and Symptoms / Assessment

A. Improvement of Arterial Status

1. Systemic Options

2. Local Options

B. Contraindications / Precautions

1. Debridement

2. Compression

C. Dressings

1. Hydrogels

2. Pain Control

3. Etc.

Behavioral/Learning Objectives:

1. Describe the pathophysiology of venous and arterial insufficiency ulcers.
2. Describe the treatments of venous and arterial insufficiency ulcers.

#4 - Pressure Ulcers

I. Pathophysiology and Assessment of Pressure Ulcers

A. Risk Factors / Etiology

B. Staging

A. Risk assessment

B. Prevention planning

A. Offloading and Support Surfaces

B. Debridement

C. VAC

D. Electrical Stimulation

E. Dressings

1. Alginates

2. Foams

3. Antimicrobial

4. Etc.

A. Typical presentation

B. Differential diagnosis from pressure ulcer

C. Skin protection and management

1. Explain the pathophysiology of pressure ulcers.
2. Describe the treatment of pressure ulcers.

#5 - Nutritional Interventions and Wound Treatments

I. Nutritional Intervention

A. Assessment

B. Supplements

A. Hydrotherapy

B. Electrical Stimulation

C. Compression

D. Negative pressure wound therapy

E. Hyperbaric oxygen therapy

F. Skin substitutes

G. Ultrvaiolet-C

H. Ultrasound

I. Low-frequency ultrasound

Behavioral/Learning Objectives:

1. Identify indications for treatment selection.
2. Describe nutritional assessment for wound healing.

#6 - Wound Dressings

I. Transparent films

II. Hydrocolloids

III. Alginates and hydrofibers

IV. Foams

V. Collagen

VI. Antimicrobial

VII. Growth factors

Behavioral/Learning Objectives:

1. Identify indications fro dressing selection.
2. List pros and cons for dressing categories.

Accreditation Information

Academy Medical Systems is also a provider approved by the California Board of Registered Nursing, provider #CEP14413, for 9 hours and the Florida Board of Nursing #50-19. We are listed on CE Brokers.

Iowa Nurses - The Iowa Board of Nurses will recognize the recorded webinars as a home study program. They recognize our ANCC approved provider status as well as our CA and Fl Board of Nursing provider approval for home study products for nurses in Iowa.

All other states recognize our approved provider status listed in the above text for continuing education credit for nurses.

Dietitians – Academy Medical Systems is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 9 continuing professional education units (CPEUs) after listening to the presentations and completing the post-tests with 70% accuracy.

Physical Therapists – PTs in the following states will receive 9 contact hours for completion of all 6 webinars: AK, CA, CO, CT, HI, IA, ID, IN, KS (Cat 2), MA, ME, MI, MN (Cat 2), MT, NE, NM, ND, OR, PA, RI, SC, SD, UT, VA (Type 2), VT, VI, WA, WY.

The Minnesota PT Board has approved the LIVE webinar series for 7.5 Hours, course approval # 3807. The AR Board of Physical Therapy has approved this course for 9 Contact hours. The Texas PTA has approved this course for 9 contact hours, approval # 46143A. The following state boards recognize other state’s approval: AL, AZ, GA (Class 1), KY, MO, MS, OK (Cat 2), TN (Cat 1), WI.

Because each state’s continuing education requirements for physical therapists is subject to change, please verify this information with your state board. Thank you.

Occupational Therapists – Occupational Therapist will receive 9, continuing education hours for completion this program and a test score of 70% or better. AMS is an approved provider for the AOTA , provider # 5470.  This course is an intermediate education level.

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