Wound Care Principles & Practices Update 2009

#1 - Anatomy of the Skin/Wound Healing

I. Anatomy of the skin

A. Epidermis
B. Dermis subcutaneous tissue

II. Phases of wound healing

A. inflammation
B. proliferation/granulation
C. re-epithelialization
D. remodeling/maturation

III. Acute vs. chronic wounds

IV. Barriers to wound healing

A. extrinsic risk factors
B. intrinsic risk factors

V. Nutritional intervention

A. assessment
B. supplements

Behavioral/Learning Objectives:

1. Describe the anatomy of wound healing.
2. Describe the physiology of wound healing.
3. Identify barriers to normal wound healing.
   

#2 - Diabetic Foot Ulcers

I. Pathophysiology of diabetic foot ulcers

A. etiology
B. neuropathy
C. angiopathy
D. immunopathy

II. Common diabetic foot problems

A. Osteomyelitis
B. charcot foot
C. infection
D. typical presentation of a diabetic foot ulcer

III. Assessing the diabetic foot

A. monofilament testing/protective sensation
B. temperature assessment
C. deformities
D. calluses
E. diabetic foot screening

IV. Diabetic foot ulcer treatment

A. glycemic control
V. Diabetic foot care
A. hygiene
B. inspections

VI. Specialized treatments

A. off loading and foot-wear

VII. ROM

A. 1st MTP
B. ankle

VIII. Treatments

A. debridement
B. HBO
C. anodyne
D. offloading
E. electrical stimulation

IX. Dressings

A. basic dressings
B. hydrogels
C. alginates
D. skin substitutes
E. growth factors

Behavioral/Learning Objectives:

1. Describe the pathophysiology of diabetic foot ulcers.
2. Identify 3 treatments of diabetic foot ulcers.
   

#3 - Venous and Arterial Insufficiency

I. Vascular assessment

A. ankle brachial index (ABI)
B. toe pressures
C. when ABI is not accurate
D. Rubor of Dependency
E. Arteriogram
F. Laser Doppler and Transcutaneous Parial Pressure of Oxygen (TCPO2)

II. Pathophysiology of venous insufficiency

A. valve incompetence
B. risk factors
C. patient history
D. signs and symptoms
E. assessment

III. Treatment of venous insufficiency

A. includes compression techniques
B. dressings
C. the functional support of the venous system

IV. Pathophysiology of Arterial Insufficiency

A. risk factors
B. signs
C. symptoms
D. assessment

V. Treatment of Arterial Insufficiency

A. Improvement of arterial status
B. contraindications/precautions
C. dressings

Behavioral/Learning Objectives:

1. Describe the pathophysiology of venous insufficiency ulcers.
2. Identify 3 types of treatments for venous insufficiency ulcers.
3. Describe the pathophysiology of arterial insufficiency ulcers.
4. Identify 2 treatment options for arterial insufficiency ulcers.
   

#4 - Pressure Ulcers Topics

I. Pathophysiology and assessment of pressure ulcers

A. risk factors
B. etiology
C. staging

II. Prevention:

A. risk assessment and prevention planning

III. Treatment of pressure ulcers:

A. offloading and support surfaces
B. debridement
C. VAC
D. electrical stimulation
E. various forms of dressings

IV. Incontinence-associated skin breakdown

A. typical presentation
B. differential diagnosis from pressure ulcer
C. skin protection
D. management

Behavioral/Learning Objectives:

1. Describe how to develop a basic treatment plan for wound healing.
   

#5 - Wound Assessment and Documentation

I. Wound assessment

A. holistic evaluation
B. wound evaluation
C. differential diagnosis

II. Wound documentation

A. initial evaluation
B. consecutive treatments
C. reimbursement guidelines

III. Palliative care
IV. Wound healing teams

Behavioral/Learning Objectives:

1. Explain the pathophysiology of pressure ulcers.
2. Describe 3 treatment options for pressure ulcers.

#6 - Wound Treatments and Dressings

I. Wound treatments

A. hydrotherapy
B. electrical stimulation
C. compression
D. negative pressure wound therapy
E. hyperbaric oxygen therapy
F. skin substitutes
G. ultraviolet-C
H. ultrasound
I. low-frequency ultrasound

II. Wound dressings

A. transparent films
B. hydrocolloids
C. hydrogels
D. alginates and hydrofibers
E. foams
F. collagen
G. silver and cadexomer iodine
H. antiseptics
I. combination
J. growth factors

Behavioral/Learning Objectives:

1. Explain how to perform a basic wound assessment.
2. Describe how to document a basic wound assessment.
   

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

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Occupational Therapist - 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.

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

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