#1 - Introduction, Wound Assessment, and Documentation

Topics:

I. Anatomy of the Skin

A. Epidermis
B. Dermis
C. Subcutaneous Tissue

II. Physiology of Wound Healing

A. Inflammatory Phase
B. Proliferation/Granulation Phase
C. Epithelialization/Remodeling Phase

III. Risk Factors

A. Extrinsic
B. Intrinsic
C. Iatrogenic

IV. Comordities and Coexisting Factors

A. Systemic
B. Local

V. Tissue Perfusion

A. Arterial
B. Venous

VI. Infection

A. Signs and Symptoms
B. Diagnostics

VII. Wound assessment

A. Holistic
B. Wound
C. Wound Related Terminology

VIII. Problem List

A. Local
B. Functional

IX. Goals

A. Short Term
B. Long Term

Behavioral/Learning Objectives:

1. Identify important aspects of the function and physiology of the integumentary system in the healing process.
2. Describe the clinical significance of systemic and local factors that affect wound healing.
3. Demonstrate concise wound documentation to include wound description and goals.

#2 - Nutrition and Wound Management

Topics:

I. Major nutrition issues associated with wounds

A. Inflammatory stress
B. Involuntary Weight loss
C. Reduced dietary intake

II. Contributory Factors

A. Effect of cytokines on organ systems
B. Redistribution of iron

III. Nutrition Assessment

A. anthropometric data
B. biochemical assessment data
C. nutrition focused physical assessment
D. food and water intake data

IV. NPUAP Nutrition Recommendations

A. Prevention
B. Treatment

V. Nutrition Interventions

A. Energy requirements
B. Protein quality
C. Vitamin mineral supplementation

Behavioral/Learning Objectives:

1. Identify major nutrition issues associated with wounds.
2. List the factors that contribute to involuntary weight loss (IWL), anorexia & slow healing wounds.
3. Describe nutrition assessment of patients with wounds.
4. Describe current NPUAP nutrition practice recommendations for prevention and treatment of wounds.

#3 - Lower Extremity Ulcer Assessment and Management

Topics:

I. Pathophysiology and Treatment of Arterial Ulcers

A. Vascular Assessment
B. Risk Factors and Patient History
C. Sign and Symptoms / Assessment
D. Plan of Care

II. pathophysiology and Treatment of Venous Leg Ulcers

A. Vascular Assessment
B. Risk Factors and Patient History
C. Sign and Symptoms / Assessment
D. Plan of Care

III. Pathophysiology and Treatment of Diabetic/Neuropathic Ulcers

A. Vascular Assessment
B. Risk Factors and Patient History
C. Sign and Symptoms / Assessment
D. Plan of Care

Behavioral/Learning Objectives:

1. Describe wound type characteristics of each lower extremity diagnosis.
2. Compare and Contrast plans of care for each lower extremity diagnosis.

#4 - Pressure Ulcer Assessment and Management

Topics:

I. Introduction

II. Recognizing a pressure ulcer

A. Classic presentation
B. Distinguishing from incontinence-associated skin breakdown

III. Staging pressure ulcers

A. Staging definitions
B. Special circumstances

1. Staging healing ulcers
2. Mucosal pressure ulcers
3. Skin failure
4. Staging exercise

IV. 4 contributing factors

A. Pressure

1. Pressure re-distribution

B. Friction and shear

1. Positioning and transfer techniques

C. Moisture

1. Skin hydration and moisture protection

D. Nutrition

1. Protein and total calories 2. Micronutrients

V. Wound bed preparation

VI. Overview of dressings

VII. Overview of adjunctive modalities

A. Electrical stimulation
B. Non-contact low-frequency ultrasound
C. Ultraviolet light
D. Negative pressure wound therapy

Behavioral/Learning Objectives:

1. Accurately identify and stage a pressure ulcer.
2. Explain how to develop a plan of care to address contributory factors of pressure ulcers.
3. Create a treatment plan to achieve an optimum wound bed.
4. Identify three adjunctive modalities that may be used to support pressure ulcer healing.

#5 - The Psychosocial Aspect of Wound Healing

Topics:

I. History of Mind-Body medicine

II. How stress can influence wound healing

A. Immune compromise
B. Abnormal inflammation responses
C. Elevated blood glucose
D. Impaired tissue growth

III. The relationship between anxiety & depression and chronic wound healing

IV. Social support and wound healing

V. Perceived Stress Scale

VI. Depression screening

VII. Assessing social support

VIII. The lived experience of a chronic wound

IX. The caregiver experience

Behavioral/Learning Objectives:

1. Explain how psychological and emotional health can affect the wound healing process.
2. Assess the psychosocial domain of wound patients.
3. Describe 3 challenges persons living with chronic wounds and their caregivers face.

#6 - Advanced Wound Treatments and Dressings

Topics:

I. Wound Treatments

A. Debridement
B. Negative Pressure Wound Therapy
C. Hyperbaric Oxygen Therapy
D. Skin Substitutes
E. Evidence Based Criteria and Considerations

II. Wound Dressings

A. Traditional
B. Newer market
C. Evidence Based Criteria and Considerations

III. Case Studies

Behavioral/Learning Objectives:

1. Identify indications, contraindications and precautions for each treatment and dressing.
2. Describe research findings for current standards of care.

Accreditation Information

Nurses – Academy Medical Systems is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s COA.

Academy Medical Systems (AMS) is also a provider approved by the California Board of Registered Nursing, provider #CEP14413.

AMS is also a provider approved by the Florida Board of Nursing, provider #50-19.

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.

9.0 contact hours will be rewarded to nursing professionals at the completion of this workshop.

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 9.0 continuing professional education units (CPEUs) for completion of this program/material.

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.  This course is an intermediate education level.

Exercise Physiologist – ACSM recognizes AMS’s approved provider status with the ANCC and will honor our continuing education for Certified Exercise Physiologist recertification purposes.

Certified Cardiovascular Techs – Cardiovascular Credentialing International recognizes our approved provider status with the ANCC for continuing education courses for CCTs.

Certified Athletic Trainers – Academy Medical Systems is recognized by the Board of Certification (BOC) to offer continuing education for certified athletic trainers. 9 hours will be awarded at the completion of this program.

Physical Therapists - PTs and PTAs in the following states will receive 9 contact hours for completion of all 6 webinars: AK, AL, AZ, CA, CO, CT, GA (Class 1), HI, IA, ID, IN, KS (Cat 2), KY, MA, ME, MI, MN (Cat 2), MO, MS, MT, NE, NM, ND, OK (Cat 2), OR, RI, SC, SD, UT, VA (Type 2), VT, VI, WA, WI, WY.

PA PTs – the PA State Board of Physical Therapy has approved this course for 9 General Credits, expiration date 12/31/12.

Texas PTs and PTAs – The course has been approved by the TPTA for 9 CCUs through 3/11/13.

CA PTs - We are an approved provider to offer continuing competency courses to CA PTs.

The TN PTA has approved this course for 9 contact hours.

The following state boards recognize other state’s approval: AL, AZ, GA (Class 1), KY, MO, MS, OK (Cat 2), 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.  See The Federation of State Boards of Physical Therapy website for more information.

Social Workers - This course meets the qualifications for 9 hours of continuing education credit for MFCCs and/or LCSWs as required by the California Board of Behavioral Sciences, provider #PCE 4947.  Please check with your state board’s requirements to determine if this program meets your continuing education requirements or call us at 866-414-3500 to assist you.

Academy Medical Systems has been approved by the TX State Board of Social Workers Examiners to provide continuing education activities for social workers, Provider # 5998.

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