Improved Outcomes in Wound Management

#1 - Basic Principles of Wound Healing

Topics:

I. Anatomy of the Skin

A. Epidermis
B. Dermis
C. 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. Wound Assessment

A. Holistic Evaluation
B. Wound Evaluation
C. Differential Diagnosis

VI. Palliative Care

VII. 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 - Multidisciplinary Involvement in Various Wound Settings

Topics:

I. Nutrition

A. Basic wound care dietary assessment
B. Simple nutritional interventions

II. Preventive Skin Care

A. Simple skin care needs

III. Preventive Foot Care

A. Daily steps for foot care

IV. Multidisciplinary Interventions

A. Vascular
B. Therapy
C. Podiatry
D. Other disciplines

V. Standard Care

A. Debridement
B. Cleansing
C. Dressings
D. Compression
E. Antibiotics
F. Pressure Redistribution

Behavioral/Learning Objectives:

1. Identify nutritional interventions to improve wound healing
2. List Members of a wound management team
3. Describe the standard of care for wound healing

#3 - Documentation and Reimbursement

Topics:

I. Wound Care Documentation

A. Evaluation Documentation
B. Treatment Follow up Documentation

II. Reimbursement

A. Strategies to improve reimbursement
B. Specific treatment reimbursement hints

Behavioral/Learning Objectives:

1. Describe best practices for documentation in wound care.
2. List 2 ways to improve reimbursement.

#4 - Pressure Ulcers

Topics:

I. Pathophysiology and Assessment of Pressure Ulcers

A. Risk Factors / Etiology
B. Staging

II. Prevention

A. Risk assessment
B. Prevention planning

III. Incontinence-Associated Skin Breakdown

A. Typical presentation
B. Differential diagnosis from pressure ulcer
C. Skin protection and management

Behavioral/Learning Objectives:

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

#5 - Arterial Insufficiency

Topics:

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)

II. Pathophysiology of Arterial Insufficiency

A. Risk Factors and Patient History
B. Signs and Symptoms / Assessment

III. Plan of Care for Arterial Insufficiency

A. Improvement of Arterial Status

1. Systemic Options
2. Local Options

B. Contraindications / Precautions

1. Debridement
2. Compression
3. Etc.

Behavioral/Learning Objectives:

1. Describe the pathophysiology of arterial insufficiency ulcers.
2. Describe the assessment of arterial insufficiency ulcers.

#6 - Venous Insufficiency

Topics:

I. Pathophysiology of Venous Insufficiency

A. Valve incompetence, fibrin cuffs, leukocyte trapping, ischemia/re-perfusion cycle
B. Risk Factors and Patient History
C. Signs and Symptoms / Assessment

II. Plan of Care for Venous Insufficiency

A. Compression

1. Unna Boot
2. Multilayer Compression
3. Intermittant pneumatic compression
4. Stockings

B. Functional Support of the venous system

1. Elevation
2. Mobility
3. Ankle ROM/Calf muscle pump

Behavioral/Learning Objectives:

1. Describe the pathophysiology of venous insufficiency ulcers.
2. Describe the assessment of venous insufficiency ulcers.
   

#7 - Diabetic Foot Ulcers

Topics:

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. Plan of Care for Diabetic Foot Ulcer

A. Glycemic Control
B. Diabetic foot care

1. Hygiene
2. Inspections

C. Specialized Treatments

1. Off-loading and footwear
2. ROM

a) 1st MTP
b) Ankle

Behavioral/Learning Objectives:

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

#8 - Wound Treatments

Topics:

I. Wound Treatments

A. Hydrotherapy
B. Debridement
C. Negative pressure wound therapy
D. Hyperbaric oxygen therapy
E. Skin substitutes
F. Electrotherapy

Behavioral/Learning Objectives:

1. Identify indications for treatment selection.
2. List precations and contraindications for treatments.
   

#9 - Wound Dressings

Topics:

I. Transparent films
II. Hydrocolloids
III. Alginates and hydrofibers
IV. Foams
V. Collagen
VI. Antimicrobial
VII. Growth factors

Behavioral/Learning Objectives:

1. Identify indications for dressing selection.
2. List advantages and disadvantages for dressing categories.
   

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.

13.5 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 13.5 continuing professional education units (CPEUs) after listening to the presentations and completing the post-tests with 70% accuracy.

Physical Therapists - PTs and PTAs in the following states will receive 13.5 contact hours for completion of all 9 courses: 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.

We are an approved provider to offer continuing competency courses to CA PTs, approval date 4/5/10.  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.

Occupational Therapists – Occupational Therapist will receive 13.5, 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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