| Wound Care Update |
| Nanette Lavoie-Vaughan, M.S.N., APN |
Course Description:
An understanding of the appropriate diagnosis, assessment,
interventions, treatment and long term management of wounds is
essential for nurses in all practice settings. Whether you are in
primary care, home care or long term care, pressure ulcers,
venous/arterial ulcers, skin tears and complications of diabetes
are common problems in the geriatric population. This program is
designed to: review the basics of wound assessment to include
identifying the type of wound, labs and diagnostic tests, taking
measurements, staging criteria and tracking progress; selecting
appropriate treatment options with a comprehensive discussion
of dressings, topical preparations, surgical interventions and
adjunctive therapy; review of preventative measures and
supportive measures; discuss when a wound becomes chronic,
when comfort/palliative care is indicated and management of
complex or multiple wounds and incorporation of wound
management into advanced care planning. For those practicing
in long term care settings, a review of the regulations related to
wound assessment and documentation will be included. Actual
cases and photos will be used to illustrate the principles
discussed. Materials presented are based on the latest guidelines
from WOCN, the National Pressure Ulcer Council, CMS and
AHCPR.
Objectives:
At the completion of this program, the participant will be able to
1. Differentiate between pressure ulcers, stasis ulcers, deep tissue
injury and skin tears.
2. Describe the appropriate work up for identification and
management of wounds.
3. Identify the staging guidelines for pressure ulcers.
4. Identify the gold standard treatment for individual types of wounds.
5. Identify the components of documenting wound assessment.
Outline:
1. Review of aging skin changes
2. Risk factors/Medical conditions predisposing wound
development
3. Identification of wound type
A. Pressure
B. Stasis
C. Deep tissue injury
D. Skin tears
E. Incontinence dermatitis
4. Labs/diagnostics to aid diagnosis
5. Taking measurements
6. Describing/Documenting Wounds
7. Treatment Options
A. Topical barrier preparations
B. Topical debriding agents
C. Topical healing agents
D. Compression dressings
E. Silver dressings
F. Hydrocolloid dressings
G. Gauze dressings
H. Foam dressings
I. Wound vacuum
8. Preventive measures
A. Support surfaces
B. Vitamin supplements
C. Protein supplements
9. Advanced care planning
A. Chronic ulcers
B. Addressing comfort care
10. Wound care management in long term care
A. F tag
B. Documentation
11. Case Studies
12. Resources
A. Wound care centers
B. WOCN
C. NUPC
D. AHCPR
An understanding of the appropriate diagnosis, assessment,
interventions, treatment and long term management of wounds is
essential for nurses in all practice settings. Whether you are in
primary care, home care or long term care, pressure ulcers,
venous/arterial ulcers, skin tears and complications of diabetes
are common problems in the geriatric population. This program is
designed to: review the basics of wound assessment to include
identifying the type of wound, labs and diagnostic tests, taking
measurements, staging criteria and tracking progress; selecting
appropriate treatment options with a comprehensive discussion
of dressings, topical preparations, surgical interventions and
adjunctive therapy; review of preventative measures and
supportive measures; discuss when a wound becomes chronic,
when comfort/palliative care is indicated and management of
complex or multiple wounds and incorporation of wound
management into advanced care planning. For those practicing
in long term care settings, a review of the regulations related to
wound assessment and documentation will be included. Actual
cases and photos will be used to illustrate the principles
discussed. Materials presented are based on the latest guidelines
from WOCN, the National Pressure Ulcer Council, CMS and
AHCPR.
Objectives:
At the completion of this program, the participant will be able to
1. Differentiate between pressure ulcers, stasis ulcers, deep tissue
injury and skin tears.
2. Describe the appropriate work up for identification and
management of wounds.
3. Identify the staging guidelines for pressure ulcers.
4. Identify the gold standard treatment for individual types of wounds.
5. Identify the components of documenting wound assessment.
Outline:
1. Review of aging skin changes
2. Risk factors/Medical conditions predisposing wound
development
3. Identification of wound type
A. Pressure
B. Stasis
C. Deep tissue injury
D. Skin tears
E. Incontinence dermatitis
4. Labs/diagnostics to aid diagnosis
5. Taking measurements
6. Describing/Documenting Wounds
7. Treatment Options
A. Topical barrier preparations
B. Topical debriding agents
C. Topical healing agents
D. Compression dressings
E. Silver dressings
F. Hydrocolloid dressings
G. Gauze dressings
H. Foam dressings
I. Wound vacuum
8. Preventive measures
A. Support surfaces
B. Vitamin supplements
C. Protein supplements
9. Advanced care planning
A. Chronic ulcers
B. Addressing comfort care
10. Wound care management in long term care
A. F tag
B. Documentation
11. Case Studies
12. Resources
A. Wound care centers
B. WOCN
C. NUPC
D. AHCPR
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