WoundCon Fall 2021
15 CME Credits | 15 Contact Hours
This CE / CME Activity includes 15 wound care focused presentations facilitated by leading wound educators and originally presented live, November 12, 2021. The activity includes over 14 hours of wound care content.
Earn up to 15 CE/CME credits.
The activity provides up-to-date education on evidence-based wound care practices directly related to issues being experienced in facilities around the globe.
SKIN TEARS: AN UPDATE ON THE EVIDENCE
Skin tears are among the most prevalent acute wounds in all health care settings. At-risk patients should be identified early and preventive measures implemented. This will reduce morbidity and the impact on health care costs.
ADVANCED INTERVENTIONS: ALLOGRAFTS AND VENOUS LEG ULCERS
Chronic venous leg ulcers (VLUs) are caused by an incompetent and poorly functioning venous system. These types of wounds are painful and affect patients’ quality of life. Standards of care usually involve an array of advanced wound care dressings (alginates, foams, etc.) and compression bandaging that must be changed a few times a week, thus driving up costs.
HYPERBARIC OXYGEN THERAPY AND WOUND DRESSINGS: EVALUATING FIRE RISK AND SAFETY STANDARDS
The Undersea and Hyperbaric Medical Society (UHMS) is recognized as the scientific source for HBOT indications, and the Food and Drug Administration has approved HBOT use for various conditions. HBOT is normally a two- to four-week course of sessions in wound care patients who most likely require a wound care dressing. Safety should be a priority to avoid fire risk and accidents.
HOW PHARMACOLOGICAL THERAPIES IMPACT WOUND HEALING
Atypical wounds have rare presentations and typically fail to respond to standard of care practices as a result of complexity. Medications that are prescribed to help with specific chronic conditions may adversely impact healing. Patients with atypical wounds should have a multidisciplinary team working with them closely to decide on a plan of care for best overall outcomes.
WHY WOUND pH MATTERS: THE ACID MANTLE, BIOFILM AND COMPLEX WOUNDS
The normal pH range of skin should be 4.0 to 6.0, but breaks in the skin can lead to a change in pH, which can affect skin healing. An unbalanced pH range can result in delayed wound healing and thus should be recognized and corrected early in the wound management process to encourage best possible outcomes. The role of pH in healing and non-healing wounds needs further investigation, however. Current clinical data show that changes in pH, defective extracellular matrix synthesis and an increase in proteases create a complex wound environment.
SUPPORTING THE POST-OPERATIVE AMPUTEE: IMPROVING OUTCOMES UNDER LIFECHANGING CIRCUMSTANCES
Patients facing amputation need education, emotional support, nutritional support and physical therapy before surgery. The post-operative amputation phase may range from 5 to 14 days, when medical care will be focused on healing and prevention of complications. This is the time when physical and occupational therapies will be initiated.
THE ROLE OF COLLAGEN IN HEALING CHRONIC WOUNDS
In a perfect wound environment, healing phases occur in an organized and timely fashion. Chronic and hard-to-heal wounds, however, do not move correctly through the phases of wound healing and become stalled in the inflammatory phase of healing. Collagen plays a crucial role in every wound healing phase and is the novel triple-helix protein molecule that forms the vital fragment within the extracellular matrix.
HEALING THE HEEL: PRESSURE INJURY PREVENTION, DIAGNOSIS AND TREATMENT
Pressure injuries impact quality of life. Education and prevention are essential in reducing the prevalence of pressure injuries. Tissue destruction in pressure injuries occurs when capillaries supplying the skin structure are compressed for a prolonged time, usually occurring between a bony prominence and a surface.
HOW TO CHOOSE AN ANTIMICROBIAL WOUND DRESSING: QUESTIONS TO ASK AND FACTORS TO CONSIDER
Chronic and hard-to-heal wounds have created a global crisis. Biofilm is present in the majority of chronic and hard-to-heal wounds and delays healing, thus resulting in high financial burdens. It is important for clinicians to have practical knowledge of antimicrobial advanced wound care dressing options, application and plan of care for specific wound types.
“INSIDE-OUT” PRESSURE INJURIES: APPLYING THE ANGIOSOME CONCEPT TO PRESSURE INJURY DEVELOPMENT
Pressure injuries can manifest as intact skin or broken skin normally over a bony prominence where the cause of injury has been prolonged compression leading to capillary occlusion, ischemia and tissue necrosis. The National Pressure Injury Advisory Panel classification and staging system is based on observable tissue damage and depth of tissue destruction but does not represent linear progression. Pathophysiologic mechanisms remain unproven, suggesting that not all pressure injuries are caused by unrelieved pressure.
ANTIMICROBIAL STEWARDSHIP AND WOUND CARE: WHAT’S THE CONNECTION?
Approximately 700,000 people die annually of drug-resistant infections. Experts predict that this figure will increase to 10 million deaths each year by 2050. Antimicrobial stewardship seeks to combat this rising problem, but because infection is a common complication in health care—and especially in wound care—implementation of antimicrobial stewardship programs has been challenging.
WOUND BED PREPARATION BEYOND 2021: IS THERE A ROLE FOR SHOCKWAVE THERAPY?
There are an estimated 30.3 million people with diabetes in America. This population is challenged with chronic conditions and often with chronic wounds that can possibly lead to recurring infections and amputation of the lower limbs.
BEST APPROACHES TO PREVENT RECURRING DIABETIC FOOT ULCERS
Patients with diabetes who develop a diabetic foot ulcer (DFU) usually experience prolonged treatments as a result of the complex nature of the disease state. One complicating factor for patients with diabetes is neuropathy, which can contribute to foot deformity and ulcer development. A multidisciplinary team is necessary to achieve overall wound management while including patients in their care.
VENOUS DISEASES AND THEIR ROLE IN SKIN CHANGES AND ULCERATION
Venous leg ulcers (VLUs) account for 70% to 80% of lower extremity wounds. These wounds often have a mixed etiology of arterial and venous insufficiency. Pathophysiological factors include reflux and obstruction, or a combination of both.
FISTULA FOCUS: PRACTICAL NPWT APPLICATION TIPS FOR MANAGING FISTULAS
A fistula is a connection between two organs that are not normally connected, such as the stomach and the skin. Fistulas develop in various conditions and for a multitude of reasons, such as malignancy, Crohn’s disease and colitis, among others. Many times, fistulas occur after a surgical procedure.
This activity has been designed for practitioners who care for a significant percentage of their patients with chronic and/or acute wounds including but not limited to venous ulcers, pressure ulcers/injuries, diabetic foot ulcers, post-operative wounds, etc., across the health care continuum. This activity is designed to address the educational needs of intermediate and advanced learners.
At the end of this activity, participants should be able to:
- Identify current evidence-based concepts in wound management
- Apply essential elements of wound management in a variety of patient settings
- Explore the evidence-base behind wound management interventions
This activity is designed to address the following core and team competencies: patient care, medical knowledge, practice-based learning, evidence-based practice, insurance/reimbursement issues, quality improvement, and interprofessional collaboration.
WoundCon Fall 2021 On-Demand Accreditation
In support of improving patient care, North American Center for Continuing Medical Education (NACCME) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
NACCME designates this internet enduring activity for a maximum of 15.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
NACCME has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with the AAPA CME Criteria. This internet enduring activity is designated for 15 AAPA Category 1 credits. PAs should only claim credit commensurate with the extent of their participation.
This continuing nursing education activity awards a maximum of 15 contact hours for this internet enduring activity. Provider approved by the California Board of Registered Nursing, Provider Number 13255 for 15 contact hours. This activity will also award pharmacotherapeutic contact hours, however, final designated credit hours will not be announced until all content is reviewed and approved.
American Academy of Nurse Practitioners National Certification Program accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.
This activity has been planned and implemented in accordance with the standards and requirements for approval of providers of continuing education in podiatric medicine by North American Center for Continuing Medical Education, LLC (NACCME). NACCME is approved by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. NACCME has approved this internet enduring activity for a maximum of 15 continuing education contact hours.
Completion of this RD/DTR profession-specific or IPCE activity awards CPEUs (One IPCE credit = One CPEU). If the activity is dietetics-related but not targeted to RDs or DTRs, CPEUs may be claimed which are commensurate with participation in contact hours (One 60 minute hour = 1 CPEU). RD’s and DTRs are to select activity type 102 in their Activity Log. Performance Indicator selection is at the learner’s discretion.
The planning committee comprises: Cathy Milne, APRN, MSN, ANP/ACNS-BC, CWOCN-AP; Jayesh Shah, MD, MHA and Miranda Henry from HMP Communications and Samantha Conforti, Emmie McCalley, and Greaton Sellers from NACCME.
Independent Clinical Reviewers
The independent clinical reviewers for this activity are:
Cathy Milne, APRN, MSN, ANP/ACNS-BC, CWOCN-AP
Connecticut Clinical Nursing Associates
Jayesh Shah, MD, MHA
President, South Texas Wound Associates, PA;
Assistant Professor, Dept. of Family Medicine, UT Health
Associate Professor, University of the Incarnate Word Osteopathic School, San Antonio, Texas
The nurse planner for this activity is:
Susie Seaman, NP, MSN, CWOCN
Susie Seaman Wound Care Consulting
San Diego, California
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for each product, may reflect the clinical experience of the presenters, and may be derived from the professional literature or other clinical sources. Consult complete prescribing information before administering.
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The Following speakers have indicated no relevant financial relationships to disclose:
- David G. Armstrong, DPM, MD, PhD
- Dimitri Beeckman, RN, PhD, FEANS
- Caroline E. Fife, MD
- John S. Hogg, MD, DBAR, DABVLM, RPVI, RPhS, RVT, RVS
- Diane Langemo, PhD, RN, FAAN
- Jeff Mize, RRT, CHT, UHMSADS
- Paulinder Rai, DP, MPH
- Jayesh Shah, MD, MHA
- Laura Swoboda, DNP, APRN, FNP-C, CWOCN-AP
The following speakers have indicated relevant financial relationships to disclose:
- Janice M. Beitz, PhD, RN, CS, CNOR, CWOCN-AP, CRNP, MAPWCA, ANEF, FNAP, FAAN – Ostomy Advisory Board: ConvaTec
- Gregory A. Bohn, MD, ABPM/UHM, MAPWCA – Consultant: AROA Biosurgery
- Luis Fernández, MD, KHS, KCOEG, FACS, FASAS, FCCP, FCCM, FICS – Speaker/Advisor: 3M-KCI, Urgo Medical North America, Pacira Medical
- Jennifer Hurlow, GNP-BC, CWCN – Consultant and Speaker: ConvaTec
- George J. Koullias, MD, PhD – Stock owner: Organogenesis
- Mary Anne R. Obst, BSN, RN CCRN, CWON – Speaker’s Bureau: 3M Medical
No other faculty, planner, or staff has disclosed a relevant financial relationship with an ineligible company (commercial interest).
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