WoundCon Spring 2022
15.5 CME Credits | 15.5 Contact Hours
This CE / CME Activity includes 16 wound care focused presentations facilitated by leading wound educators and was originally presented live, March 11, 2022. The activity includes over 15 hours of wound care content.
Earn up to 15.5 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.
PEDIATRIC BURNS AND WOUND CARE
Burns are a major public health concern, with injuries ranging from mild to life-threatening. Although they share similarities with any wound a clinician might treat, burns also present unique challenges.
DRESSED TO THE NINES — CALCIUM ALGINATE TOP TIPS
Alginate wound dressings are non-woven, nonadhesive pads and ribbons composed of natural polysaccharide fibers or xerogel derived from seaweed. On contact with exudate, these dressings form a moist gel through a process of ion exchange.
ON THE CUTTING EDGE: SURGICAL SITE INFECTION PREVENTION AND MANAGEMENT
Surgical site infections (SSIs) are an ever-increasing phenomenon worldwide due to various factors. SSI morbidity and mortality are often significant, and their surgical or medical management is often complex. Improved guidelines and strategies for managing at-risk patients can support clinicians’ efforts to reduce the risk of SSI development.
LYMPHEDEMA FOR THE WOUND CARE PROVIDER
Many patients with chronic wounds will experience delayed wound healing due to fluid retention within damaged body tissues (edema). In some instances, this pathological state is initiated by a dysfunction in the lymphatic system resulting in lymphedema. Due to the adverse effects of tissue edema on wound healing, wound care professionals should understand how to accurately diagnose lymphedema and provide care for affected patients.
VENOUS LEG ULCERS, MICRONIZED PURIFIED FLAVONOID FRACTION AND THE DATA
Flavonoids are the most abundant bioactive compounds worldwide and are emerging as an important source of new wound healing therapies. Most wound healing medicinal plants possess multiple flavonoids that act synergistically or collectively. Flavonoids also have venotonic and lymphotonic properties and act on leukocytes and endothelium, resulting in decreased inflammation and permeability.
HEEL ULCERS, DIABETIC ULCERS OR PRESSURE INJURIES: WHAT’S IN A NAME?
The establishment of a correct diagnosis is relative to established guidelines and reinforces all subsequent therapeutic activity. Complications can arise when nomenclatures overlap, as is the case with diabetic foot ulceration, heel ulceration and pressure injuries on the foot occurring in people with diabetes. In such cases, clinicians must ensure that patients receive a care plan that aligns both the wound causation and the underlying pathologic process. Patient care can then be optimized to include appropriate assessments, management, and general foot and skin care.
EVIDENCE-BASED PREVENTION AND MANAGEMENT OF DIABETIC FOOT PROBLEMS
According to data from the World Health Organization, lower extremity complications of diabetes are a top 10 contributor to the disability burden worldwide. Evidence suggests that adhering to evidence-based guidelines can significantly reduce the incidence of diabetes-related lower extremity complications.
THE ROLE OF HYPERBARIC OXYGEN IN PLASTIC SURGERY
Patients and clinicians are frequently confronted with wound complications after breast reconstruction, such as surgical site infections, seromas, wound dehiscence and wound necrosis. These complications have a diverse etiology; therefore, management necessitates a multifactorial approach.
ARE YOU IN FOR A SHOCK? THE ROLE OF ELECTRICAL STIMULATION IN WOUND HEALING
Dubbed the endogenous “skin battery,” the wound healing process is influenced by our skin’s endogenous electric potential. In undamaged skin, a natural electrical potential of 10-60 mV exists between the epidermal and subepidermal layers. Conversely, transepithelial voltage fundamentally increases around a wound, producing a voltage difference between the wound site and the undamaged skin ranging from 100 to 150 mV/mm. These endogenous electrical fields play an essential role in wound healing, with resulting endogenous currents acting as a signal for cellular migration, which helps heal wounds. This phenomenon motivates exploration into the use of electrical stimulation (ES).
UNDER PRESSURE — AVOIDING COMPLICATIONS WITH NEGATIVE PRESSURE WOUND THERAPY
Negative pressure wound therapy (NPWT) involves the application of local, subatmospheric pressure to a wound. It is widely used in skin defects, active infection and surgical reconstruction. Because NPWT is a valuable and dynamic tool in the treatment of many types of wounds, clinicians should have a heightened awareness of potential pitfalls that may impair its use.
SURGICAL OFFLOADING FOR DIABETIC FOOT ULCERS
When conservative offloading options have failed and patients are at risk of limb loss, surgical offloading may provide an option to decrease healing time, reduce recurrence rates, and remove or reduce deformities in the patient with diabetes.
PREOPERATIVE CARE OF THE OSTOMY PATIENT — PREVENTING STOMA-RELATED COMPLICATIONS
An intestinal ostomy is an artificial bowel opening created on the skin. Complications of ostomy — including infection, parastomal abscess, hernia, dermatological conditions, stoma necrosis, stenosis, retraction and prolapse — negatively affect the quality of life of ostomates and can be associated with significant morbidity. Available data suggest that preoperative care and education by wound and ostomy therapists significantly reduce early stoma-related complications.
ADIPOSE TISSUE TRANSPLANTATION AND ITS ROLE IN WOUND HEALING
Adipose tissue, once considered simple inert tissue functioning as insulation and energy storage, is now seen as one of the largest endocrine organs in the body, containing a variety of cell types, with potential applications for regenerative medicine. The adipose-derived stem cells found in fat grafts are hypothesized to aid in wound healing by means of differentiation into fibroblasts and keratinocytes and the release of prohealing growth factors.
LET FOOD BE THY MEDICINE — IMPLICATIONS OF NUTRITION AND DFU MANAGEMENT CONSENSUS
Nutrition is a critical component of the wound healing process but is not often the first thing clinicians consider when treating patients with a diabetic foot ulcer (DFU). In this context, good nutrition is a critical component of healing DFUs, particularly in relation to improving immune function, reducing malnutrition, improving glycemic control, and facilitating weight loss and weight maintenance.
THE WOUND BED PREPARATION PARADIGM
Wound bed preparation (WBP) is a well-established concept, and the TIME framework has been developed as a practical tool to assist practitioners when assessing and managing patients with wounds. WBP is a paradigm to optimize chronic wound treatment. This holistic approach examines treatment of the cause and patient-centered concerns to determine whether a wound is healable, a maintenance wound or nonhealing.
A “WOUND” TO THE WISE — PRACTICAL TIPS AND TRICKS OF WOUND CARE
The “Wound” to the Wise segment will feature dynamic and short pearls of wisdom from each of the course faculty that will offer practical, digestible takeaways to help you optimize patient care. We invite you to actively be part of the WoundCon agenda as we roll out this new and exciting segment for all future WoundCons. Details are coming on how to join the fun and have your “Wound” to the Wise featured during an upcoming WoundCon event.
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 Spring 2022 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 15.5 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 15.5 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 15.5 contact hours for this internet enduring activity. Provider approved by the California Board of Registered Nursing, Provider Number 13255 for 15.5 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 15.5 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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Copyright © 2021 by North American Center for Continuing Medical Education, LLC. All rights reserved. No part of this accredited continuing education activity may be reproduced or transmitted in any form or by any means, electronic or mechanical, without first obtaining permission from North American Center for Continuing Medical Education. The opinions expressed in this educational activity are those of the faculty and are not attributable to NACCME. Clinical judgment must guide each professional in weighing the benefits of treatment against the risk of toxicity. Dosages, indications, and methods of use for products referred to in this activity are not necessarily the same as indicated in the package insert
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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DISCLOSURE OF RELEVANT FINANCIAL RELATIONSHIPS
NACCME, LLC is an independent provider of continuing medical education. NACCME, LLC has no proprietary or financial interest in medical or healthcare products over which the FDA (USA) or EMA (EU) has regulatory authority.
In accordance with our disclosure policies, NACCME is committed to ensuring balance, independence, objectivity, and scientific rigor for all accredited continuing education. These policies include assigning relevance to, and mitigating, all perceived or real conflicts of interest between any individual with control over the content and any ineligible company (commercial interest) as defined by the ACCME.
Any individual with control over accredited content, including planner, faculty, and reviewer, is required to globally disclose:
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- Any investigational, off-label, or non-FDA approved content or discussion.
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Education has been independently peer-reviewed to validate content, mitigate identified conflicts of interest, and ensure:
- All recommendations involving clinical medicine is based on evidence that is accepted within the medical profession as adequate justification for their indications and contraindications in the care of patients.
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The following speakers have indicated relevant financial relationships to disclose:
- Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA: Speakers Bureau – Abbott Nutrition; Instructor, Other – Academy of Lymphatic Studies; Content Expert, Other – Heliant; Consultant – Kent Imaging; Consultant – Wound Vision
- Kara Couch, MS, CRNP, CWS: Speakers Bureau – 3M/KCI; Consultant – Integra LifeSciences; Consultant – Urgo Medical
- Emily Greenstein, APRN, CNP, CWON, FACCWS: Advisory Board, Consultant, Speakers Bureau – 3M Healthcare, Medical Solutions Division
- Rose Hamm, PT, DPT, CWS, FACCWS: Publications, Other – McGraw Hill Education
- Alton Johnson Jr., DPM, CWSP: Advisory Board, Scientific Officer, Other – Revealix; Advisory Board, Other – Suturegard
- Paul J. Kim, DPM, MS: Advisory Board, Consultant, Speakers Bureau – 3M; Advisory Board, Consultant, Speakers Bureau – Urgo Medical
- M. Mark Melin, MD: Other – Primus Pharm
- Catherine T. Milne, APRN, MSN, ANP/ACNS-BC, CWOCN-AP: Advisory Board, Speakers Bureau, Co-Chair WoundCon – WoundSource
- Mary Anne Obst, RN, CWON, CCRN: Speakers Bureau – 3M/KCI; Speakers Bureau – Urgo Medical
- Gregory Schultz, PhD: Consultant – DEBx LLC; Consultant – Kane Biotech; Consultant – Medline Industries, Inc.; Advisory Board, Consultant – QuickMed Technologies; Consultant – Smith & Nephew; Consultant – Urgo Medical
- R. Gary Sibbald, BSc, MD, FRCPC (Med, Derm), MACP, FAAD, MEd, FAPWCA, D.Sc. (Hons): Consultant, Grand/Research Support, Speakers Bureau – Compression Dynamics; Consultant, Grant/Research Support – Government of Ontario (ECHO/Ministry of Health); Advisory Board, Grant/Research Support – Novartis Pharma; Consultant, Grant/Research Support, Speakers Bureau – Perfuse Medtec Inc.; Speakers Bureau – Pfizer, Inc.
- Rajiv Sood, MD, FACS: Advisory Board, Consultant – Avita Medical; Consultant – Smith and Nephew
- Dot Weir, RN, CWON, CWS: Speakers Bureau – 3M/KCI
No other faculty, planner, or staff has disclosed a relevant financial relationship with an ineligible company (commercial interest).
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Speaker disclosures, as well as off -label/unapproved uses of drugs and/or devices, will be disclosed prior to the start of each session.
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