The care of patients with chronic venous insufficiency and venous ulcers requires a team approach that provides both medical and surgical treatment. This session will focus on the medical management of patients with venous disease, including compression therapy to control edema, exercise to enhance calf muscle pump function, and venoactive supplements/medications to enhance venous tone, decrease inflammation, and improve fibrinolysis and blood rheology. Topical agents used to enhance healing will be discussed, as well as topical medications to treat associated skin problems, including stasis dermatitis.
This continuing nursing education activity awards up to 0.25 pharmacology hours.
Coloplast will be supporting SAWC Spring/WHS 2014 concurrent session # 13: Moisture-Associated Dermatitis.
Moisture-Associated Skin Damage (MASD) describes four primary skin conditions, which can be attributed to moisture, friction, and the pathogenesis of microorganisms. The etiology of the four principle types of MASD have been well defined in the literature. These etiologies, primarily related to denudation of the epidermis and dermis as well as resulting inflammation differ from the contributing forces of pressure ulcers: pressure and shear. While different in their etiologies, these skin conditions often share the same locations on the body, and MASD predisposes the patient to the development of a pressure ulcer, through the reduction of the skin integrity and tissue tolerance. However, there remains great confusion between clinicians as to when MASD has converted to a true pressure ulcer, and more importantly when these injuries should be staged. Further, it has been stated that MASD, particularly Incontinence Associated Dermatitis (IAD), does not develop into a full thickness injury unless accompanied by pressure or shear. This lecture will discuss a theory for IAD having a full thickness etiology in some cases, using anatomical landmarks to determine if skin injury should be considered full thickness MASD or a pressure ulcer.
This lecture and case study focused presentation is designed to provide the clinician with practical information when caring for the complex acute care patient. This lecture will focus on best practices in wound bed preparation, identifying appropriate patients for the initiation of advanced therapeutics in the acute care setting, as well as a discussion on discharge planning in challenging populations. The learner will be provided a mix of evidence based recommendations and practical, clinical pearls or immediate incorporation into practice.
Due to the biomechanics and its structure, the heel represents the second most common site for pressure ulcer development. Heel ulcers are costly and, if not treated promptly and properly, may lead to osteomyelitis and even limb amputation. This session will describe the most recent data on how to assess patients for risk and will provide strategies for the prevention and management of heel ulcers.
Pressure ulcers are a major complication of patients with spinal cord injury (SCI) and have a significant effect on general health and quality of life. Pressure ulcers in persons with SCI, while similar to other high-risk populations, have some important differences. Standard risk assessment may not be effective in persons with SCI and prevention efforts must be focused differently. As most pressure ulcers in persons with SCI are community acquired, prevention must be targeted on early detection, behavior change strategies, and social networks. This session will examine the pathophysiology of pressure ulcer development in the patient with SCI and issues specific to this population including: recurrence, altered anatomy, risk assessment, and prevention.
Dermatitis is a common skin problem encountered in wound practice. Understanding causes and treatment are paramount. For example, topical steroids are the most prescribed topical medication for the treatment of rash, eczema, and dermatitis; however, clinicians are unsure what potency to prescribe, what vehicle works best, how long to use the therapy, and how much to dispense. There are hundreds of topical steroids and combination products available, which can be very confusing for prescribers. Furthermore, the percutaneous absorption of topical steroids may be impacted by many variables and clinicians need to choose wisely. Selection of the most effective topical corticosteroid, while minimizing patient risk and side effects, is crucial to providing standard of care.
This continuing nursing education activity awards up to 1.00 pharmacology hour.
Wound care clinicians need to understand the normal function of the skin and how it may go awry leading to vesicles, blisters, and bullae. Wound care clinicians should be able to develop differential diagnoses for patients with possible allergic hypersensitivity, autoimmune diseases, and other skin disease that may be life threatening. This session will provide a systematic approach to assessing blisters, developing a differential diagnoses, and ordering/performing the appropriate diagnostic tests.