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Advanced Pressure Injury Course: Strategies for Prevention, Assessment & Treatment

Pressure injury prevention, assessment and treatment. This is such complex and specialized care to provide to patients. There are co-morbidities to consider, rising costs, ever changing regulations and increased scrutiny. Do you feel confident you are up-to-date on the latest evidence that should be guiding your pressure injury decision making?
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Information

Faculty:
Heidi Huddleston Cross
Duration:
5 Hours 47 Minutes
Format:
Audio and Video
Copyright:
Feb 28, 2018

Description

Pressure injury prevention, assessment and treatment. This is such complex and specialized care to provide to patients. There are co-morbidities to consider, rising costs, ever changing regulations and increased scrutiny. Do you feel confident you are up-to-date on the latest evidence that should be guiding your pressure injury decision making?

Prevention
As a frontline health care provider, you play a critical role in preventing pressure injuries from ever occurring - or not developing again. This course will provide you with the most need-to-know knowledge to effectively achieve your goals in a cost effective and evidence-based manner. Discussion will focus on the best in pressure injury prevention, including: risk factor reduction, standards of care, root cause analysis, support surface options, nutritional factors and repositioning frequency.

Assessment
Once a pressure injury develops, it is critical that it is promptly identified and assessed so proper treatment can begin. Rest assured….you will get everything you need to know when it comes to pressure injury staging, recognition of wound infection, avoidable vs. unavoidable wounds and the ability to differentiate pressure injuries from moisture associated skin breakdown.

Treatment
Once a pressure injury has been thoroughly assessed, the appropriate treatment plan needs to be implemented as quickly as possible to avoid deterioration and complications. You will take away the best knowledge and insights in pressure injury treatment, to include: wound bed preparation, debridement options, the newest product selection options hitting the market, cost-effective considerations, and when antimicrobial dressings should be used.

In addition to all the clinical insights to be gained, valuable documentation tips will be shared so that going forward you appropriately reflect your practice, protect your license, and avoid legal risks. You are guaranteed to increase your confidence, effectiveness, and career opportunities with this course recording on Pressure Ulcers. 

Handouts

Outline

Pressure Injury Prevention
Evidence Based Guidelines
  • National Pressure Ulcer Advisory Panel
  • Wound, Ostomy, and Continence Nurses Society
The Etiology of Pressure Injuries
  • Mechanical load: Magnitude and time
  • Mechanisms that lead to tissue damage
Risk Factors and Risk Assessment
  • Assessing risk using the Braden Scale correctly
  • Intrinsic and extrinsic risk factors - you need to know
  • Skin and tissue assessment
Practice Tips for Prevention
  • Skin care: Moisturization is key
  • Repositioning frequency: Is it really every 2 hours?
  • Get those heels up!
  • The RIGHT surface at the RIGHT time
The Role of Nutrition in Pressure Injury Development
  • Lab values
  • Avoiding unintentional weight loss
Pressure Injury Assessment
Wound Assessment
  • Look at the whole patient, not just the hole in your patient
  • Necessary elements of wound assessments
  • Decisions, decisions: Is it incontinence associated dermatitis or a pressure ulcer?
Pressure Injury Staging
  • Deep tissue injury and medical device related injuries
  • Controversies
  • STAGING QUIZ!!!
Wound Infection and Complications
  • The emerging role of biofilms
  • NERDS and STONEES - huh?
  • Sepsis
  • Osteomyelitis
  • Malignancy
  • Recurrence
Avoidable vs. Unavoidable Injuries
  • Skin failure
  • Kennedy Terminal Ulcers
Skin Changes at Life’s End (SCALE)
  • F-Tag 314
  • WOCN document
  • Antibiotic therapy
Pressure Injury Treatment
Wound Bed Preparation
  • The principle of TIME
  • Importance of cleansing
  • Debridement: What works, when and how
Basic Wound Dressings
  • The importance of moist wound healing
What needs to be on every formular
Vendor support and caveats
Advanced Wound Dressings and Therapies
  • When do we need to step it up and to what?
Antimicrobial dressings
  • There are so many……how to choose
  • Silver
  • Honey
  • Hydrofera Blue
  • PHMB
Iodosorb
  • Dakin’s Solution and vinegar (yes, we still use it)
  • Hypochlorous Acid
  • Sorbact
Collagen dressings
  • Negative pressure wound therapy
  • Other modalities
Surgical Repair
  • Skin grafts vs. flaps
Documentation Tips
  • What you need to know and what MUST be in the record
  • Examples of good documentation
  • Tips to keep yourself out of court

Faculty

Heidi Huddleston Cross, MSN, RN, FNP-BC, CWOCN Related seminars and products: 6


Heidi H. Cross, MSN, RN, FNP-BC, CWON, is a board-certified Wound and Ostomy Nurse and a board-certified Family Nurse Practitioner in Syracuse, NY. She has extensive experience caring for wound and ostomy patients in acute care, as well as in long term care facilities. Currently, she is employed by CNY Surgical Physicians consulting for nursing homes in the Syracuse area, and has her own independent practice as an expert witness for plaintiff and defense attorneys.

Ms. Cross is a member of the Wound, Ostomy and Continence Nurses Society, the Association for the Advancement of Wound Care, and the American Nurses Association. She has served on numerous committees related to wound and ostomy care, including as chair of the Wound Ostomy and Continence Nursing Certification Board examination committee, the credential and review committee, and the marketing committee. For the Wound and Ostomy Nurses Society, she is the co-chair of the National Conference Planning Committee ostomy track, has done peer review for the Journal of Wound Ostomy and Continence Nursing (JWOCN), and was the recipient of a grant from the Center for Clinical Investigation Research. She participated in developing the National Pressure Ulcer Advisory Panel’s Clinical Practice Guidelines for Prevention and Treatment of Pressure Ulcers in 2014.

Speaker Disclosures:

Financial: Heidi Huddleston Cross receives an honorarium and consulting fee from Molnlycke. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Heidi Huddleston Cross is a member of the Wound, Ostomy and Continence Nurses (WOCN) Society.