Chronic Wound Care Clinical Lab: A Hands-On Approach to Ensure Progressive Wound Healing – Cheryl Aaron

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• Break the cycle of chronic wound degradation
• Apply evidence-based strategies based on wound types and comorbidities
• Applying the ABI: How much pressure can be tolerated to get the best results?
• Key elements of the 4 layer wrap and toe wrap application demonstrated

When you’ve tried everything in your arsenal and the patient’s chronic wound persists – a specialized approach is needed. In this hands-on clinical lab, learn by practice how to address chronic wounds by applying advanced healing strategies. Join Dr. Cheryl Aaron, PT, DPT, CWS®, as we address and eliminate the concerns that compression dressings often raise, become confident in Doppler use, ABIs, and wrapping techniques. By the end of the day, you will have a new confidence and abilities to embark on evidence-based practice techniques to heal the tough wounds, prevent amputation, and improve quality of life. Join us for this interactive learning experience!

HANDS-ON LAB

• ABIs; differentiate between venous and arterial sounds using pocket Doppler
• Identify dorsal pedal and posterior tibial arteries with Doppler
• Perform accurate ABIs, identifying mild, moderate and severe disease
• Apply 4 layer compression wraps in correct order with proper wrapping technique and tension
• Demonstrate toe wrapping technique with short stretch bandage

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OUTLINE

The Chronic Wound

• What’s wrong? Identify causes of delayed healing
• How to jumpstart the healing cascade: strategies for success
• Nutrition’s role in healing chronic wounds
• Optimize healing; proper wound cleansing, managing bioburden, debridement types

Pressure Ulcers

• Pathophysiology and development of pressure ulcers
• Intrinsic and extrinsic factors
• NPUAP staging system
• Risk assessment
• Support surfaces, positioning, pressure mapping and diagnostic ultrasound

Arterial Disease and Ulcers

• Diagnostic signs and symptoms
• Characteristics of arterial wounds
• 6 Ps of arterial occlusion
• Diagnostic tests; TCPO2, Laser Doppler,
• Duplex Scan, LEA
• Other causes of tissue ischemia
• Minimally invasive treatments and surgical options

Diabetes and Neuropathic Ulcers

• Comorbidities and their effects on diabetic wound healing
• Causes of foot ulcerations
• Assessments for loss of protective sensation
• Characteristics of diabetic ulcers
• How to optimize healing in DFUs
• Total contact casts and offloading

Venous Disease and Ulcerations

• Diagnostic signs and symptoms
• Characteristics of venous ulcerations
• Diagnostic tests
• CEAP classification of chronic venous insufficiency
• Compression types
• Know how to accurately perform ABIs

Lymphatic system

• Anatomy of the lymphatic system
• What is lymphedema
• Staging
• Treatment

Lipedema

• What is it?
• Characteristics, onset and differential diagnosis
• Other often missed causes of lower extremity edema

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OBJECTIVES

• Explain a thorough understanding of the anatomy and physiology of the integument.
• Distinguish and eliminate the causes of stalled wound healing.
• Devise the pathophysiology of various wound origins.
• Explain and accurately identify wound etiology.
• Compose appropriate treatment options based on wound assessment.
• Demonstrate confident performance of ABIs, compression wraps, and toe wraps.

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