Course Details : Wound Care Course

Course Description

This 8-hour continuing education course is designed for rehabilitation professionals seeking foundational knowledge in assessment, prevention, and treatment of chronic wounds. Topics include an overview of normal tissue repair, as well as intrinsic and extrinsic barriers to wound closure. Screening and wound examination techniques are also presented,  including the use of standardized measures. Four categories of chronic wounds commonly encountered in rehabilitation settings will be discussed: pressure injuries, vascular wounds (arterial and venous), and neuropathic ulcers. Interventional strategies such as debridement, choice of dressing, and use of adjunctive modalities will be illustrated using clinical case studies.    

Course Objectives

At the end of this 8-hour course, attendees will be  able to:

• Identify  intrinsic and extrinsic barriers to healing in chronic wounds
• Perform  differential diagnosis of chronic wounds commonly encountered in rehabilitative  settings: pressure injuries, vascular wounds (due to arterial and/or venous  insufficiency), neuropathic wounds 
• Select  appropriate debridement methods to promote a healthy wound bed
• Choose  the optimal wound dressing based using evidence-based moist wound healing  principles
• Discuss  essential elements of patient education for prevention and management of  chronic wounds
• Suggest  adjunctive biophysical agents to promote wound closure (e.g. – therapeutic  ultrasound, low frequency ultrasound, electrical stimulation for tissue  repair).

Course Agenda

Hour 1	Introduction to Wound Management
Hour 2	Differential Diagnosis and Patient Evaluation in Wound Management
Hour 3	Specialized Assessment of Common Chronic Wounds
Hour 4	Wound Cleansing and Debridement
Hour 5	Choice of dressings in wound management based on moist wound healing principles
Hour 6	Treatment considerations for pressure and vascular wounds
Hour 7	Treatment considerations for neuropathic (diabetic) wounds
Hour 8	Selected biophysical agents in wound management Case Studies and Questions

Introduction  to Chronic Wound Management Definition of a “chronic wound” Common types of chronic wounds found in  rehab settings: Pressure  injuries (PIs) Vascular Arterial/ischemic  ulcers Venous  leg ulcers (VLUs) Neuropathic Diabetic  foot ulcers (DFUs)   Normal  vs delayed or abnormal healing Stages of healing/ healing cascade Cellular  processes Angiogenesis Granulation/hypergranulation Epithelialization Remodeling Role  of of tissue inhibitors of matrix metalloproteases (TIMPs) and matrix  metalloproteases (MMPs) Distinctions  between healing in partial vs full-thickness wounds Clinical signs and symptoms of infection Differential  diagnosis: inflammation vs infection Biofilms  and their role in infection & delayed wound closure Antibiotic  resistant infections: MRSA, VRE, CRE Intrinsic & extrinsic factors  influencing wound healing Patients’  age Tissue  healing in older adults Prevention  and management of common wound types in older adults Classification and management of skin  tears Patients’  comorbidities & immune status Effects  of health behaviors Diet/nutrition Physical  activity/exercise Sleep/rest Stress  management Tobacco  use Alcohol  use Improper  moisture balance Repeated  trauma Inadequate  pain management Differential  diagnosis and patient evaluation in wound management Systems review Important lab results in people with open  wounds Location and characteristics of wounds Types  of necrotic tissue (slough, eschar) Exposure  & appearance of subdermal tissues Fascia,  adipose, tendon, ligament, joint capsule, bone Exudate Amount Color Consistency Odor Wound measurement Circulatory assessment Peripheral  circulation Ankle-brachial  index (ABI), toe-brachial index (TBI), tcPO2 Sensory assessment Assessment of swelling/edema Diagnosis of infection Wound  cultures (swab) Wound  biopsy Tissue  samples Recognizing  signs & symptoms that need emergency attention Specialized  assessment of common chronic wounds Pressure injuries Risk  assessment tools NPIAP  staging criteria   Vascular wounds Arterial  insufficiency Venous  insufficiency venous  insufficiency vs lymphedema Neuropathic ulcers Staging  criteria Wagner  Scale University  of Texas Diabetic Wound Classification   Wound  cleansing and debridement Selective vs non-selective debridement  methods Autolytic  debridement Sharp,  surgical debridement Enzymatic  debridement Biotherapy Wound cleansing – best irrigants and methods Pulsatile lavage   Choice  of dressings in wound management based on moist wound healing principles Inert dressings Film dressings Hydrogels Hydroactive dressings Hydrocolloid dressings Alginate dressing Foam dressings Antimicrobials Silver  dressings Medical  honey Dressings to control odor Cadexomer  iodine Charcoal Skin substitutes/ engineered skin   Treatment  considerations chronic wounds Treatment and prevention of pressure  injuries Pressure  redistribution Positioning Surgical  interventions – skin grafts, musculocutaneous flaps Treatment and prevention of arterial  insufficiency ulcers Conservative  measures Exercise  and PAD Surgical  interventions Treatment and prevention of venous  insufficiency ulcers Compression  therapy Therapeutic  exercise   Treatment and prevention of neuropathic  (diabetic) ulcers Offloading/  footwear Therapeutic  exercise Patient education in chronic wounds Health behavior changes Self-management techniques for chronic wounds Selected  biophysical agents in wound management Therapeutic US Low frequency US Electrical stimulation for tissue repair (ESTR) Negative pressure wound therapy Low intensity light therapy Wrap up: Case Studies, Q & A

Upcoming Classes

Location	Date
Live webinar via Zoom	February 3, 2024 Registration Deadline : February 3, 2024 Saturday, February 3rd, 9:00am - 6:00pm Eastern Standard Time Webinar counts towards 'Live' CE Credit.  Course Approvals: AOTA Approved Provider (#5635) California (Sutter Valley Hospitals & Sutter Valley Medical Foundation are recognized by the California Board of Physical Therapy as an approval agency. This course meets the requirements for continuing education by the California Board of Occupational Therapy. Approved for 8 continuing competency hours) Illinois Department of Financial and Professional Regulation (216.000371)  New York State Education Department Florida - 9.5 Contact Hours     (CE Broker Tracking# 20-765073 - PT/PTA)    (CE Broker Tracking# 20-765075 - OT/OTA) Texas Board of Physical Therapy Examiners New Jersey Board of Physical Therapy Examiners (2201-209) Ohio Physical Therapy Association Oklahoma State Board of Medical Licensure and Supervision (202311763) States that accept approvals by other State Boards/State Chapter of the APTA - AR, AZ, DC, DE, FL, GA, ID, IN, KS, KY, MI, MO, NC, OR, PA, RI, SC, TN, UT, VA, VT, WI, WY States that do not require course pre-approval or do not require CEUs for re-licensure - AL, CO, CT, IA, MA, ME, MT, NE, ND, NH, SD, WA.

Location and Date

Live webinar via Zoom February 3, 2024 Registration Deadline : February 3, 2024 Saturday, February 3rd, 9:00am - 6:00pm Eastern Standard Time Webinar counts towards 'Live' CE Credit.  Course Approvals: AOTA Approved Provider (#5635) California (Sutter Valley Hospitals & Sutter Valley Medical Foundation are recognized by the California Board of Physical Therapy as an approval agency. This course meets the requirements for continuing education by the California Board of Occupational Therapy. Approved for 8 continuing competency hours) Illinois Department of Financial and Professional Regulation (216.000371)  New York State Education Department Florida - 9.5 Contact Hours     (CE Broker Tracking# 20-765073 - PT/PTA)    (CE Broker Tracking# 20-765075 - OT/OTA) Texas Board of Physical Therapy Examiners New Jersey Board of Physical Therapy Examiners (2201-209) Ohio Physical Therapy Association Oklahoma State Board of Medical Licensure and Supervision (202311763) States that accept approvals by other State Boards/State Chapter of the APTA - AR, AZ, DC, DE, FL, GA, ID, IN, KS, KY, MI, MO, NC, OR, PA, RI, SC, TN, UT, VA, VT, WI, WY States that do not require course pre-approval or do not require CEUs for re-licensure - AL, CO, CT, IA, MA, ME, MT, NE, ND, NH, SD, WA.

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