[Download Now] Skin & Wound Care – Joan Junkin

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State-of-the-art care for your patients requires all of the essentials.

• Types of Wounds
• Infection Control
• Methods of Healing
• Non-Healing Wounds
• Acute & Chronic Wounds
• Best Use of Wound Products

As budgets shrink and those with a wound present more challenging comorbidities, we can sharpen our practices in order to prevent or heal wounds more effectively. We will explore the tools needed to navigate. Busy clinicians often don’t have time to view the latest guidelines and science, so this information will be presented in a way that makes it easy to incorporate into your practice. Joan Junkin is passionate about skin health and wound healing, but also knows that caregivers need more than patients do. You can expect occasional doses of humor, along with the best interventions, devices and therapies available.

We will focus on methods proven to prevent or speed healing for the most challenging foot and leg wounds. Joan has a fresh perspective to help with patient education and motivation. An emphasis will be placed on controlling infections. You can improve your wound prevention and treatment knowledge with this seminar.

We need to change our practice if we want a better wound healing outcome. We will base our practice on the evidence that is available.

OUTLINE

Adding that ounce of prevention is keeping skin in balance.

• Moisture, oil, bacteria, and acid balance – review of epidermal and dermal differences
• Skin – first line of defense; how our skin manages to protect us and how we can help it succeed

It is possible to prevent traumatic skin injury.

• Skin tears, abrasions, tape burns
• Simple methods of reducing friction between skin and other surfaces

Incontinence is associated with dermatitis.

• Prevention and treatment – evidence-informed international guidelines
• Frequent incontinence needs high intensity prevention
  • Acidic skin cleanser and protectant necessary
  • Incontinence cloths can reduce friction, have acidic cleansers and built-in protectants
  • Under pads/protective garments

Pressure ulcers and other common buttock ulcers can be accurately assessed.

• Location, shape, color, depth
• Case studies using a systematic assessment method

There is fecal incontinence.

• Steps to improve stool consistency
• Collection devices pros and cons

There are blisters on the skin.

• Options of what to use and when to treat fungus
• Natural ways to control and prevent re-infection

There are essentials for wound healing.

• Phases of healing a full-thickness ulcer
• Wound assessment techniques
• Team approach to wound healing, including the patient/family
• Making use of nutrition and endorphins to speed healing

Prepare the wound bed to assure the best possible healing.

• Best cleansing – takes more than saline
• Aggressive antiseptic cleansers
• Biofilm – invisible shield for bacteria
• Gentle and effective antiseptic wound cleansers

The debridement of non-viable tissues is an important part of infection control.

• Compare methods – each has pros and cons
• Discuss new soft pad for mechanical debridement (breaks biofilm too)

Dressings help with healing wounds.

• Many antiseptic dressings available – new category is germ traps
• Super-absorbent options – not just foam and alginate any more
• How to choose a dressing based on wound characteristics
• How to decrease costs using products included on your buying contract

Physical science can be used to speed healing.

There are surgical wounds.

• Keeping incisions clean and dry to decrease dehiscence and infection
• Negative pressure wound therapy bedside and single patient use models

International guidelines for Pressure Ulcers.

• Identify risks – how to intervene
• Tools to use and prevention options
• Pressure mapping and therapists who specialize in fitting for optimal cushion
• Foam mattresses, air mattresses, chair cushions, foot protection boots – what options may be best for your facility’s situation/budget

There are foot blisters.

• Depression, vitamin D deficiency, neuropathy – how limbs and lives are lost
• Off-loading methods
• Utilizing written contracts

Autologous platelet concentrate is one of the advanced therapies.

There are arteriorial wounds.

• Comparison of diagnostic methods
• Re-vascularize if possible
• Keep dry if not able to restore the flow

Edema related wounds.

• Compression and elevation – tips to help them succeed
• Infection control methods to prevent frequent stasis dermatitis and infections
• Managing fibrin slough without causing trauma to legs

There are two types of lipedema and lymphedema.

• Assessment tips
• Lymphedema therapy

Take home toolkit contains helpful resources and how to use them at work tomorrow.

OBJECTIVES

1. Demonstrate and discuss strategies to minimize damage to high risk skin.
2. Differentiate between skin care products and optimal use of options available.
3. Identify and distinguish factors likely to stall wound healing.
4. Analyze leg and foot wound characteristics of: neuropathic, arterial, and venous wounds.
5. Identify characteristics of 6 categories of wound dressings.
6. Compare and contrast 5 types of wound debridement.
7. Outline goals for wound care in hospice and palliative care settings.
8. Explain evidence-based pressure ulcer prevention practices and tools.

Joan Junkin reviewed skin and wound care. Joan Junkin is the author of Skin & Wound Care. Joan Junkin has a discount on skin and wound care.