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1. Define the principles of assessment.
2. Differentiate the etiology of varying wound presentations.
3. Identify early signs of wound complications.
4. Recognize the etiology of wound stagnation.
5. Critically analyze multiple treatment options for each type of wound presentation (deep-wet, deep-dry, shallow-wet, and shallow-dry).
6. Distinguish systemic factors that require advanced therapies.
7. Compare and contrast when to treat and when to refer a patient.
8. Identify atypical wound presentation.
9. Describe local wound treatment options of neoplastic wounds.
10. Identify early complications of surgical wounds.
11. Explain treatment options for fistulas.
12. Design treatment options for copious draining wounds.
13. Specify standard of practice prevention and treatment of pressure ulcers.
14. Differentiate between moisture-associated skin damage and pressure ulcers.
15. Identify standard of practice venous and arterial work-up and treatment options.
16. Compile neuropathic presentation and treatment options.

Part One:

1. Principles of Assessment
1. Wound Characteristics
1. Size, tracts, & location
2. Wound base & margins
3. Surrounding skin
4. Drainage, odor, pain
2. Wound Healing Process
1. Full & partial thickness
1. Wound phases
2. Wound stagnation
2. Address Wound Bed Goals Systematically
1. Infection
1. Symptoms
2. Cultures
3. Mesh, hardware, bone
4. Prevention
5. Treatment
2. Differential Assessment to Identify Etiologic Factors
3. Systemic
1. Nutrition: its impact on wound healing
2. Immunosuppression
3. Glucose Control
4. Perfusion
4. Non-viable tissue
1. When to debride
2. Contraindications to debridement
3. Types of debridement
5. Chronic symptoms - Causes & Treatment Options
1. Epibole
2. Biofilm
3. Management Considerations
1. Skin Considerations
2. Drainage Management (Product Determinations per Specific Wound Presentations)
3. Wound Bed Management Considerations
4. When to Refer

Part Two:

1. Best Practice/Standard of Practice per Etiology
2. Assessment, Treatment and When to Refer
1. Surgical
1. Primary, secondary, tertiary intention
2. Uncomplicated
3. Complicated
2. Traumatic
1. Skin tears & burns
2. Friction & shearing
3. Pressure Ulcer
1. Risk Assessment
2. Staging
3. Standard of practice
4. Management options
5. Complications to consider
4. Moisture Associated
1. Peri-wound
2. Peri-stomal
3. Incontinence-associated
4. Intertriginous dermatitis
5. Venous Stasis
1. Risk Assessment
2. Differential symptoms, work-up & management options
3. Complications to consider
6. Arterial
1. Risk Assessment
2. Differential symptoms, work-up & management options
3. Complications to consider

Kim Saunders has extensive experiences as a wound, ostomy, and continence nurse across a variety of settings, including acute care, hospice, home health and skilled nursing facilities. As a respected expert in her field, Kim evolved her practice to be able to more fully share her insights as co-owner of WOC Consulting, LLC. In this role, she consults with healthcare systems on a variety of challenges that develop related to wound, ostomy, and incontinence-associated dermatitis. Some of the special projects her knowledge has been sought for include: guiding standardization of wound care formularies and pressure-relieving device selections, as well as a myriad of other processes to standardize and improve upon existing skin and wound care delivery. Her wound care experience goes beyond trouble-shooting the most challenging of patient wounds. It also includes expertise regarding the increasingly important ability to incorporate cost-effective care and reimbursement considerations at the bedside.

Kim is an active member of the Wound, Ostomy and Continence Nurses Society™ and the Advanced Wound Care Society. She has traveled the country extensively to deliver practice-changing wound care trainings to experienced healthcare professionals. Kim is also the author of the Wound Care Pocket Guide: Clinical Reference, Second Edition (PESI, 2017).

Speaker Disclosures:

Financial: Kim Saunders is the owner of WOC Consulting. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.

Non-financial: Kim Saunders is a member of the Wound, Ostomy, Continence Nurse Society.

Price includes CE for one participant. Please contact our Customer Service at 1-800-844-8260 with questions.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. This online course may include multiple product formats. To receive full credit, please submit the CE test for each format that has self-study materials included.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 4/3/2017
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 11.5 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 11.5 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 14.0 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 11.6 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 11.5 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 11.5 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 11.5 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 14.0 contact hours.

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Other Professions
This self-study activity qualifies for 11.5 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, Physical Therapists, Physical Therapy Assistants, Occupational Therapists, Occupational Therapy Assistants, Nursing Home Administrators/Assisted Living Administrators