Joan Junkin – Skin & Wound Care

As budgets shrink, and patients with wounds face more difficult comorbidities than ever before, we can improve our practices to prevent or heal more wounds. We will be sharing the tools that can help you navigate this minefield.

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Joan Junkin – Skin & Wound Care

Description:

All the essentials required for state-This is-The-Art care for patients includes:

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

We can improve our skills to prevent and heal injuries as budgets shrink. We will be discussing the tools necessary to navigate this minefield. 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 While she is passionate about wound healing and skin health, she also recognizes the importance of endorphins for caregivers. You can expect humor to brighten your day and the best treatments, devices, and modalities.

We’ll focus on methods proven to prevent or speed healing for the especially challenging diabetic foot ulcers, pressure ulcers, those related to lower extremity edema and vascular ulcers. Joan It offers a fresh perspective that can help with patient education and motivation. Infection control methods will be emphasized. This seminar is your chance to learn.-Stop by our shop to find essentials that will help you improve your wound prevention skills and treatment knowledge.

Change your practice if you want better wound healing. As we learn to rely on the evidence, join us!

OUTLINE

Maintaining skin balance: This is what you should do ‘ounce of prevention’

• Review of epidermal differences and acid balance: Moisture, oil and bacteria.
• Skin The first line defense. How our skin protects us and what we can do to help it succeed

Prevention of traumatic skin injuries

• Skin Tape burns, tears, and abrasions
• Simple ways to reduce friction between skin and surfaces

Incontinence and dermatitis

• Evidence of prevention and treatment-Follow international guidelines
• Frequent incontinence requires high intensity prevention
  • Protective and acidic skin cleanser
  • Incontinence towels can reduce friction, have acidic cleansers, and are built with abrasives-in protectants
  • Protective clothing/underpads

Accurately assessing your buttocks – Pressure ulcers vs. common buttock ulcers

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

Fecal incontinence

• Steps to improve stool consistency
• Pros and cons of collection devices

Fungal rashes

• There are many options when and what to use to treat fungus
• Natural ways to stop and control recurrent infections-Infection

Wound healing essentials

• The phases of healing are a complete-Thickness ulcer
• Wound assessment techniques
• A team approach to wound healing that includes the patient and their family
• To speed up healing, nutrition and endorphins are used.

Wound To ensure the best possible healing, make sure you prepare your bed

• Best cleansing – requires more than saline
• Use aggressive antiseptic cleansers
• Biofilm – Invisible shield against bacteria
• Use gentle, effective antiseptic skin cleansers

Debridement of non-Viable tissues – An important part of infection prevention

• Compare methods – every method has pros and con
• Discuss new soft pad for mechanical sanitization (breaks biofilm too).

Dressings aid in balancing the moisture and bacteria levels of wounds

• There are many antiseptic dressings on the market. A new category is germ traps.
• Super-Absorbent options – Not just foam and alginate anymore
• How to choose the best dressing based on the wound characteristics
• How to lower costs by including products in your purchasing contract

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Modalities – Physical science can be used in order to speed up healing

Surgical wounds

• Keep incisions clean, dry, and free from any infection.
• Negative pressure wound therapy bedside or single patient use models

International guidelines for pressure ulcers (2014)

• How to identify risks and intervene
• Prevention tools and tools
• Specialists in pressure mapping and cushion fitting
• Foam mattresses, air mattresses, chair cushions, foot protection boots – what options may be best for your facility’s situation/budget

Diabetic foot ulcers

• Depression, vitamin D deficiency and neuropathy are all signs of a loss of limbs or lives.
• Off-Loading methods
• Utilizing written contracts

Advanced therapies – skin transplants, hyperbarics and autologous platelet concentrate

Arterial ulcers

• Comparison of diagnostic methods
• Re-If possible, vascularize
• If you are unable to restore flow, keep it dry

Edema-related ulcers

• Tips for success in compression and elevation
• Methods to control infections and prevent frequent stasis dermatitis
• How to manage fibrin slough and not cause trauma to the legs

Lipedema and Lymphedema

• Assessment tips
• Lymphedema therapy

Take home toolkit: Useful resources and how you can apply what you’ve learned today at your job tomorrow!

OBJECTIVES

1. Discuss and demonstrate strategies to minimize skin damage at high risk.
2. You can tell the difference between skin care products, and the best use of all options.
3. Identify and distinguish the factors that could stall wound healing.
4. Analyze the leg and foot characteristics of: neuropathic (arterificial), and venous injuries.
5. Identify the characteristics of six types of wound dressings.
6. Compare and contrast five types of wound debridement
7. Outline goals for wound management in hospice and palliative settings.
8. Explain evidence-Pressure ulcer prevention tools and practices.