Advanced Wound Care Assessment and Management

Learning Outcomes:1.   Reviewand distinguish between the different ulcer types - pressure, diabetic, andvascular (venous, arterial) including assessments and assessment tools.2.   WoundBed Preparation Algorithm3.   Identifyfactors that affect the ability to heal and explain what needs to be consideredwhen correcting or modifying treatable causes of tissue damage (ulcer specific)4.   Masterassessing a wound. Explain the types of debridement and identify thedebridement to use. Identify when to use a non-cytotoxic vs an antisepticsolution. Recall the principles of bacterial balance vs increased bacterialload. Identify S&S of infection and when to culture a wound. Explain whatto consider in treating an infectiona.   Providelocal wound care                                      i.    Wound Assessment - MEASURE mnemonic                                     ii.    Types of debridement (surgical sharp, conservativesharp, mechanical, autolytic, enzymatic, biologic)                                    iii.    Selection of debridement based on wound                                    iv.    Solutions to cleanse the wound (non-cytotoxic vsantiseptics)                                     v.    Bacterial balance vs increased bacterial load                                    vi.    S&S of infection (NERDS vs STONES)                                  vii.    Culturing a wound                                 viii.    Treating an infection 5.   Explainthe factors to consider when selecting a dressing. Identify the benefits of amoist environment. Know the various types of dressings for the treatment ofwounds.a.    Provide local wound care                                      i.    Dressings:                                     ii.    Factors to consider when selecting a dressing(patient, wound, bacterial profile & product)                                    iii.    Benefits of a moist environment                                    iv.    Helpful tips for dressings                                     v.    Various types of dressings                                    vi.    Negative Pressure Wound Therapy6.   Describehow to care for the peri-wounda.   Methodsto protect the peri-wound skin and prevent maceration from minimal, moderate tolarge amount of exudate7.   Identifycriteria involved in in the evaluation of wound healing8.   Identifyinterdisciplinary teams in caring for a patient with a wound