Kim Saunders – The Ultimate Hands-On Wound Care Clinical Lab

Outline

Wound Bed Tissue Types: Presentation & Treatment

• Epithelial Tissue
• Granulation Tissue
  • Healthy Granulation
  • Hypergranulation
• Fibrin
  • Scaffolding for granulation
  • Characteristics of presentation
• Necrotic – When to remove, when to leave alone
  • Slough – Devitalized, must be debrided
  • Eschar – Devitalized
  • Dry Gangrene – Necrosis/Tissue Demise

Wound Margin Issues and Strategies

• Epiboly – Rolled Edges
• Hyperkeratotic – Dry, Calloused Edges
• Jagged
• Epithelialization
• Peri-Wound Issues
  • Macerated
  • Desiccated
  • Erythema
  • Indurated
  • Atrophic/Fibrotic
  • Fluctuant

Characteristics of Common Wounds

• Phases of Healing
• Etiology, Appearance, Location, Exudates
  • Arterial Insufficiency
  • Venous Insufficiency
  • Diabetic/Neuropathic
  • Pressure Ulcers – Demystifying Staging
  • Skin Tears

Hands-On Clinical Lab

• Using the latest in wound care model technology, participate in skill-based exercises in:
  • Wound staging
  • Tissue type identification
  • Proper measuring techniques
  • Tunneling/Undermining
  • Wound care product awareness and application

HANDS-ON LAB

Wound Care Products

• Characteristics of Each Dressing Category
  • Hydrogel, Hydrocolloid, Collagen
  • Calcium Alginate/Hydrofiber
  • Silver products, Foam, Honey
  • Multi-layer compression
  • Gauze/Composite
  • Exudate determines dressing

Strategies to Select Primary Dressings for:

• Dry/Minimally Draining Wounds
  • Hydrogel
  • Oil emulsions
  • Ringer’s Lactate impregnated
  • Combinations
• Moderate/Heavy/Copious drainage
  • Alginates/Hydrofibers
  • Topical Medications
• Critically Colonized/Infected Wounds
  • Silver Dressings
  • Silver Alginates/Hydrofibers, Hydrogels and Collagens
  • Antimicrobial impregnated dressings
  • Enzymatic debriders
  • Cleansing agents and other topicals
• Proper Application and Cost Considerations
• Alternative Options and Substitutions