Lower Extremity Wounds

Credit

Handouts/Brochure

Speaker

Dianne Rudolph, APRN, GNP-BC, CWOCN® Related seminars and products

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Dianne Rudolph, APRN, GNP-BC, CWOCN®, is a nurse practitioner who is board-certified in gerontological advanced practice nursing and as a wound, ostomy and continence nurse. She has been a nurse for more than 30 years with experience in trauma care, acute care, home care, hospice, long-term care, rehabilitation, and wound care. She is very passionate about caring for adults and older adults with complex medical and wound needs.

Speaker Disclosures:
Financial: Dianne Rudolph has an employment relationship with South Texas Wound Associates. She receives compensation as an independent consultant and presenter. Dianne is a published author and receives royalties. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dianne Rudolph is a member of the Wound, Ostomy, and Continence Nurses Society (WOCN), the Association for the Advancement of Wound Care (AAWC), and the Texas Medical Directors Association (TMDA).

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Objectives

1. Analyze the incidence and prevalence of leg ulcers globally.
2. Differentiate between venous leg ulcers arterial ulcers and diabetic foot ulcers.
3. Distinguish between current classification schemes for venous leg ulcers and diabetic foot ulcers.
4. Evaluate current standards of care for management of venous, diabetic and arterial leg ulcers.
5. Evaluate surgical interventions for leg ulcers and indications for surgical consultation.
6. Compare and contrast compression modalities.
7. Investigate emerging technologies in leg ulcer management.

Outline

• Analyze the incidence and prevalence of leg ulcers globally
  • Incidence and prevalence of venous, arterial and diabetic ulcers
  • Morbidity and mortality issues regarding lower extremity ulcers
  • Financial burden to patient and society
• Differentiate between venous leg ulcers arterial ulcers and diabetic foot ulcers
  • Venous ulcer  location, wound characteristics and pathophysiology
  • Arterial ulcer location, wound characteristics, pathophysiology and symptoms
  • Diabetic ulcer locations, wound characteristics, pathophysiology,  concept of neuropathy
  • Pain experiences in different types of lower extremity ulcers
  • Noninvasive vascular studies: arterial dopplers, ABIs, TBIs, venous dopplers
• Distinguish between current classification schemes for venous leg ulcers and diabetic foot ulcers
  • CEAP model
  • Wagner and UTHSCSA classifications
  • Fontaine classification
• Evaluate current standards of care for management of venous, diabetic and arterial leg ulcers
  • Compression modalities: indications and contraindications
  • Identification and management of infection
  • Debridement indications and types of debridement
  • Offloading techniques and indications
  • Topical therapies
• Evaluate surgical interventions for leg ulcers and indications for surgical consultation
  • When to refer for surgical evaluation
  • Podiatric surgical interventions
  • Vascular/endovascular interventions
• Compare and contrast compression modalities
  • Short stretch compression
  • Long stretch compression
  • Compression stockings
  • Compression garments
  • Lymphedema pumps
• Investigate emerging technologies in leg ulcer management
  • Use of allografts, xenografts
  • Perfusion assessment/fluorescence angiography
  • Moleculight

Target Audience

• Nurses
• Nurse Practitioners
• Occupational Therapists
• Occupational Therapy Assistants 
• Physical Therapy
• Physical Therapy Assistants
• Physicians
• Physicians Assistants
• Podiatrists