Palliative Wound Care: Management of Complex and Unique Wound Challenges at the End of Life

Credit

Speaker

Laurie Klipfel, RN, MSN, ANP-BC, CDCES, WCC® Related seminars and products

VA-John Cochran St. Louis

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Laurie Klipfel, RN, MSN, ANP-BC, CDCES, WCC®, has been a Certified Diabetes Care and Education Specialist for over 20 years managing both inpatient and outpatient care for patients with diabetes. She has managed several hospital ADA-recognized diabetes education programs, is a Board-Certified Adult Nurse Practitioner with a specialty in endocrinology, and has a certification in wound care.

Laurie is a member of the American Association of Diabetes Care and Education Specialists and past president of her local chapter. She is a certified insulin pump trainer and has published articles on use of insulin pumps for hospitalized patients. Her practical patient experiences, supported by clinical knowledge, provide a blend of information on how to treat diabetes today.
 

Speaker Disclosures:
Financial: Laurie Klipfel has employment relationships with the VA-St. Louis and the Diabetes & Endocrinology Specialists, Inc. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Laurie Klipfel is a member of the St. Louis Nurses in Advanced Practice.

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Outline

• The Infected Wound
  • Contamination, Colonization and Infection
  • Optimal Culturing for an Infected Wound
  • Reducing Unnecessary Antibiotic Usage
  • Reducing Biofilms
• Impact of Nutrition/Labs
  • Prealbumin vs. Albumin - and What to Do with the Results
  • Glycemic Control and Wound Healing
  • Ways to Enhance Nutritional Intake
• Choosing a Debridement Method
  • Autolytic
  • Enzymatic
  • Mechanical
  • Conservative Sharp
  • Maggot Therapy
• Wound Types and Etiologies
  • Pressure Ulcers and Staging
    • Pressure… Seeing the Tip of the Iceberg
    • Tools for Predicting Pressure Ulcer Risk
    • Early Detection of Deep Tissue Injury
    • Incontinences Associated Dermatitis vs. Pressure Ulcers
  • Venous Stasis Ulcers
    • Where is All This Fluid Coming From?
    • Lymphedema
    • Feeling the Squeeze… Different Degrees of Compression
  • Arterial Ulcers
    • Arterial Perfusion
    • Claudication and Rest Pain
    • Diagnostic Tests: Vascular Studies and ABIs
  • Diabetic/Neuropathic Ulcers
    • Assessing Sensation
    • Bad to the Bone… Osteomyelitis
  • Skin Tears/ Adhesive Injuries
    • Is it Partial or Full Thickness Loss?
    • Managing Xerosis with Products in Your Kitchen!
    • Moisturizing and Skin pH…
• Time Out: Identify Wound Types Through Actual Patient Pictures
  • Making Sense of the Endless Dressing Options
    • Foams
    • Alginates and Hydrofiber
    • Hydrogels
    • Thin Films
    • Negative Pressure Wound Therapy
    • The Magic of Honey
    • Contact Layers
    • Alternative Homeopathic Approaches to Wound Care
• Hands-On Intensive Interactive Session: Wound Products & Homeopathic Treatments
  • Management of End of Life Wounds
    • Managing Drainage
    • Bleeding and Use of Monsels Solution
    • Odor and Use of Metronidazole
    • Disfigurement and Loss of Being Touched
  • Skin Failure
    • How to Recognize It
    • How to Document It
    • How to Explain to Caregivers What’s Happening
  • Recognizing Atypical Wounds
    • Management of Fungating/Malignant Wounds
    • Calciphylaxis
    • Pyoderma Gangrenosum
    • Kennedy Ulcerations
    • Pruritis and Xerosis
• Time Out: Management of Unavoidable Wounds & Actual Patient Scenario Discussion
  • Fistula Solutions
    • Containment of Effluent and Odor
    • Protecting Surrounding Tissue
    • Fistula Containment Management System: Hands-On Fistula Management Systems
  • Understanding Wound Pain and Treatment Options
    • What Type of Pain is it?
    • Reducing Pain with Dressing Changes/
    • Wound Care
    • Use of Topical Opioids for Wound Pain
  • Documentation Strategies for Unavoidable Wounds
    • Describing Patient Function and Charting Patient Decline
    • Documenting Prevention Strategies
    • Discussing Realistic Outcomes with Patient and Family
    • Avoiding Wound Care Litigation
  • Burnout vs. Compassion Fatigue
    • Identifying Your Own Stress and Anxiety
    • Seeing Suffering Every Day
    • How Stress & Guilt Affect Your Body
    • Developing Resilience
    • Maintaining a Sense of Hope
• Life Balance Exercise: Building A Personal Resiliency Plan

Objectives

1. Differentiate between various palliative-specific wound care treatment interventions.
2. Choose the best strategies to manage drainage, odor, bleeding and wound pain.
3. Evaluate atypical types of wounds and appropriate symptom management for each.
4. Plan for management challenges that can present with complex fistulas.
5. Prepare for the emotional and psychological effects of end of life wounds for patients and families.
6. Appraise symptoms of stress/burnout/ compassion fatigue in your life.

Target Audience