Description

Handouts

Outline

Define Lower Extremity Arterial Disease (LEAD) Guidelines

• Pathophysiology of LEAD
• Best Practice Guidelines: Assessment
  • Pathophysiology
  • Diagnostic Assessment: Invasive & Non-Invasive
    • Arterial Duplex & Angiogram
    • TCOM & Bedside ABI
  • Clinical Exam
• Best Practice Guidelines: Treatment
  • Risk Stratification
  • Perfusion Strategies
  • Oxygen Strategies
  • Maintenance recommendations: Non-reconstructable
• HANDS-ON LAB:
  • Perform Sensory Deficit Testing
• HANDS-ON LAB:
  • Simulate Neuropathic Off-loading techniques

Define Lower Extremity Venous Disease (LEVD) Guidelines

• Pathophysiology of LEVD
• Best Practice Guidelines: Assessment
  • Pathophysiology
  • Lymphedema, Lipedema, Venous Insufficiency Edema
  • Clinical Exam
    • Lymphangitis, Stasis Dermatitis, Hemosiderin Staining
    • Atrophie Blanche, Lipodermatosclerosis, Vasculitis
• Best Practice Guidelines: Treatment
  • Perfusion Determination
  • Matching Compression to Perfusion
• HANDS-ON LAB:
  • Venous Insufficiency Leg & Ulcer Assessment
  • Determine Plan of Care

Lower Extremity Neuropathic Disease (LEND) Guidelines

• Pathophysiology of LEND
• Best Practice Guidelines: Assessment
  • Labs, Nutrition
  • Skin, Edema, Malformations, Neurosensory
  • Tissue Perfusion: Diagnostics & Referrals
  • Classification Systems
• Best Practice Guidelines: Treatment
  • Off-loading Options: TCC, Half Shoe, Healing Sandals
  • Diagnosing Infection & Treatment
  • Wound Care & Adjunctive Therapies
  • Emerging Technology
  • Surgery
• HANDS-ON LAB:
  • Perform Ankle-Brachial Index (ABI)
• HANDS-ON LAB:
  • Neuropathic Foot Ulcer Assessment & Plan of Care
• HANDS-ON LAB:
  • Arterial Disease Leg & Ulcer Assessment
  • Determine Plan of Care

Faculty

Kim Saunders, MSN/ED, RN, CWON®, CFCN

WOC Consulting, LLC

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Kim Saunders, MSN/ED, RN, CWON®, CFCN, has extensive experiences as a wound, ostomy, and continence nurse across a variety of settings, including acute care, hospice, home health and skilled nursing facilities. As a respected expert in her field, Kim evolved her practice to be able to more fully share her insights as co-owner of WOC Consulting, LLC. In this role, she consults with healthcare systems on a variety of challenges that develop related to wound, ostomy, and incontinence-associated dermatitis. Some of the special projects her knowledge has been sought for include: guiding standardization of wound care formularies and pressure-relieving device selections, as well as a myriad of other processes to standardize and improve upon existing skin and wound care delivery. Her wound care experience goes beyond trouble-shooting the most challenging of patient wounds. It also includes expertise regarding the increasingly important ability to incorporate cost-effective care and reimbursement considerations at the bedside.

Kim is an active member of the Wound, Ostomy and Continence Nurses Society™ and the Advanced Wound Care Society. She has traveled the country extensively to deliver practice-changing wound care trainings to experienced healthcare professionals. Kim is also the author of the Wound Care Pocket Guide: Clinical Reference, Second Edition (PESI, 2017).

Speaker Disclosures:

Financial: Kim Saunders has an employment relationship with Pardee Home Health and WOC Consulting. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Kim Saunders has no relevant nonfinancial relationships to disclose.