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

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