Product Detail

1. Distinguish between the various tissue types found in chronic wounds.
2. Identify the actual cause of the wound to be able to implement the best healing/prevention strategies for the patient.
3. Compare the most appropriate terms used to document peri-wound status.
4. Demonstrate accurate measurement and documentation of wounds.
5. Choose the best dressing type based on the specific wound presentation.
6. Plan for wound healing as you practice new hands-on skills.

Wound Bed Tissue Types: Presentation & Treatment

• Epithelial Tissue
• Granulation Tissue
  • Healthy Granulation
  • Hypergranulation
• Necrotic - When and how to debride
  • Slough - Moist, devitalized tissue
  • Eschar - Dry devitalized tissue

Wound Margin Issues and Strategies

• Epiboly - Rolled edges
• Hyperkeratotic - Dry, calloused edges
• Undermined - Trauma or drying of wound bed
• Peri-wound signs of possible infection
  • Erythema (redness) and heat
  • Induration (hardened tissue)
  • Fluctuance (mushy tissue)

Characteristics of Common Wounds

• Phases of healing: Normal vs. chronic
• Etiology, location, characteristics
  • Arterial insufficiency
  • Venous insufficiency
  • Diabetic/Neuropathic
  • Pressure ulcers - Demystifying the stages
• 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

Strategies to Select Dressings for:

• Dry/Minimally draining wounds
  • Hydrogel
  • Oil emulsion dressing
  • Moistened gelling fiber
  • Hydrocolloid
• Moderate draining wounds
  • Alginate or gelling fiber
  • Glycerin based hydrogel
  • Traditional foam
• Heavy/copious drainage
  • Negative pressure wound therapy
  • Moisture responsive dressings
  • Super absorbent dressings

Strategies for Decreasing Bioburden

• Best cleansing
  • Use of surfactants
  • A new look at antiseptic cleansers
  • Breaking biofilm
• Antiseptic dressings
  • Silver
  • Iodine complex
  • Hyperosmolar (sugar, salt, honey)
  • Methylene blue, gentian violet
  • Dressings that trap exudate trap germs also
  • Dressings that attract bacteria ionically

Tissue Based Products

• Autograft
• Allograft
  • Cryopreserved
  • Grown in vivo
  • Acellular
• Xenograft
  • Bovine
  • Porcine
  • Equine
  • Marine

Joan Junkin, RN, MSN, was introduced to wound care as a research analyst for the AHCPR (now AHRQ) panel that created the first ever pressure ulcer treatment guideline. After wound education and certification, she was the wound clinical nurse specialist for a 500-bed hospital and spent 10 years building an outpatient and inpatient program to improve wound outcomes. She conducted and published the first research documenting incontinence associated dermatitis prevalence in acute care and has published in several nursing and wound journals. Since 2008 she has devoted her time to teaching in 49 states and 5 provinces in Canada. This, along with her wound consulting business gives her a broad perspective. Joan is passionate about sharing essential information for healthcare providers with just enough humor to help navigate this challenging topic. Speaker Disclosures:
Financial: Joan Junkin is an independent contractor and has an employment relationship with UNMC College of Nursing. She receives a speaking honorarium from Sage, a Stryker company. Joan Junkin receives a speaking honorarium and recording royalties from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-financial: Joan Junkin is a member of the Association for Advancement of Wound Care.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

---

Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 12/4/2020
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

---

Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Arizona Occupational Therapists & Occupational Therapy Assistants: CE credit is available. This self-study course consists of 6.0 continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).

Florida Occupational Therapists & Occupational Therapy Assistants: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits.

---

Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.25 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.6 contact hours.

North Carolina Physical Therapists, Physical Therapist Assistants: PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 6.0 continuing education hours.

Pennsylvania Physical Therapists and Assistants: The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 6.25 clock hours of instruction that is applicable for physical therapists.

Utah Physical Therapists and Physical Therapist Assistants: This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 6.25 clock hours of continuing education instruction.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.25 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

---

Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, Nursing Home Administrators, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants