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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.

• 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

Laurie Klipfel, RN, MSN, ANP-BC, CDCES, WCC®, has been a Certified Diabetes Care and Education Specialist for over 20 years managing both impatient 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 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.

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.

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.

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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.

Hawaii Physical Therapists & Physical Therapist Assistants: CE credit is available. This course consists of 6.25 continuing education credit hours for Hawaii Physical Therapists. The Continuing Competence Requirements Under HRS Chapter 461J for Hawaii Licensed Physical Therapists part III. A. 3. confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.

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.

Kentucky Physical Therapists & Physical Therapist Assistants: CE credit is available. This self-study course consists of 6.25 continuing education credit hours for Kentucky Physical Therapists. The rule under 201 KAR 22:045, Section 2, (2)(a) states that category 1 continued competency credits can be earned from providers approved by another physical therapy licensing agency. 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.

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.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2406032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional level: Advanced. 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.

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.

Vermont Physical Therapists & Physical Therapist Assistants: CE credit is available. This course consists of 6.25 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. 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.

Virginia Physical Therapists & Physical Therapy Assistants: CE credit is available. This course consists of 6.25 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy.

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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, Nurse Practitioners, Physician Assistants, Physical Therapists, Nursing Home Administrators