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Wound Management: Skin Assessment and Wound Identification

presented by Carrie Adkins

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Disclosure Statement:

Financial: Carrie Adkins receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Carrie Adkins has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 35 Minutes; Learning Assessment Time: 29 Minutes

Wound care costs are growing across the home health spectrum for patients, government-funded health care, private insurances, and home health agencies. Therefore, continuous education on wounds and skin assessment is an ongoing necessity. In being an active home health provider, it is important to start with the basics of skin assessment and wound identification in order to understand treatment, prevention, and further advanced wound care. This course will educate on skin assessment in the home and instruct on how to differentiate and properly identify different types of wounds in the home.

Meet Your Instructor

Carrie Adkins, RN, BSN, CWOCN

Carrie is currently working as a care manager II wound care nurse for myNEXUS. At myNEXUS she works with home health agencie with their authorizations for wound and ostomy skilled nursing visits, ensuring that patients are receiving proper and appropriate wound and ostomy care. Prior to working at myNEXUS, she had been an RN in…

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Chapters & Learning Objectives

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1. Skin Assessment

We will discuss skin assessment using tools such as the Braden Scale. We will also discuss the importance of regularly assessing the skin, such as on admission to your home health agency, at an important time point, or during a noticeable decline in health status. A case study/scenario will be discussed in this course, with a follow-up at the end of the presentation.

2. Pressure Injuries and Ulcers

This chapter will go deeply into the importance of identifying and assessing pressure injuries and ulcers and deep-tissue/unstageable injuries in the home. We will discuss the importance of accuracy with properly identifying pressure injuries as it can affect payment, treatment, as well as qualification for pressure-relieving overlays for bed and wheelchair.

3. Identifying Venous Stasis Ulcers vs. Arterial Ulcers

We will discuss how to identify the difference between venous and arterial ulcers and their characteristics. It is important to have a proper diagnosis for these two ulcers, as the wrong treatment can cause further damage. Challenges in home care with these wounds will be discussed.

4. Diabetes- and Neuropathy-Related Ulcers

Diabetic and neuropathic wounds are on the rise in the home care population. Characteristics of diabetic wounds will be reviewed. Common findings in the home regarding diabetic wounds will be discussed in detail, including very important information on how to educate the patient.

5. Skin Conditions and Miscellaneous Wounds

Miscellaneous skin conditions and wounds that may not be addressed in a specific wound category in home care will be identified, especially when Oasis assessments are completed. Conditions reviewed include skin tears, deep hematomas, burns (including radiation), incontinence dermatitis, fungal skin breakdown, and surgical wounds.

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Holistic Wound Healing Part 1: Understanding Causative Factors

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Holistic Wound Healing Part 1: Understanding Causative Factors

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Video Runtime: 27 Minutes; Learning Assessment Time: 19 Minutes

Caring, treating, and healing wounds of the home health patient can be challenging and rewarding at the same time. Various factors contribute to the treatment plan when caring for a wound. The home health clinician needs to keep in mind not only the healing/caring for a wound, but the contributing factors such as insurance/financial support, patient/caregiver ability, and the outcome goal. This course will prepare you in identifying and educating home health patients with varying wounds you may encounter with a more holistic approach.

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Video Runtime: 36 Minutes; Learning Assessment Time: 29 Minutes

Wound care can become complicated in the home care setting. Infection, stalled healing, and deterioration can be some of the common complications. We will discuss the characteristics of these complications and how to identify them. Proper documentation is vital in caring for a patient, while keeping an accurate medical record assists with collaboration within the health care team. How to properly document and describe a wound will be discussed. Facilitating the best wound-related patient care can be difficult when communicating with physicians but is imperative for best outcomes. Techniques on how to better communicate with physicians and their office staff will be described for more collaborative and patient-centered care.

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Ostomy Care: Management and Patient Education in Home Care

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Caring for patients with fecal and urinary ostomies in the home setting can be intimidating and challenging for the home health clinician. Managing a new or problematic ostomy can be overwhelming for a patient and caregiver, so they depend on the home health clinician to be the expert. Problematic ostomies can be costly for a home health agency if there is not a skilled and knowledgeable clinician available. For many clinicians, ostomy knowledge and experience may be lacking. This course will provide the anatomy, terminology, and reasons for an ostomy. We will also discuss how to pouch a stoma and care for peristomal skin. A patient case scenario will be presented, with examples and demonstrations of a pouch change. A variety of pouches and available accessories will be discussed.

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Holistic Wound Healing Part 2: Treatment Techniques and Strategies

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Holistic Wound Healing Part 2: Treatment Techniques and Strategies

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 40 Minutes; Learning Assessment Time: 24 Minutes

A home health nurse needs to be knowledgeable in all treatment options when caring for a wound. This course will describe the holistic approach, which includes topical treatments and negative pressure wound therapy. Detailed descriptions of many topical wound dressings will be given as well as what to teach your patient or caregiver regarding these dressings. Everyday useful tips will also be given to make wound care easier for the nurse in the home.

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