Posts Tagged ‘# Venous Arterial and Neuropathic Ulcers of the Lower Extremity’

Venous, Arterial or Mixed Ulcer…How Do I Know For Sure?

Monday, December 15th, 2014

Proper assessment is essential for differentiating between venous and arterial ulcers.

Venous, Arterial or Mixed Ulcer...How Do I Know For Sure?

 

Your patient has a lower extremity wound. You aren’t sure what exactly you are dealing with. You know you need to do that ABI to be certain, but while you are waiting to have that done some of your wound assessment findings will help clue you in as well.

Characteristics of Venous Ulcers

Let’s start with the venous ulcer, typically found on the medial lower leg, medial malleolus and superior to the medial malleolus. Seldom will you see them on the foot or above the knee. They tend to be irregular in shape, are superficial, have a red wound bed, have moderate to heavy amount of exudate and the patient may have no pain or a moderate level of pain. Surrounding skin can be warm to the touch, edematous, scaly, weepy and you may see hemosiderin staining present. Your ABI will be the definitive answer and will come back at 0.9.
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Wound Care Seminar (WOW 2009 Pt 3)

Friday, May 15th, 2009

wow

Saturday September 12, 2009 will wrap up the Wild on Wounds Seminar in Las Vegas, Nevada. However, the day will be jam packed with great sessions and tons of learning. Below is the line up for the day.

  • Venous, Arterial and Neuropathic Ulcers of the Lower Extremity: Topical Adjunctive Therapy Part 1
    Diane Maydick Youngberg, MSN, RN, ACNS-BC, CWOCN

    This presentation will highlight ulcers of the lower extremity in patients with neuropathy, arterial insufficiency, and venous insufficiency.  Evidence-based practice regarding wound bed preparation, topical dressings, and adjunctive therapy (total contact casting and intermittent pneumatic compression therapy) will be discussed.  Application of a total contact cast and intermittent pneumatic compression therapy will be demonstrated.  Audience participation will be encouraged.
  • WOWing Together in Wound Care: A Collaborative Approach
    Erin Clyburn, BSN, RN, WCC

    Come partake in an engaging presentation designed to explore the collaboration present among today’s wound care team. From the Wound Care Certified (WCC) clinician to other members of the health care team, be prepared to be “WOW”ed in the unique differences which ultimately lead to an imperative common denominator: optimal patient outcomes in  wound care.
  • Sharp Debridement Certificate Program Part 1
    Bill Richlen, PT, WCC, CWS Infinitus, LLC, WCEI Instructor
    Theresa Ferrante, PTA, WCC, Grandview Hospital, Dayton, Ohio

    This program focuses on comprehensive presentation of wound bed preparation utilizing conservative sharp debridement.  The session will include A&P, implications and contraindications, techniques, tools, documentation, legal issues and policy development.  Hands-on lab practicum starts with skill performance check-off.  All debridement instruments and supplies are provided for the skills lab. Hands on lab practicum continues with skill performance check-off.  Attendance at session parts 2 & 3 required. Participants will be awarded a Sharp Debridement Certificate upon completion of the program.
  • Venous, Arterial and Neuropathic Ulcers of the Lower Extremity: Topical Adjunctive Therapy Part 2
    Diane Maydick Youngberg, MSN, RN, ACNS-BC, CWOCN

    This presentation will highlight ulcers of the lower extremity in patients with neuropathy, arterial insufficiency, and venous insufficiency.  Evidence-based practice regarding wound bed preparation, topical dressings, and adjunctive therapy (total contact casting and intermittent pneumatic compression therapy) will be discussed.  Application of a total contact cast and intermittent pneumatic compression therapy will be demonstrated.  Audience participation will be encouraged.
  • Protein: Critical in Pressure Ulcer Healing
    Sue Bell, RN, BN
    This program provides clinicians with a greater understanding of how nutrition, and specifically protein, helps prevent
    pressure ulcer occurrence and impacts wound healing and tissue regeneration, while providing a closer look at protein and the physiological effects of protein energy malnutrition in the elderly.  Updated published clinical outcome data on the effects of increased protein on wound healing will also be presented.
  • Sharp Debridement Certificate Program Part 2
    Bill Richlen, PT, WCC, CWS Infinitus, LLC, WCEI Instructor
    Theresa Ferrante, PTA, WCC, Grandview Hospital, Dayton, Ohio

    This program focuses on comprehensive presentation of wound bed preparation utilizing conservative sharp debridement.  The session will include A&P, implications and contraindications, techniques, tools, documentation, legal issues and policy development.  Hands-on lab practicum starts with skill performance check-off.  All debridement instruments and supplies are provided for the skills lab. Hands on lab practicum continues with skill performance check-off.  Attendance at session parts 1 & 3 required. Participants will be awarded a Sharp Debridement Certificate upon completion of the program.
  • Wrapper’s Delight
    Scott Batie, MEd, MPT., WCC, Scott Batie Consulting, WCEI Instructor

    A good wrap is the key factor for success with venous insufficiency.  Whether you’re looking to learn how to wrap, practice wrapping or just need some wrap tips, this is the session for you. Scott, the wrap master, will review the fundamentals, products, guidelines and techniques needed for a successful wrap, and then we will practice what we learn. (P.S. Be prepared to bare your feet and legs.)
  • Delivering on the Promise of NPWT: Low and Variable Pressures
    Cindy Ahearn, MS, RN, ET, CWCN, FNP-C

    Prospera takes the lead on re-educating the industry to advance the art and science of Negative Pressure Wound Therapy, based on science, new research and clinical experience. Enjoy a refreshing, common-sense, just-the-facts presentation on today’s negative pressure wound therapy.
  • Sharp Debridement Certificate Program Part 3
    Bill Richlen, PT, WCC, CWS Infinitus, LLC, WCEI Instructor
    Theresa Ferrante, PTA, WCC, Grandview Hospital, Dayton, Ohio

    This program focuses on comprehensive presentation of wound bed preparation utilizing conservative sharp debridement.  The session will include A&P, implications and contraindications, techniques, tools, documentation, legal issues and policy development.  Hands-on lab practicum starts with skill performance check-off.  All debridement instruments and supplies are provided for the skills lab. Hands on lab practicumcontinues with skill performance check-off.  Attendance at session parts 1 & 2 required. Participants will be awarded a Sharp Debridement Certificate upon completion of the program.
  • Bariatric Skin & Wound Care Nobody Talks About
    Donna Sardina, RN, MHA, WCC

    Along with common risk factors for skin breakdown and wound healing complications,
    bariatric patients have additional factors and co-morbidities that can challenge even the
    most seasoned wound care professional.  This session focuses on skin integrity of bariatric
    patients, details different types of skin problems associated with obesity and offers practical
    suggestions for preventing and treating them.  The physiological requirements and
    complications of wound healing associated with obesity will be discussed, accompanied by
    interventions for treatment and multidisciplinary strategies for the wounded bariatric patient.
  • Global Wound Care
    Drew Griffin, LPN, WCC

    As healthcare professionals, one of our responsibilities is to teach our patients, their families
    and our peers about wound care.  In fact, part of our requirements for recertification is to
    teach the community about wound care related topics.  What a profound opportunity we have
    to teach a “global” community through the internet.  Web 2.0, Social Media and Social
    Networking are becoming an integral part of our lives.  We will discuss the power and reach
    that these tools have. More and more patients, families and healthcare professionals are
    turning to the internet for information about wound care. We should harness this opportunity
    and give it to them.
  • Sharp Debridement Certificate Program Part 1
    Bill Richlen, PT, WCC, CWS Infinitus, LLC, WCEI Instructor
    Theresa Ferrante, PTA, WCC, Grandview Hospital, Dayton OH

    This program focuses on comprehensive presentation of wound bed preparation utilizing conservative sharp debridement.  The session will include A&P, implications and contraindications, techniques, tools, documentation, legal issues and policy development.  Hands-on lab practicum starts with skill performance check-off.  All debridement instruments and supplies are provided for the skills lab. Hands on lab practicum continues with skill performance check-off.  Attendance at session parts 2 & 3 required. Participants will be awarded a Sharp Debridement Certificate upon completion of the program.
  • What’s Going Down? Venous Reflux, Lymphatic Damage and Chronic Wounds Part 1
    Robyn Bjork, MPT, WCC, CLT
    George  A. Fall, MD

    You’ve implemented gold standards for venous stasis ulcer management. But have you considered the underlying venous
    reflux and new procedures which can correct it? Are you able to recognize key signs of secondary lymphedema, and do you know how treatment can improve the wound milieu?  Journey with us through the venous and lymphatic systems to understand what’s going down and how to reverse it.
  • Heal Your Wounds by Plugging In!!! Electrotherapeutic Modalities for Wound Care Part 1
    Cheryl Robillard, PT, WCC, CLT

    You have heard of some of them and perhaps seen the end results of their use. But do you know what they are and what they do? This session will review a variety of electrotherapeutic modalities for chronic wounds, including electrical stimulation, ultrasound, shortwave diathermy, laser, infrared, and ultrasonic nebulization. Indication, contraindications, and parameters for use will be presented. See some of the machines that will be discussed and learn how they work.
  • Sharp Debridement Certificate Program Part 2
    Bill Richlen, PT, WCC, CWS Infinitus, LLC, WCEI Instructor
    Theresa Ferrante, PTA, WCC, Grandview Hospital, Dayton, Ohio

    This program focuses on comprehensive presentation of wound bed preparation utilizing conservative sharp debridement.  The session will include A&P, implications and contraindications, techniques, tools, documentation, legal issues and policy development.  Hands-on lab practicum starts with skill performance check-off.  All debridement instruments and supplies are provided for the skills lab. Hands on lab practicumcontinues with skill performance check-off.  Attendance at session parts 1 & 3 required. Participants will be awarded a Sharp Debridement Certificate upon completion of the program.
  • What’s Going Down? Venous Reflux, Lymphatic Damage and Chronic Wounds Part 2
    Robyn Bjork, MPT, WCC, CLT
    George  A. Fall, MD

    You’ve implemented gold standards for venous stasis ulcer management. But have you considered the underlying venous reflux and new procedures which can correct it? Are you able to recognize key signs of secondary lymphedema, and do you know how treatment can improve the wound milieu?  Journey with us through the venous and lymphatic systems to understand what’s going down, and how to reverse it.
  • Heal Your Wounds by Plugging In!!! Electrotherapeutic Modalities for Wound Care Part 2
    Cheryl Robillard, PT, WCC, CLT

    You have heard of some of them and perhaps seen the end results of their use. But do you know what they are and what
    they do? This session will review a variety of electrotherapeutic modalities for chronic wounds, including electrical
    stimulation, ultrasound, shortwave diathermy, laser, infrared, and ultrasonic nebulization. Indication, contraindications,
    and parameters for use will be presented. See some of the machines that will be discussed and learn how they work.
  • Sharp Debridement Certificate Program Part 3
    Bill Richlen, PT, WCC, CWS Infinitus, LLC, WCEI Instructor
    Theresa Ferrante, PTA, WCC, Grandview Hospital, Dayton, Ohio
  • This program focuses on comprehensive presentation of wound bed preparation utilizing conservative sharp debridement.  The session will include A&P, implications and contraindications, techniques, tools, documentation, legal issues and policy development.  Hands-on lab practicum starts with skill performance check-off.  All debridement instruments and supplies are provided for the skills lab. Hands on lab practicumcontinues with skill performance check-off.  Attendance at session parts 1 & 2 required. Participants will be awarded a Sharp Debridement Certificate upon completion of the program.

If you are looking to practice your sharp debridement skills or get your certificate, Wild on Wounds 2009 is the place to be. Oh yeah, did we mention that this year’s seminar is in Las Vegas? Come on out and join the fun and learning. For more information or to register for Wild on Wounds 2009, click here.