Accreditation The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement: The American Medical Directors Association designates this Internet Enduring Material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
AMDCP Credit Designation: This session has been approved for a total of management 1.0 credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).
Session Description: When it comes to skin and wound care issues in a health care facility, there is not a single approach to developing a successful program. The aspects of a skin and wound program that will be discussed include: monitoring, identification, documentation, team creation, continual education, product choices, supplies, prevention programs, when to outsource and consult, communication issues with family and professionals, and the development of quality improvement processes within the facility. Sample documents will be given to attendees. Using examples of the approaches to wound care (including the palliative care of wounds), examples of pressure ulcer, venous stasis, arterial disease and skin tears will be provided. The examples provided can be applied to multiple settings including the skilled nursing facility, home health, hospice and long-term acute care hospitals. The transition of care of patients with wounds will also be addressed.
Describe the continuum of care required with skin issues.
Develop a structure (team) to approaching skin and wound issues.
Create a system to monitor skin and wound issues.
Create a cost-effective approach to wound care products and dressings.
Speaker(s): Scott M. Bolhack, MD, MBA, CMD
Reference(s): Burt T. Palliative care of pressure ulcers in long-term care. Annals of Long-Term Care: Clinical Care and Aging. 2013; 21(3) 20-28Pressure ulcer prevention and treatment protocol. Health care protocol.http://www.guideline.gov/content.aspx?id=36059&search=pressure+ulcersGuideline for management of wounds in patients with lower-extremity venous disease.http://www.guideline.gov/content.aspx?id=38249&search=venous+stasis+ulcersCochrane Review. Silver based wound dressings and topical agents containing silver for treating diabetic foot ulcers - See more at: http://summaries.cochrane.org/CD005082/silver-based-wound-dressings-and-topical-agents-containing-silver-for-treating-diabetic-foot-ulcers#sthash.oHkxrJWO.dpufTopical silver for treating infected wounds.http://summaries.cochrane.org/CD005486/topical-silver-for-treating-infected-wounds.European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and Treatment of Pressure Ulcers: Clinical Practice Guidelines. Washington, DC: National Pressure Ulcer Advisory Panel; 2009.National Pressure Ulcer Advisory Panel Position Paper on Staging Pressure Ulcers http://www.npuap.org/wp-content/uploads/2012/01/NPUAP_position_on_staging-final.pdf Developing and implementing a wound care program in long-term care. J Wound Ostomy Continence Nurs. 1999 Sep;26(5):254-60.
MD, MBA, FACP, CMD,
Northwest Medical Center, Tucson, Arizona
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