Pressure injuries and chronic wounds are a common and costly challenge in the PALTC environment. Chronic wounds cause pain and are associated with a decreased quality of life, prolonged rehabilitation, increased chance of readmission within 30 days after hospital discharge, and increased risk of death. Infectious complications include cellulitis, abscess, sepsis, pyarthrosis, and osteomyelitis. There is a confusing variety of preventive and treatment modalities available that are often expensive and unproven. Chronic wounds may require surgical procedures ranging from sharp debridements, myocutaneous flaps, amputations, and ostomies for fecal diversion. According to the Agency for Healthcare Research and Quality (AHRQ) pressure injuries cost $9.1 to $11.6 billion per year, with the cost of individual patient care ranging from $20,900 to $151,700 per pressure ulcer. This webinar will provide practitioners and administrators with the basic tools to improve their systems of care for prevention and treatment of chronic wounds while controlling costs and minimizing the risk of litigation. Because of the immensity of cost and scope of the problem of chronic wounds and pressure injuries, all front-line staff needs to know the basics of wound care and how to apply them to achieve maximum quality in their facility.
Describe the scope of the problem, including the epidemiology of chronic wounds and definitions commonly employed.
Describe models of care delivery for chronic wounds designed for maximum quality in PALTC environments.
Describe preventive and treatment options for pressure injuries and chronic wounds.
Describe current concepts of skin failure, terminal ulceration, and unavoidable pressure injuries, as well as the palliative care approach.
Associate Clinical Professor of Geriatrics and Palliative Medicine,
Icahn School of Medicine at Mount Sinai
MD, MBA, FACP, CMD,
Northwest Medical Center, Tucson, Arizona
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