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Hands-On Clinical Lab: Assessment and Treatment of Arterial, Venous and Neuropathic Ulcers – Kim Saunders

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Hands-On Clinical Lab: Assessment and Treatment of Arterial, Venous and Neuropathic Ulcers – Kim Saunders | INSTANTLY DOWNLOAD !

Lower extremity wounds are difficult to diagnose and heal if the correct etiology is not diagnosed. Thus the clinician needs bedside non-invasive diagnostic tools that can be used to screen perfusion and determine sensory neuropathy. Also, learn ways to off-load a diabetic neuropathic ulcer, even in rural areas.

This clinical lab will outline best practice guidelines for arterial, venous, and neuropathic ulcers. It will also provide hands-on clinical labs to practice leg assessments, wound treatments, ankle-brachial index, monofilament testing, and off-loading neuropathic ulcer techniques.


OUTLINE

Define Lower Extremity Arterial Disease (LEAD) Guidelines

  • Pathophysiology of LEAD
  • Best Practice Guidelines: Assessment
    • Pathophysiology
    • Diagnostic Assessment: Invasive & Non-Invasive
      • Arterial Duplex & Angiogram
      • TCOM & Bedside ABI
    • Clinical Exam
  • Best Practice Guidelines: Treatment
    • Risk Stratification
    • Perfusion Strategies
    • Oxygen Strategies
    • Maintenance recommendations: Non-reconstructable
  • HANDS-ON LAB:
    • Perform Sensory Deficit Testing
  • HANDS-ON LAB:
    • Simulate Neuropathic Off-loading techniques

Define Lower Extremity Venous Disease (LEVD) Guidelines

  • Pathophysiology of LEVD
  • Best Practice Guidelines: Assessment
    • Pathophysiology
    • Lymphedema, Lipedema, Venous Insufficiency Edema
    • Clinical Exam
      • Lymphangitis, Stasis Dermatitis, Hemosiderin Staining
      • Atrophie Blanche, Lipodermatosclerosis, Vasculitis
  • Best Practice Guidelines: Treatment
    • Perfusion Determination
    • Matching Compression to Perfusion
  • HANDS-ON LAB:
    • Venous Insufficiency Leg & Ulcer Assessment
    • Determine Plan of Care

Lower Extremity Neuropathic Disease (LEND) Guidelines

  • Pathophysiology of LEND
  • Best Practice Guidelines: Assessment
    • Labs, Nutrition
    • Skin, Edema, Malformations, Neurosensory
    • Tissue Perfusion: Diagnostics & Referrals
    • Classification Systems
  • Best Practice Guidelines: Treatment
    • Off-loading Options: TCC, Half Shoe, Healing Sandals
    • Diagnosing Infection & Treatment
    • Wound Care & Adjunctive Therapies
    • Emerging Technology
    • Surgery
  • HANDS-ON LAB:
    • Perform Ankle-Brachial Index (ABI)
  • HANDS-ON LAB:
    • Neuropathic Foot Ulcer Assessment & Plan of Care
  • HANDS-ON LAB:
    • Arterial Disease Leg & Ulcer Assessment
    • Determine Plan of Care

OBJECTIVES

  1. Analyze treatment goals when vascular ulcers are non-reconstructable
  2. Evaluate the arterial flow in any setting using the bedside ABI
  3. Evaluate the arterial diagnostic work-up for recommended referrals
  4. Analyze treatment goals when vascular ulcers are non-reconstructable
  5. Distinguish between lymphedema, lipedema, and venous insufficiency edema
  6. Differentiate assessment/treatment for stasis dermatitis, atrophie blanche, Lipodermatosclerosis
  7. Match level of compression to ankle-brachial index
  8. Justify wound treatment to perfusion
  9. Contrast diabetic ulcer classification systems to predict time to heal & referrals recommended
  10. Contrast neuropathic foot off-loading options

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