[Download Now] Hands-On Clinical Lab: Assessment and Treatment of Arterial, Venous and Neuropathic Ulcers – Kim Saunders
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
- Analyze treatment goals when vascular ulcers are non-reconstructable
- Evaluate the arterial flow in any setting using the bedside ABI
- Evaluate the arterial diagnostic work-up for recommended referrals
- Analyze treatment goals when vascular ulcers are non-reconstructable
- Distinguish between lymphedema, lipedema, and venous insufficiency edema
- Differentiate assessment/treatment for stasis dermatitis, atrophie blanche, Lipodermatosclerosis
- Match level of compression to ankle-brachial index
- Justify wound treatment to perfusion
- Contrast diabetic ulcer classification systems to predict time to heal & referrals recommended
- Contrast neuropathic foot off-loading options
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