Section 1: Introduction A. Learning Objectives B. Evaluation of Wound Treatment C. Wound Care Treatments Section 2: Debridement A. Debridement B. Mechanical Debridement C. Autolytic Debridement D. Sharps Debridement E. Debridement Codes F. The Role of Debridement G. Cross-hatching H. Enzymatic Debridement I. Debridement J. Goals in Wound Healing Debridement K. Documentation for Debridement L. Contraindications for Debridement Section 3: Compression A. Compression Bandages B. Compression – Definition of Terms C. Sub-Bandage Pressure D. Compression E. Types of Bandage for Compression F. Clinician Views G. Unna Boots H. Wrong Unna Boots I. Multilayer Compression System J. Precaution K. Documentation L. Compression Therapy M. Powered graduated compression pumps or intermittent pneumatic compression N. New, Novel Therapy: ACTitouch® O. Remember… P. Compression Classifications Section 4: Negative Pressure Wound Therapy A. Negative Pressure Wound Therapy (NPWT) B. NPWT C. Benefits D. Microdeformation E. NPWT Mechanism of Action F. NPWT G. Negative Pressure Mode H. Negative Pressure Wound Filler I. Foam vs. Gauze J. Negative Pressure Ancillary Dressings K. Negative Pressure – What is the magic pressure amount? L. Negative Pressure Considerations M. NPWT Single Use Systems Section 5: Other Therapies A. Electrotherapy B. Electrical Stimulation C. Electrical Stimulation Method D. Electrical Stimulation E. Ultrasound F. Ultrasound Benefits G. Ultrasound Considerations H. Ultrasound Method I. Ultrasound Debridement J. Monochromatic Infared Energy – Anodyne K. Protocol Section 6: Conclusion A. Recommended Resources B. References
A national health professions educator, consultant and lecturer, Hollie brings over 20 years experience in wound care to her presentations. She is currently Program Director of the Wound Management Center that she opened in 2000 and has experience in all settings including acute, inpatient and outpatient, home health and skilled nursing. She also does consultation work in all settings. Ms. Smith has been a guest lecturer for various universities on wound care as well as providing continuing education programs for West Tennessee Healthcare. She has also presented numerous wound care seminars for Academy Medical Systems during the last 9 years. She is a Certified Wound Specialist and is an active member of the American Board of Wound Management, the American Physical Therapy Association and the Tennessee Physical Therapy Association. Hollie serves on the Board of Directors for the Association for Advancement of Wound Care and recently graduated with her Doctorate in Physical Therapy. Disclosure: Hollie Smith-Mangrum, PT, DPT, CWS, FACCWS has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.