Outline:
Section 1: Introduction A. Learning Objectives Section 2: Skin Anatomy and Physiology A. Skin Anatomy B. Skin Physiology C. Structural Changes with Aging D. Functional Changes with Aging Section 3: Normal Wound Healing A. Normal wound healing: Overview B. Knowledge Check C. Current of Injury-Skin Battery D. Inflammatory Phase E. Proliferative Phase F. Proliferation/Granulation Phase G. Epithelialization/Maturation Phase Section 4: Acute vs Chronic Wounds A. Factors Impacting Healing B. Common Wound Diagnosis C. Knowledge Check Section 5: General Assessment and Documentation A. Tip B. Holistic History and Physical C. Physical Examination D. Pain Assessment E. Skin Assessment F. Lower Extremity Assessment: Noninvasive G. Lower Extremity Examination H. Nutrition I. Possible Causes of Malnutrition J. Nutritional Assessment K. Nutritional Plan of Care L. Evaluation and Documentation M. Documentation N. Wound Measurements Section 6: Wound Assessment A. Undermining B. Tunneling C. Sinus Tracts D. Wound Assessment E. Granulation Tissue F. Slough Tissue G. Eschar H. Re-Epithelial Tissue I. Drainage J. Knowledge Check K. Periwound Assessment L. Epibole M. Erythema N. Maceration O. Signs of Infection P. Bacterial Bioburden Q. Tests for Infection R. Culture Technique: Levine Technique S. Infection or Colonization T. Biofilms U. Knowledge Check V. Goals Section 6: Palliative Care A. Pain Management Issues B. Plan of Care Section 7: Conclusion A. 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.