Principles of Wound Care for Leg and Foot Ulcers
There are several types of skin ulcers, and although they are caused by a different set of underlying factors, the primary issue is disrupted blood flow. Arterial and venous ulcers often form on the lower extremities such as the legs and feet, and, although similar, they require appropriate vascular assessment and different treatments to ensure proper healing and a speedy recovery. This activity will discuss vascular assessment, diagnosis, management strategies and the associated risk factors for different types of skin ulcers. Clinical staging to guide treatment of pressure-induced skin ulcers and the required documentation for non-pressure ulcers will also be discussed.
This activity is provided by OptumHealth Education.
This activity is supported by OptumCare.
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This activity is designed to meet the educational needs of physicians — including family physicians — coders and other health care professionals interested in wound care.
At the end of this educational activity, participants should be able to
- State the clinical features, risk factors and diagnosis of different types of skin ulcers.
- Differentiate between arterial and venous ulcers.
- Discuss vascular assessment and management strategies to ensure proper healing.
- Describe clinical staging and management of pressure-induced skin and soft tissue injury.
- Address the required documentation for non-pressure ulcers to include site, severity and laterality.
- State the optimal time for a referral from your primary care physician to a wound care specialist.
Joyce M. Black, PhD, RN, FAAN
College of Nursing
University of Nebraska Medical Center
About the presenter
Joyce M. Black, PhD, RN, FAAN, is an Associate Professor in the Adult Health and Illness Department in the College of Nursing at University of Nebraska Medical Center (UNMC). She has taught undergraduate students basic concepts, medical surgical nursing and ICU nursing. Dr. Black has received awards from UNMC and the College for her teaching. Her research areas of interest are in wound healing, specifically in pressure ulcers. Dr. Black's dissertation examined the patient and wound factors that contributed to healing or nonhealing of pressure ulcers in patients with diabetes. She is certified in wound healing and plastic surgical nursing and is a Fellow of the American Professional Wound Care Association. Dr. Black is the current President of the National Pressure Ulcer Advisory Panel and chairman of the NPUAP's task force to redefine pressure ulcer staging.
Sarah Chart, RN
Eden Prairie, MN
Rebecca Gleason, RN, CCM
Eden Prairie, MN
Kevin Heath, MD, MHL, FACP
Medical Director, Clinical Performance
Disclosures of relevant financial relationships
In accordance with the ACCME Standards for Commercial SupportSM, OptumHealth Education (OHE) requires all those involved in the development of activity content to disclose their relevant financial relationships. An individual has a relevant financial relationship if such person (or his/her spouse/partner) has a financial relationship in any amount occurring in the last 12 months with a commercial interest. OHE ensures that the content is independent of commercial bias.
Ms. Chart and Ms. Gleason have indicated that they are employees of and own stock in UnitedHealth Group.
Dr. Black has indicated the following relationships:
- Advisory board: Mölnlycke Health Care
- Consultant and speakers bureau: EHOB/Wound Vision, Mölnlycke Health Care, Medline, Acelity and Sage/Stryker
The remaining activity faculty or planners have no financial relationships to disclose.
Method for calculating CE credit
CE credit was calculated by the complexity of content.
In support of improving patient care, OptumHealth Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.
Credit Designation Statements
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.
OptumHealth Education designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
American Academy of Family Physicians
This Enduring Material activity, Principles of Wound Care for Leg and Foot Ulcers, has been reviewed and is acceptable for up to 1.00 Elective credit(s) by the American Academy of Family Physicians. AAFP certification begins August 26, 2019. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.
This program meets AAPC guidelines for 1.0 CEU. Can be used for Core A, CANPC and CHONC with successful completion of post-test for continuing education units.
A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been pre-approved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization with which they wish to obtain credit.
- 1.00 AAPC - Coders
- 1.00 AMA - Physicians
- 1.00 Attendance - General Attendance
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