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ATENCIÓN HOSPITALARIA · DOCENCIA · GESTIÓN · INVESTIGACIÓN · ATENCIÓN PRIMARIA Y COMUNITARIA Volumen 40 Nº 5 · Mayo 2017  

 

REGISTRATION

Presentation

Wounds: problems, knowledge and opportunities.

Suffering from wounds has always been a fact of life for human beings. Wounds are a health problem that affects a large population of patients of all ages, who require different interventions to ensure they receive the optimum care. According to the dictionary of the Spanish Royal Academy, wound is defined as "perforation or tear in some part of a living body". The most common wounds tend to be caused by accidents. For example, superficial wounds such as cuts, bites or minor burns are one of the most common problems faced by A&E professionals. To give a figure from the literature, each year 12.2 million patients with wounds are seen by A&E departments. This group represents 11% of the 110 million visits made to A&E in the US during 2000. Most of these wounds can be treated without much difficulty, but nevertheless, these patients require medical attention. However, there are wounds that require a greater knowledge of anatomical structures and the physiology of healing, as well as considerable technical skill to achieve the best clinical outcome. The most common complication of a wound is infection, and surgical wound infection is still a major problem following surgery.
Patients often have many misconceptions about how a wound should be treated and expectations about the outcome. Patients are concerned about pain during and after healing, the scar that it will leave, loss of function, infection, the cost of care or about taking sick leave.
The other major group of skin wounds is chronic wounds (ulcers of the lower limb, pressure ulcers, diabetic foot), which represent a major public health problem. It has been estimated that, worldwide, the cost of treating these wounds is approximately one billion dollars, but this is probably an underestimate. According to a study conducted by the UK National Health Service (NHS), the estimated annual cost of treating wounds represents 3% of the total health expenditure. Around 1% of the population has this type of wounds and this number is set to rise as a result of the increasing incidence of chronic conditions. For example, in the case of pressure ulcers, they are said to constitute a hidden epidemic. Ambitious initiatives have already been undertaken to reduce them because it has been estimated that, with appropriate preventative measures, over 95% of them could be avoided (http://www.gneaupp.info/conocenos/).
Nurses and doctors play a particularly important role in both wound prevention and wound care. The knowledge required in the care of such health problems has improved, although it has been found that much training is still needed. The recent ATHENA study revealed that one in three professionals believe that general training in wound care is still poor or even very poor according to current knowledge. As regards the formats used for training, in spite of the great development of information technology and communication, online training was used in only 20% of cases, despite the enormous advantages it offers over classroom-based learning.
There is therefore a need for courses like this one. Their purpose is to improve the level of knowledge of professionals and, in particular, to achieve an improvement in clinical outcomes in the interests of our patients.

Objetives

General objetives
1. By the end of the course you will be able to make a correct diagnosis and staging of chronic and acute wounds in order to apply the best care (preventative measures or appropriate treatment for each case).
2. By the end of the course you will be able to identify the main factors that can delay the healing process (infection, exudate) and associated factors.
3. By the end of the course you will be able to handle special situations that can affect a patient with wounds (paediatric patient, cancer patient) in order to try and minimise the impact on their quality of life.

Specific objectives by topic
1. Pressure ulcers
 At the end of the course, you will understand the aetiology, incidence, risk factors and staging of pressure ulcers.
 You will be able to formulate an appropriate care plan (prevention and treatment) for patients with pressure ulcers.
2. Leg ulcers
 At the end of this module, you will be able to differentiate and identify different types of leg ulcers: post thrombotic ulcers, varicose vein and stasis ulcers, angio-ischaemic ulcers, arteriosclerotic ulcers, calciphylaxis, Martorell's ulcers.
 You will be able to formulate an appropriate plan of care (prevention and treatment) for patients with leg ulcers. 3. Diabetic foot ulcers.
3. Diabetic foot ulcers
 You will be able to recognise the risk factors for diabetic foot ulcers, understand their physiology, and grade them according to their severity.
 You will be able to formulate an ulcer prevention care plan, and if ulcers should develop, an appropriate ulcer management plan.
4. Surgical wounds
 You will be able to correctly classify surgical wounds according to their bioburden and type of healing (wound closure).
 You will be able to identify the factors that affect the healing process of a surgical wound and those that contribute to infection.
5. Burns
 You will be able to define and explain the aetiology and pathophysiology of burns.
 You will be able to identify the severity of burns (extension, depth, location).
 You will be able to correctly treat the burn according to its degree of severity.
6. Skin lesions in children
 Students will be capable of identifying the different skin lesions that can occur in children, such as: atopic dermatitis, epidermolysis bullosa, impetigo and molluscum contagiosum.
7. Cancer-related wounds
 Students will be capable of distinguishing, classifying and defining different cancer-related wounds.
 Students will be capable of administering suitable care that is specific to the symptoms and particular characteristics of patients with cancer-related wounds.
8. Wounds and infection
 Students will be capable of listing and identifying the phases of bacterial contamination (contamination, colonisation, critical colonisation and infection).
 They will also be able to identify the criteria to know when a wound is infected.
 Students will be capable of taking appropriate preventative measures to avoid wounds becoming infected and applying suitable treatment when it has not been possible to prevent infection.
9. What is a biofilm?
 Students will be capable of identifying the clinical signs that could cause them to suspect the presence of biofilm in a wound.
 Students will be capable of knowing and applying biofilm management strategies.
10. Exudate management
 Students will be capable of identifying the different types of exudate that can occur in a wound and the main components of this exudate.
 Students will be capable of identifying the factors that can lead to an increase in exudate and the main problems related to this increase.
 Students will be capable of identifying maceration and applying the necessary strategies for its prevention and treatment.
11. Impact on quality of life
 Students will know about the different scales available for assessing quality of life.
 Students will be capable of recognising aspects that can influence quality of life in patients with wounds and recognising those most commonly associated with each type of wound.

Course Topics

1. Pressure ulcers
1.1. INTRODUCTION
1.2. DEFINITION AND SCOPE OF PRESSURE ULCERS
1.3. PATHOPHYSIOLOGY
1.4. CLASSIFICATION
1.5. MOISTURE-ASSOCIATED SKIN DAMAGE
1.6. CURRENT SITUATION: INCIDENCE, PREVALENCE AND OUTLOOK
1.7. NURSING PRACTICE
1.8. TREATMENT STRATEGIES
1.9. CARE PLAN
1.10. CONCLUSIONS
2. Leg ulcers
2.1. INTRODUCTION
2.2. POST THROMBOTIC ULCERS
2.3. VARICOSE VEIN AND STASIS ULCERS
2.4. ANGIO-ISCHAEMIC ULCERS
2.5. ARTERIOSCLEROTIC ULCERS
2.6. CALCIPHYLAXIS
2.7. HYPERTENSIVE OR MARTORELL'S ULCERS
2.8. NURSING DIAGNOSIS
3. Diabetic foot ulcers
3.1. DEFINITION OF DIABETIC FOOT
3.2. EPIDEMIOLOGY
3.3. RISK FACTORS
3.4. DIABETIC FOOT: PATHOPHYSIOLOGY
3.5. DIABETIC FOOT: PATHOGENESIS
3.6. PREVENTION
3.7. LOCAL DIABETIC FOOT CARE
3.8. CONCLUSIONS
4. Surgical wounds
4.1. DEFINITION
4.2. CLASSIFICATION OF SURGICAL WOUNDS
4.3. HEALING PROCESS
4.4. SURGICAL WOUND INFECTION
4.5. DRAWBACKS TO CONVENTIONAL SURGICAL WOUND TREATMENT
5. Burns
5.1. INTRODUCTION
5.2. DEFINITION
5.3. AETIOLOGY
5.4. PATHOPHYSIOLOGY
5.5. SEVERITY FACTORS
5.6. BURN MANAGEMENT PROTOCOL
5.7. TRANSFERRING THE PATIENT
5.8. TREATMENT
6. Skin lesions in children
6.1. ATOPIC DERMATITIS
6.2. PRESSURE ULCERS IN CHILDREN
6.3. EPIDERMOLYSIS BULLOSA
6.4. IMPETIGO
6.5. MOLLUSCUM CONTAGIOSUM
7. Cancer-related wounds
7.1. INTRODUCTION
7.2. AETIOLOGY
7.3. MALIGNANT WOUNDS
7.4. CANCER TREATMENT WOUNDS
7.5. RADIODERMATITIS
7.6. TREATMENT OR MANAGEMENT BY NURSES
8. Wounds and infection
8.1. INTRODUCTION
8.2. THE INFECTION CONTINUUM
8.3. DETECTING INFECTION
8.4. CLINICAL APPROACH TO WOUNDS BASED ON THE INFECTION CONTINUUM
8.5. THE BACTERIAL BIOFILM
8.6. SILVER DRESSINGS
8.7. CONCLUSION
9. What is a biofilm?
9.1. INTRODUCTION
9.2. WHY BIOFILM IS A PROBLEM
9.3. HOW TO IDENTIFY BIOFILM
9.4. APPROACH TO BIOFILM
10. Exudate management
10.1. INTRODUCTION
10.2. PATHOPHYSIOLOGICAL ASPECTS
10.3. COMPOSITION OF THE EXUDATE
10.4. AMOUNT OF EXUDATE
10.5. EVOLUTION OF WOUND EXUDATE 10.6. MACERATION 10.7. MANAGING AN EXUDATIVE WOUND
11. Impact on quality of life
11.1. INTRODUCTION
11.2. HEALTH-RELATED QUALITY OF LIFE
11.3. ASSESSING QUALITY OF LIFE
11.4. QUALITY OF LIFE IN DIFFERENT CONDITIONS
11.5. CONCLUSIONS

Teaching staff

Coordinators
Sra. Silvia Núñez Guerra
Nurse and technical advisor in the treatment of ulcers and wounds. Expert in Pressure Ulcer and Chronic Wound Care, endorsed by the GNEAUPP.
José María García Alamino,
Nurse and technical advisor in the treatment of ulcers and wounds. Expert in Pressure Ulcer and Chronic Wound Care, endorsed by the GNEAUPP.
José García Rey
Intensive Care Nurse, Scientific and project coordinator of IDER Formación, Diploma in nursing management, Teacher trainer, Associate lecturer at the Creu Roja (Red Cross) University School of Nursing in Terrassa and Vall d'Hebrón University School of Nursing in Barcelona.

Teaching staff
Sr. Luis Arantón Areosa
Nurse under the Galician Health Service. Master's Degree in Impaired Skin Integrity, Ulcers and Wounds. Member of the GNEAUPP Advisory Committee. Vice-president of ANEDIDIC and sub-editor of the journal Enfermería Dermatológica (Dermatological Nursing). Associate Professor of the Hartmann Chair of Skin Integrity and Care. Catholic University of Valencia. Member of the Galician Wound Society.
Sra. Paz Beaskoetxea Gómez
Diploma in Nursing from University of the Basque Country (1986/89). Currently works at the Galdakao Health Centre. Member of the Bizkaia Academy of Nursing Sciences. Master's Degree in Impaired Skin Integrity, Ulcers and Wounds. Member of the Osakidetza Ulcers Committee. Co-author of the pressure ulcers and vascular ulcers course within the online training programme organised by Osakidetza. Tutor of several editions of the online course organised by Osakidetza.
Sr. Mariano Bermejo Martínez
Nurse in the Chronic Wounds Multidisciplinary Unit of the Puerta de Hierro University Hospital. Member of the GNEAUPP Advisory Committee. Expert in the care of pressure ulcers and other chronic wounds, endorsed by the GNEAUPP.
Sr. Raúl M. Capillas Pérez
Nurse and technical advisor in the treatment of chronic wounds, Primary Care Management, Costa de Ponent, Barcelona. Master's Degree in Impaired Skin Integrity, Ulcers and Wounds from the Catholic University of Valencia «San Vicente Mártir». Associate Professor of Skin Integrity and Care, Catholic University of Valencia «San Vicente Mártir».
Sra. Silvia Cerame Pérez
Nurse at Centro Sociocomunitario de Benestar, Xunta de Galicia. Manager of the CMUC (Chronic Ulcer Multidisciplinary Centre). Master's Degree in Impaired Skin Integrity, Ulcers and Wounds, Catholic University of Valencia. Certificate of Excellence from the GNEAUPP.
Sr. Francisco García Collado
Nurse at Nuestra Sra. De la Paz San Juan Aznalfareche Healthcare Centre, Seville. Teaching expert in Stomal Therapy, Public University of Navarre. Master's Degree in Impaired Skin Integrity, Ulcers and Wounds. Member of the Editorial Board of the journal Enfermería Dermatológica (Dermatology Nursing) ANEDIDIC.
Sr. José Miguel Gómez Coiduras
Nurse at UGC Trinidad «Jesús Cautivo» (Malaga Healthcare District). Master's Degree in Impaired Skin Integrity, Ulcers and Wounds. Member of the Scientific Committee of ANEDIDIC.
Sra. Esperanza Manzanero López
Registered Nurse. Director of Medinaceli Social and Healthcare Centre. Director of Nursing at Grupo Medinaceli. Manager and Master in Quality Management. Teaching expert in Gerontological Nursing. Nursing Home Management. Co-author of «Recommendations for local treatment of chronic skin ulcers in the Community of Madrid».
Dr. Federico Palomar Llatas
Nurse Practitioner. Director of the skin clinical management area. Coordinator of the Dermatological, Ulcer and Wound Nursing Unit. University General Hospital of Valencia. Professor of Skin Integrity and Care. Director of the Master's Degree in Impaired Skin Integrity, Ulcers and Wounds. Catholic University of Valencia. President of the Spanish National Association of Dermatology Nursing and Research into Impaired Skin Integrity (ANEDIDIC).
Sra. Mª Jesús Salvador Morán
Nurse in the Primary Care Team of the Garcia Noblejas Healthcare Centre. DAE (Eastern Healthcare Management) MADRID. Geriatrics seminars at the nursing college of Puerta de Hierro Hospital. Work placement tutor for 3rd-year nursing and Erasmus students (Escuela de Puerta de Hierro, Red Cross and Francisco de Vitoria University). Collaborating investigator in different research studies on pressure ulcers and vascular ulcers. Co-author. Recommendations for local treatment of chronic skin ulcers in the Community of Madrid. Madrid Health Service. Autonomous Community of Madrid. 2010. Expert in Pressure Ulcer and Chronic Wound Care. National Pressure Ulcer and Chronic Wound Study and Advisory Group. GNEAUPP. Logroño 2007.
Sra. Teresa Segovia Gómez
Author of various publications, papers and posters at conferences and symposiums. Participation in numerous national and international studies. Teacher of numerous courses on the Prevention and Healing of Chronic Wounds. Member of the Steering Committee of the GNEAUPP (National Pressure Ulcer and Chronic Wound Study and Advisory Group). Board Member of the Sergio Juan Jordán Foundation for research and study of chronic wounds. President of the Pressure Ulcer and Chronic Wound Committee of Puerta de Hierro University Hospital, Madrid. Participation in the correction of five Pressure Ulcers and Chronic Wound Care and Treatment Guides, as a member of the Steering Committee of GNEAUPP. Member of the Editorial Board of GEROKOMOS, the official scientific journal published by the Spanish Society of Geriatric and Gerontological Nursing and the National Pressure Ulcer and Chronic Wound Study and Advisory Group.
Sr. Alexander Zubiaur Barrenengoa
Diploma in Nursing from UPV/EHU in 1997. Postgraduate Course in Gerontological and Geriatric Nursing in Primary Care, Barcelona University, 2001. Member of the Uribe-Osakidetza Region Committee for Teaching and Continuing Education since 2003. Venia Docendi (authorisation to teach) as Primary Healthcare Clinical Placement Tutor at UPV/EHU since 2009. Co-author of the chapter «Pressure and vascular ulcers» of the Multimedia Course «Rational use of medicines», published by Osakidetza in 2009.
Antonio Erasto Villar Rojas
Retired nurse, Virgen Macarena Hospital, Seville. Head of the Integral Pressure Ulcer and Chronic Wound «Telecare» Unit for ten years. Master's Degree in pressure ulcers and chronic wounds, University of Cantabria. Expert in pressure ulcers and chronic wounds, endorsed by GNEAUPP, advanced level. Currently lecturing in Pressure ulcers and chronic wounds at Virgen Macarena Hospital.

Duration of the course

72 hours

Accreditation and certification (12,2 Credits)

    
Graduate students or university graduates in nursing I medical in Spain:
 Credits granted by the Consell Català de Formació Continuada de les Professions Sanitàries (Catalan Council of Continuing Education for Healthcare Professionals) and the Comisión de Formación Continuada del Sistema Nacional de Salud (National Health System Committee for Continuing Education).
 
Students rest of the world:
 At the end of the course, the student will receive a Diploma issued by Editions role, backed by leading training and professional interest recognized by the national group for study and advice from ulcers by pressure and chronic wounds (GNEEAUP), which shall include the number of hours (72).

Information and registration

EDICIONES ROL, S.A.
Peris i Mencheta, 50 - 08032 BARCELONA
Phone number: (+34) 93 200 80 33
Fax: (+34) 93 200 27 62
e-mail: rol@e-rol.es

 

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Price of the course 129 euros


 
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