9 th Annual Consensus Meeting Friday, November 6, 2015 Boise State University Student Union Building. Prevention: It s All About the Braden

Transcription

1 9 th Annual Consensus Meeting Friday, November 6, 2015 Boise State University Student Union Building Prevention: It s All About the Braden

2 General Event Information CERTIFICATES OF ATTENDANCE Participants have 2 weeks (11/6/ /20/2015) to complete the event evaluation (sent via and posted on the Idaho PUPC website: Certificates of Attendance will be sent via the Friday of the week the evaluation is completed. The evaluation will be available until midnight, November 20, Following this date, Consensus Meeting Participants will no longer be able to claim their Certificate of Attendance. In order to receive full contact-hour credit for this CNE activity, you must: Be registered for this activity Attend the training in its entirety and follow attendance verification procedures Complete and submit the evaluation form(s) UNPAID REGISTRATION FEES Registration fees must be paid in full before participating in this event. CONTINUING EDUCATION This continuing nursing education activity was approved by Montana Nurses Association an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. Idaho PUPC 9th Annual Consensus Meeting: Prevention: It s All About the Braden has been approved for 5 contact hours of Continuing Nursing Education. The Idaho Bureau of Occupational Licenses has approved this event for up to 6.00 continuing education units. This live activity, 9th Annual Consensus Meeting Prevention: It s All About the Braden, with a beginning date of November 6, 2015, has been submitted to the American Academy of Family Physicians for up to 6.00 prescribed credits. If approved, physicians should claim only the credit commensurate with the extent of their participation in the activity. Idaho Pressure Ulcer Prevention Coalition has applied to the Idaho Board of Examiners of Nursing Home Administrators for up to 6.00 continuing education units. Idaho Pressure Ulcer Prevention Coalition has applied to the Idaho Board of Examiners of Residential Care Facility Administrators for up to 6.00 continuing education units. PARTIAL CREDIT If you are able to only attend a portion of the meeting, you may still receive contact hours based on sessions attended. Such a request requires written explanation for request of contact hours and completion of event evaluation for sessions attended. Complete the online event evaluation request for credits to Morgan Henson, morgan.henson@milliganevents.com QUESTIONS/CONCERNS Please direct any questions you have to Morgan Henson, morgan.henson@milliganevents.com

3 Idaho PUPC 9th Annual Consensus Meeting Agenda Prevention: It s All About the Braden Boise State University Friday, November 6, :00am-8:00am 8:00am-8:30am 8:30am-9:30am 9:30am-10:30am 10:30am-11:30am 11:30am-12:30pm 12:30pm-1:30pm 12:50pm-1:30pm 1:30pm-2:30pm 2:30pm-3:30pm 3:30pm-3:45pm 3:45pm-4:45pm Registration Check In Breakfast Expo Open Strategic Exchange Sessions Welcome Mary McVicars Heckel, PT, DPT, CLT-LANA, CWS & Current President Idaho PUPC The Braden and Beyond: Matching the Assessment to the Interventions Pamela Scarborough, PT, DPT, MS, CDE, CWS, CEEAA What s New in Pressure Ulcer Prevention: It s All About the Guidelines Joyce Black, PhD, RN, CWCN, FAAN Morning Break Expo Open Posters Strategic Exchange Sessions Is Adult Malnutrition a Precursor to Pressure Ulcers?: It s All About the Intake Becky Dorner, RDN, LD, FAND Networking Lunch Expo Open Posters Strategic Exchange Sessions Understanding Skin Deterioration: It s All About the Handoff Joyce Black, PhD, RN, CWCN, FAAN Common Bariatric Skin, Wound and Mobility Challenges: It s All About the Solutions Susan Gallagher, PhD, RN Afternoon Break Does One Good Turn Deserve Another?: It s All About the Offloading What the Braden does and doesn't tell us about who/why/when/how to turn our patients Margaret Doucette, DO, CWSP, Chief; Physical Medicine and Rehabilitation, Boise VAMC, Clinical Associate Professor, University of Washington

4 Strategic Exchange Sessions Enjoy dynamic, interactive, fast-paced education sessions with vendors that allow you to tap into the wealth of knowledge sometimes hidden behind the glitz and sales pitches! The purpose of each session is to be educational, but keep in mind that specific products will be mentioned. As an added perk for participating, you will receive a ticket for every presentation you attend, making you eligible for additional drawings at the end of the day. How to Participate Identify which vendor sessions you want to attend and go to the exhibitors table in the expo hall at the time listed. Each presentation will be limited to 8 minutes. After participating in the exchange session, you will be given a ticket by a volunteer. Write your first and last name on the ticket and turn them into the PUPC registration table no later than 4:15pm. Drawing for prizes will take place at 5:00pm. MUST BE PRESENT TO WIN! Schedule 7:20am Derma Sciences 7:30am Northwest Medical Partners Rehab Systems Boise 7:40am Tekscan 10:50am Tekscan Northwest Medical Partners 11:00am Rehab Systems Boise 11:10am Derma Sciences Abbott Nutrition 1:10pm Rehab Systems Boise Northwest Medical Partners Topics Abbott Nutrition Juven: Targeted Nutrition Therapy for Wound Care Sarcopenia and Its Role in Delayed Wound Healing Derma Sciences Total Contact Casting with TCC-EZ: The Quick & Easy Gold Standard in Plantar Foot Offloading Northwest Medical Partners A 1-2 punch to deal with venous ulcers, and stop the pain Winning the fight against wound infections... even the nasty ones Off-loading techniques to avoid pressure ulcers... focus on heels Rehab Systems Boise Tekscan Diabetic Wound Care 1:20pm Tekscan Derma Sciences Abbott Nutrition

5 Event Session Details WELCOME Speaker: Mary McVicars Heckel, PT, DPT, CLT-LANA, CWS, Current President Idaho PUPC THE BRADEN AND BEYOND: MATCHING THE ASSESSMENT TO THE INTERVENTIONS Speaker: Pamela Scarborough, PT, DPT, MS, CDE, CWS, CEEAA The presenter will highlight accurate application of the Braden scale in the clinical setting and demonstrate how to apply score findings with treatment options/applications. 1. Report components of the Braden Scale for pressure ulcer risk assessment. 2. Report three patient specific interventions related to Braden Scale prediction of risk. 3. Report three appropriate referrals to the IDT to promote reduced pressure ulcer risk in those patients at risk of pressure ulcer development. WHAT S NEW IN PRESSURE ULCER PREVENTION: IT S ALL ABOUT THE GUIDELINES Speaker: Joyce Black, PhD, RN, CWCN, FAAN New Pressure Ulcer Guidelines were released in 2014 with some new recommendations and the removal of others. This session will also address what is new including pressure ulcers from medical devices and other emerging technologies to prevent ulcers. 1. Discuss changes in the 2014 International Pressure Ulcer Guidelines. 2. Identify methods to reduce pressure ulcers from medical devices. 3. Describe emerging technologies for pressure ulcer prevention. IS ADULT MALNUTRITION A PRECURSOR TO PRESSURE ULCERS?: IT S ALL ABOUT THE INTAKE Speaker: Becky Dorner, RDN, LD, FAND Although nutrition plays a critical role in the prevention, development and treatment of pressure ulcers, practitioners continue to have many questions about this association. In this presentation, participants will learn: How to accurately determine whether an adult has malnutrition, using standardized nutrition screening tools. How malnutrition increases the risk for pressure ulcer development and interferes with wound healing. What the latest research and the NPUAP guidelines have to say about the role of nutrition in pressure ulcer prevention and treatment.

6 Practical nutrition and hydration solutions for the prevention and treatment of pressure ulcers - including the role of oral nutrition supplements and the amino acids arginine and glutamine. 1. Learn how to accurately determine whether an adult has malnutrition, using standardized nutrition screening tools. 2. Learn how malnutrition increases the risk for pressure ulcer development and interferes with wound healing. 3. Learn what the latest research and the NPUAP guidelines have to say about the role of nutrition in pressure ulcer prevention and treatment. 4. Learn practical nutrition and hydration solutions for the prevention and treatment of pressure ulcers - including the role of oral nutrition supplements and the amino acids arginine and glutamine. UNDERSTANDING SKIN DETERIORATION: IT S ALL ABOUT THE HANDOFF Speaker: Joyce Black, PhD, RN, CWCN, FAAN Pressure ulcers may not have started on your watch! This session will help your CSI team on understanding where and when the pressure ulcer started. However, regardless of when and where the ulceration started, a clear and comprehensive hand -off between sites of care can prevent deterioration across the continuum of care. Discuss the use of root cause analysis in pressure ulcer assessment. Describe comprehensive data to share at hand-off within the facility and between facilities. Identify the potential communication with patient and family during hand-offs. COMMON BARIATRIC SKIN, WOUND AND MOBILITY CHALLENGES: IT S ALL ABOUT THE SOLUTIONS Speaker: Susan Gallagher, PhD, RN Over two-thirds of Americans living in the US are overweight or obese. A high degree of adiposity affects every cell, organ and system of the body, including the skin. Challenges in lifting, turning and repositioning the larger, heavier patient places workers at risk for injury, but the failure to mobilize obese patients places the individual at risk for immobility-related consequences of care. This section explores the intersections of bariatrics, skin and wound care, and safe patient handling strategies. 1. Relate the impact of patient mobility to skin health and pressure ulcer prevention. 2. Identify three concerns related to mobilizing the bariatric patient. 3. State three issues of skin health related to the bariatric patient.

7 DOES ONE GOOD TURN DESERVE ANOTHER?: IT S ALL ABOUT THE OFFLOADING What the Braden does and doesn t tell us about who/why/when/how to turn our patients Speaker: Margaret Doucette, DO, CWSP, Chief; Physical Medicine and Rehabilitation, Boise VAMC, Clinical Associate Professor, University of Washington This presentation will explore the intrinsic and extrinsic factors that contribute to pressure related tissue injury with a focus on tissue tolerance and off-loading/repositioning. Historical perspective will be presented and the background of the 'turn q 2' will be explored. Current research looking at the use of Braden subscores, in combination with other variables to strengthen our ability to identify high risk patients will be presented. The use of technology in appropriating effective interventions and allocating resources will round out the discussion. 1. Identify 3 intrinsic factors that influence tissue tolerance of pressure. 2. Describe 2 challenges of utilizing the subscales (activity, mobility) of the Braden. 3. Identify 3 variables/pu risk factors that strengthen the application of the Braden Score. 4. Describe 3 effective interventions for off loading.

8 WRITTEN DISCLOSURE FORM FOR ALL REQUIRED DISCLOSURES Prevention: It s All About the Braden 9th Annual Consensus Meeting November 6, 2015 Boise State University Student Union Building Purpose: The purpose of this activity is to enable the learner to address and respond to current research, data, and practices that will improve outcomes related to pressure ulcer development within their provider setting. Successful Completion of this CNE Activity In order to receive full contact-hour credit for this CNE activity, you must: Be registered for this activity, Attend the training in its entirety Complete and submit the electronic evaluation sent to the address provided on your event registration. In order to receive partial contact-hour credit for this CNE activity, you must: Requests for contact hours based on the number of sessions attended require a written request from the participant with explanation for request for contact hours, and completion of event evaluation for sessions attended. Conflict of Interest for Planners & Presenters: A Conflict of Interest is defined as an affiliation or relationship of a financial nature with a commercial interest organization that might bias a person s ability to objectively participate in the planning, implementation, or review of a learning activity. There is no conflict of interest for anyone in a position to control content of this activity, except Pamela Scarborough, who is employed and sponsored by American Medical Technologies. There will be no contact hours provided for her presentation by the Montana Nurses Association. There will be a certificate of attendance presented for her presentation. Commercial Support/Sponsorship American Medical Technologies, Hill-Rom, Leaf Healthcare and Prairie Medical have contributed funds to the Idaho Pressure Ulcer Prevention Coalition for this independent medical education. Boise State University School of Nursing, Center for the Study of Aging at Boise State University, Chobani and St. Luke's Health System have contributed an in-kind sponsorship of this event.