About the Course

In the publication “Advances in Wound Care,” Chanden K. Sen states that “A continued rise in the economic, clinical, and social impact of wounds warrants a more structured approach and proportionate investment in wound care, education, and related research.” This statement is echoed throughout the healthcare communities, as more and more people are aging and experiencing varying degrees of wounds.

Treating wounds requires an experienced and educated clinician, and the Wound Prevention and Management Course is intended to provide licensed clinicians with advanced wound care knowledge. This course will enable clinicians to provide their patients with the best care, based on the most current* evidence-based research and data available. All wound treatments have the same end goal of wound healing, and this course provides resources and education to optimize the clinician’s efforts to reach that ultimate healing goal.

This course, in order to help address the need for advanced wound education in the healthcare community, has been submitted and reviewed, and is deemed to meet the criteria established for certification with the National Alliance of Wound Care and Ostomy® (NAWCO) for the Wound Care Certified (WCC®) Certification Examination. Eligibility requirements for certification are established by NAWCO, and it is the clinician’s responsibility to verify that they personally meet all of the established eligibility requirements.

*Excell College is the only wound care education program with models and simulators for hands-on wound management and assessment skills. Clinical skills and expertise in the field of wound care depends on the ability of the clinician to recognize real-world situations and devise the appropriate plan of care so that the most beneficial outcomes are produced. 

Those taking the course onsite will experience the hands-on simulation lab with simulation mannequins.

Course Content

#
Title 
Intent of the Module 
1
Global Wound Management – An Overview  – SELF-STUDY  – .5 hours
Global Market
Leading dressings
Most common wounds 
Cost
Projections
2
Interprofessional Practice and Education, Accountable Care Organizations, Healthcare Delivery Models – SELF-STUDY- .5 hours
Defined
Patient-Centered Focus
ACO Defined
Value-Based Care
Volume-Based-Care
3
Anatomy & Physiology of the Skin  – 0.5 hours 
Knowledge of anatomy and physiology of the skin and underlying structures
The composition and functions of the skin 
4
Cardiovascular System – .5 hours 
Blood vessels
5
Wound Classification – 1 hour
Types and causes of wounds
Partial-thickness wounds vs. full-thickness wounds
Surgical wound classification
External vs internal Ulcer vs wound 
6
Wound Assessment – Includes Interactive Wound Assessment – *Simulation Lab – 2 hours
How to measure wounds
How to perform a complete wound assessment
Tissue identification
Exudate management
Periwound protection
Performing a wound assessment – Interactive Training
7
Physiological Basics of Wound Healing – 1 hour
The benefits of moist wound healing
How oxygen enhances wound healing
The phases of wound healing
Co-morbidities (diabetes, heart disease, cancer, etc.) and their cause and effect on wound development and treatment
Cultural impact on wound healing  
8
Wound Bed Preparation – 2 hours
T.I.M.E. Tissue Management
Debridement – Selective and nonselective methods
inflammation and infection control
Moisture Balance;           
Epithelial edge advancement 
9
Pain Assessment and Management in Wound Care –  .75 hour
Assessing pain 
How to identify different types of pain
Nociceptive vs neurological pain 
Pain management Different types of pain
Impact of pain on wound healing
Impact of pain on the quality of life
Treating pain and pain control options
10
Role of Nutrition in Wound Healing – 1.5 hours
 Assessing nutritional status
 Relationship of nutrition to wound healing
 How nutrition relates to disease processes
 Nutritional needs and necessary components necessary to promote wound healing
11
Pressure Injuries/Ulcers – 1 hour
Identification
Staging
Treatment Options
Management and Prevention
12
Support Surfaces – Offloading and Positioning – .5 hour
Support surface categories, features, uses
Proper positioning and redistribution practices
Appropriate of-loading techniques
Cost-effective methods to provide pressure redistribution
13
Interactive Pressure Injury – .75 hours
Wound Assessment interactive exercise. Identify image – Stage, tissue, anatomical location, exudate, conditions, appropriate treatments
14
Dressings and Topical Treatments – 2 hours
Wound dressing categories
Understanding how dressings interact with the would to enhance or impede wound healing
How to determine the most effective, cost-efficient choice for each patient
15
Venous Ulcers – 1 hour
Identification
Classification
Etiology
Complications
Treatment Options
16
Arterial Ulcers – .75 hours
Identification
Classification
Etiology
Complications
Treatment Options
17
Diabetes – 1 hour
Etiology, types, lab markers
Complications – Optical, Renal, Cardiac, Neuropathy
Nutritional intervention to support in-range glucose levels
Patient education
Diabetic Foot Ulcers
Identification
Classification
Complications (Osteomyelitis, Amputations)
Treatment Options
Management
18
Other Lower Extremity Ulcers – 1 hour
Metabolic and genetic
Vasculitis
Inflammatory
Malignant
Treatment Options
19
Lymphedema & Lipedema – 1 hour
Lymphedema
Identification
Classification
Complications
Treatment Options
Management
Lipedema 
Identification
Classification
Complications
Treatment Options
Management
20
Skin Lesions – 1 hour
Identification
Classification
Etiology
Complications
Treatment Options
21
Acute and Traumatic Wounds – 1 hour
Identification –  Crushing, Gunshot, Incisions, Abrasions, Lacerations, Skin tears, etc
Classification
Etiology
Complications
Treatment Options
22
Dermatological Skin Conditions – Blistering – 1 hour
Identification – Herpes Simplex, Herpes complex, Pemphigoid, Pemphigus, EB, TEN, Stephens-Johnson, Necrotizing Fasciitis, ACD, Eczema, IAD, etc. 
Classification
Etiology
Complications
Treatment Options
23
Dermatological Skin Common, Malignant – Metabolic – 1 hour
Identification –  Psoriasis, Fungating wounds, Skin cancer, Calluses, Corns, Abscesses, etc.
Classification
Etiology
Complications
Treatment Options
24
Adjunctive Treatment Modalities – .75 hours
Negative Pressure Wound Therapy, Growth factors, Flaps, Skin grafts, HBOT, etc
Indications for use
Expected Treatment Outcomes
25
Tools used in Wound Management – .5 hours
PI Risk Assessment – Braden, Norton, Waterlow
Wagner
Pain tools
Semmes Weinstein
Pain Scales 
25
Incontinence – SELF-STUDY – .5 hours
Identification
Classification 
Etiology
Complications
Treatment Options
26
Fistula Management – SELF-STUDY – .5 hours
Types of fistulas
Effluent Containment devices
Skin conditions 
27
Ostomy Management  – SELF-STUDY .5 hour
Urinary diversion management
Effluent Containment devices
Skin conditions 
28
Psychological Impact on Wound Healing – SELF-STUDY – .5 hour

Isolation, Stress, Depression 

Community based treatment
Assessment, treatment, ongoing care
Affect on Quality of Life 
Aspects of MI – Bipolar etc
29
Wound Infections – 1 hour

Most common infection types in wounds

Identification of infections
Treatment of infections
30
Legal Concepts – Wound Documentation and Communication – 1 hour

Wound documentation

Components of a thorough note
Effective communication practices with prescribing clinicians
Patient education
Family education
Legal Implications
31
Case Studies – Interactive  – 1 hour

Wound patient scenarios

Critical thinking through patient situations with wound deteriorations, development, infections, and stalled healing
32
Picture Review – Interactive – 1 hour
Wound pictures that will utilize the information from the program contents requiring assessment, identification, nutritional interventions, preventative measures, observed complications, treatment plan development, patient education, communication, and documentation.
33
Comprehensive Course Review – 2 hours
Review of all course content to reinforce didactic teachings
34
Practice Exam – 2 hours
Practice exam will cover course content focusing on exam domains and objectives as established by the NAWCO.

Disclosures

Excell College has no disclosures.

Product Endorsement

Excell College does not recommend or endorse any specific tests, products, procedures, opinions or other information that may be provided in the presentation either written, visually, or verbally.

Attribution

Images used throughout the course, both in the handout and in the power point presentation were purchased or licensed for use from the original owner. Appropriate attribution accompanies all visual images. All written material resources utilized throughout the program have been cited at the end of each section. Use of the program does not permit copying, distributing, or publishing any written material or images contained within.

Course Content Disclaimer

*This information was current at the time of publishing, but medical information is ever evolving and constantly changing. Therefore, the information in the course, course workbook, and/or course presentations should not be considered to be complete or exhaustive. All delivered content is intended to be used strictly as an educational resource. Reliance on any information provided in the workbook or power point presentation is the sole responsibility of the student and is in no way meant to give medical advice, or supersede the recommendations or orders from the patient’s prescribing clinician. It is the responsibility of the clinician to remain abreast of changes to any material presented in the course and work collaboratively with the Interprofessional team members to establish an appropriate individualized treatment plan for their patients.

Excell College is providing education which should not be construed as clinical recommendations for patients. Excell College accepts no responsibility for actions taken by course participants or those who may review the content.