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1. Communicate three risk considerations for palliative wounds.
2. Demonstrate topical and oral pain management.
3. Investigate avoidable vs. unavoidable wounds, and list steps a facility must take as related to F-Tag 314.
4. Determine best-practice management techniques for common palliative wounds.

Palliative Wound Assessment Considerations

• Holistic Approach to Assessment
• Risk Assessment
  • Pressure Sore Risk
  • Hospice Pressure Ulcer Risk
  • Skin Failure Risk
• Pain Assessment
  • Nociceptive vs Neuropathic Pain
  • Wong Baker Pain Scale
  • Non-verbal Pain Indicators

Common Types of Wounds in Palliative Care

• Pressure Ulcers
• Malignant Wounds (Fungating Tumors)
• Arterial Ulcers
• Kennedy Terminal Ulcers

Avoidable vs. Unavoidable Pressure Ulcers

• WOCN Position Paper
• F-Tag 314
• SCALE

Wound Management Goals & Strategies in Palliative Care

• Pain Reduction Topically and Orally
• Moist Wound Healing
• Odor & Infection Control
• Dressing & Product Optimization
• Wound Debridement
• Bleeding
• Other Handy Tips

Communication and Documentation Musts

Heidi Huddleston Cross, MSN, RN, FNP-BC, CWON® is a board-certified Wound and Ostomy Nurse and a board-certified Family Nurse Practitioner. She has extensive experience caring for wound and ostomy patients in acute care and long-term care. Currently, Heidi is employed by a surgical group providing consultation for nursing homes and has her own independent practice as an expert witness for plaintiff and defense attorneys. She has contributed in numerous ways to her specialty, including serving as chair of the Wound Ostomy and Continence Nursing Certification Board examination committee, co-chair of the Wound and Ostomy Nurses Society National Conference Planning Committee ostomy track, and peer review for the Journal of Wound Ostomy and Continence Nursing (JWOCN). Speaker Disclosures:
Financial: Heidi Cross has an employment relationship with CNY Surgical Physicians. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Heidi Cross is a member of the Wound, Ostomy & Continence Nurses Society, the Association for the Advancement of Wound Care, the American Nurses Association, and the National Pressure Ulcer Advisory Panel.

For U.S. and Canadian customers, a CE test is available for $9.99 USD per participant. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

Continuing education credit is not available on this product.

Kentucky Physical Therapists, Physical Therapist Assistants: This self-study course consists of 1.0 continuing education credit hours. For Kentucky licensees, according to 201 KAR 22:045, this self-study educational offering may be applied toward Category 2 continued competency requirements. Please review the regulation to determine eligibility.

Nurses, Physical Therapists/Physical Therapist Assistants, and other Healthcare Professionals