EPUAP workshops (English)
- Debridement (18.9.2019 15:15 - 16:15)
- IAD and skin frailty (18.9.2019 17:00 - 18:00)
- Wound assessment (19.9.2019 17:00 - 18:00)
- Dressing selection (19.9.2019 17:00 - 18:00)
Joint workshops (English and French)
- Repositioning (19.9.2019 14:00 - 15:00 and 20.9.2019 9:00 - 10:15)
- Nutrition (19.9.2019 17:00 - 18:00)
French workshops (SFE Atelier - Friday afternoon)
- Escarre et talon
- Organisation et vie d'un groupe escarres
- Escarres des blessés médullaires - les Lyonnais
See complete programme overview HERE.
Throughout this workshop, the participants will be introduced to various types of debridement, explore a comprehensive wound assessment methodology to evaluate whether wound debridement is required or not, carry out sharp debridement and appreciate the importantce of a professional accountability and limitations in clinical pratice.
IAD and skin frailty workshop
The key characteristics of geriatric patients are advanced age, multi co-morbidity, a decrease of physical and psychical performance and care dependency. In addition, advanced age, chronic and acute diseases and treatments (e.g. polypharmacy) lead either directly or indirectly to a wide range of skin and tissue problems. Skin and tissue ageing is associated with various structural and functional changes increasing the susceptibility to incontinence- associated dermatitis (IAD), skin tears, medical adhesive-related skin injuries (MARSI) and pressure ulcer development. Wounds, once developed, need longer times to heal and are associated with increased risk for deterioration. This workshop will focus on three most prevalent skin conditions in geriatric care: incontinence associated dermatitis, skin tears and pressure ulcers and how they are connected among the aging population.
During this workshop a systematic approach to wound assessment will be presented – the T.I.M.E. CDST algorithm. This is a new development of the original TIME concept and acts as a decision supporting tool.
There are thousands of dressing products available on the market today to treat different types of wounds by targeting various aspects of healing process. However, clinicians' ability to choose wound dressings on the basis of clinical evidence is hindered by the relative lack of robust clinical or cost-effectiveness evidence. This workshop will provide information on the properties of the main categories of wound dressings, focusing on their clinical indication, advantages and limitations. All these practical aspects will be discussed with the participants and analyzed through several clinical cases. We plan to reduce your confusion in dressing selection at this work shop.
To prevent Pressure Ulcers EPUAP’s guidelines suggest to positioning the patient in a 30 degrees side lying position, moving the body load from the sacral- or trochanter area to the gluteal area. In general, positioning patients is about giving the patient stability, comfort and the feeling of security.
Adding the 30 degrees posture to the list of lying positions gives extra challenges to the caretakers. Being aware how to positioning the upper body without rotations and positioning the legs preventing discomfort for the patient and without creating new PU hotspots.
Questions may be asked if classical repositioning techniques and the materials used to position the patient really give the stability and comfort needed? And what about having the patient positioned in other positions for example using bed functions like lifting the backrest, can the extensive shear forces occurring be prevented?
Malnutrition is very common in hospitalized patients, especially in elderly (60% of elderly at admission). Pressure ulcers are particularly associated with nutritional status. Malnutrition is on the one hand a risk factor for developing pressure ulcers, is associated with a delay of healing and is a risk factor for systemic complications such as infections. Pressure ulcers can also worsen nutritional status. It is necessary to manage the wound and the nutritional status together to improve the prognosis of patients as we have substantial evidence on the efficacy of nutritional support in improving the healing process.
This workshop discusses ways to diagnose and manage malnutrition in patients with pressure ulcers.