Course Code: REL-PAC-0-SPI
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2024
Learning Objectives:
Identify the three layers of the skin and many of the components contained within those layers.
List skin changes to be aware of when caring for older adults.
Recognize the stages of pressure injuries.
Recall risk factors that increase the chances of pressure injuries.
Identify preventive measures to limit the risk of pressure injuries.
Outline:
Hour One I. Introduction A. Course description B. Course objectives II. The Skin III. Overview of pressure injuries A. Prevalence B. High-risk populations C. Cost of pressure injuries D. Other costs 1. Pain 2. Death E. Prevention is key F. Contributing factors G. Checkpoint: Question (multiple choice) IV. Skin A. Skin changes B. Skin functions C. Skin as the guardian of the body D. Three main parts 1. Epidermis 2. Dermis 3. Fatty layer (adipose tissue) 4. Checkpoint: Question (matching) E. Environmental factors F. Aging changes V. Common Skin Issues A. Thinning B. Dry C. Skin tears D. Pressure injury VI. Pressure Injuries A. National Pressure Ulcer Advisory Panel B. Stages and types of pressure injuries 1. Stage 1: Non-blanchable erythema of intact skin 2. Stage 2: Partial-thickness skin loss with exposed dermis 3. Stage 3: Full-thickness skin loss 4. Stage 4: Full-thickness skin and tissue loss 5. Unstageable pressure injury: Obscured full-thickness skin and tissue loss 6. Deep-tissue pressure injury: Persistent non-blanchable deep red, maroon, or purple discoloration 7. Medical device-related pressure injury 8. Mucosal membrane pressure injury C. Pressure injury review D. Areas prone to pressure injury E. Christopher Reeve F. Immobility as a risk factor G. Common sites H. Warning signs I. Causes of pressure injuries 1. Pressure 2. Friction 3. Shearing 4. Moisture 5. Dehydration 6. Poor nutrition 7. Body weight 8. Diabetes 9. Irritants 10. Injury VII. Risk Factors That Can Lead to Skin Injury A. Past pressure injuries B. Paralysis C. Incontinence D. Chronic disease E. Poor circulation F. Moisture G. Immobility VIII. Incontinence and Skin Injuries A. Maceration B. Dermatitis C. Bacterial infection D. Exposure to caustic agents E. Fungal infection IX. Other Factors That Contribute to Pressure Injuries A. Impaired circulation B. Improper transfer technique C. Medications D. Diabetes 1. Foot ulcers 2. Foot infection X. Checkpoint: Question (multiple choice) XI. Prevention A. Learning Engagement Activity: Video, “Pressure injury prevention,” Queensland Health. (3.45 minutes) B. What to evaluate for on admission to the care setting 1. Mobility status 2. Incontinence 3. Skin condition 4. Other risk factors 5. Braden Scale C. Nutrition and hydration D. Skin care 1. Bathing 2. Moisturizing 3. Repositioning 4. Skin care summary a. Good nutrition and hydration b. Use pressure-relieving devices c. Prevent shearing d. No hot water e. Never massage bony or reddened areas f. Use a light, gentle touch E. Responding to skin concerns 1. Reporting 2. First steps 3. Pressure-relieving devices F. Avoidable pressure injury G. Unavoidable pressure injury XII. Review: Learning Engagement Activity: Video, “Pressure injury prevention,” Queensland Health. (3.45 minutes) XIII. Summary and Conclusion XIV. Final Exam (post-test)
Instructor: Cynthia McDaniel, MSN, RN
Cynthia McDaniel MSN RN, is a nurse and administrative consultant in long term care. She is the CEO of ElderWise Inc, a senior living consulting and education group. Cynthia has worked as a nurse consultant for the States of Oregon and Washington, a geriatric care manager, a regional director of clinical operations for a senior living company, and an assistant professor at Oregon Health & Science University School of Nursing. Her research in assisted living focused on the characteristics of residents in assisted living communities and the role of the nurse in assisted living. Cynthia holds a Master's of Science in Nursing from Gonzaga University in nursing education. She is a Fellow of the Sigma Theta Tau/John A. Hartford Foundation Geriatric Nursing Leadership Academy.
Instructor: Kristen Crusoe, EdD, MSN, RN
Dr. Crusoe is a Psychiatric/Mental Health and Palliative Care/End of Life nurse consultant. She is also an Assistant Professor of Nursing and Public Health, in both Master's and Doctor of Nursing Practice Programs. Her teaching area of specialty is leadership, focusing on quality sciences, and positive change. She is a certified Appreciative Inquiry Practitioner, trainer and facilitator as well as a Human Systems Dynamics Professional. She promotes using strength-based approaches to whole system change and transformation and provides both individual and group coaching and mentoring in strength-based methodologies.
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To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.