UTI Management in Long Term Care is a quality measure of patient-centered, safe, effective, timely, efficient, and equitable care. Proper identification of a UTI and the ability to distinguish it from asymptomatic bacteria is a crucial factor/skill which is vital for antibiotic stewardship.

Learner Outcome:

• The learner will realize WOC nurse role in UTI identification/treatment in Long-term care (LTC) setting and long term implications for residents

A growing body of evidence has lead to near global acceptance of the prevalence and clinical relevance of incontinence associated dermatitis (IAD) among adults, adolescents, and older children. However, we continues to differentiate IAD from diaper dermatitis in infants and its distinction in younger children remains uncertain. This presentation will update the state of the science of IAD across the lifespan and public policy toward this clinically relevant and prevalent disorder.

Learner Outcome:

• At the end of this session the learner will apply knowledge of IAD across the patient's lifetime and formulate a plan for influencing pubic policy in this are of care.

One of the most striking recent advances in science is the discovery that the gut microbiota, the largest microbial community inhabiting our body, fulfills important functions for human health such as protection against infection, nutrition and regulation of our immune system. Therefore, the imbalance in the intestinal microbial community (known as “dysbiosis”) has emerged as a key player in the pathogenesis of a variety of diseases, ranging from cardiovascular disease and cancer to neuropathies and much more. This session will introduce the exciting field of the microbiome and will cover the role of the gut microbiota in promoting human health, how gut dysbiosis occurs, and the clinical implications of gut dysbiosis with focus in hospital acquired infections, inflammatory bowel disease and colon cancer.

Learner Outcome:

• Understand the key role of the gut microbiota in health and disease and how interactions between the host and the microbiome can be modified to improve health and prevent illness.

Sex and intimacy are, for many health care professionals, difficult and potentially embarrassing topics to address with patients. Often it is easy to ignore them altogether - particularly if the patient doesn’t raise the subject. This presentation focuses on practical strategies for broaching the subject of sex and intimacy, as well as addressing patents’ needs. The Ex-PLISSIT Model is presented as a useful and practical tool for clinical practice.

Learner Outcome:

• Identify practical strategies for addressing sex and intimacy when supporting people living with chronic wounds, stomas or continence issues.

Nurses – ANCC and CBRN Accreditation Statements
The Wound, Ostomy, and Continence Nurses Society is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Provider approved by the California Board of Registered Nursing, Provider Number CEP 15115.

DISCLAIMER: Accreditation refers to educational content only and does not imply ANCC, CBRN or WOCN Society endorsement of any commercial product or service.

Commercial Support or Non-Commercial Sponsorship:
There is no commercial support or non-commercial sponsorship for this activity.

In a wheelchair-using population, seating and positioning has a significant impact on pressure injury development. Issues of sensation and mobility deficits, skeletal deformity, muscle tone, spasticity, postural collapse and body habitus all impact pressure, shear and friction. In addition to topical wound treatments, mattress and seating surfaces also contribute therapeutically to pressure injury prevention and healing. This lecture will explore common positional pitfalls as well as the properties of different seating surfaces. This will include a review of immersion and cell deformity that occurs when a person weight bears on a surface. After this lecture, you will be armed with tools that will assist you in quickly assessing postural issues that can prevent and/or mitigate skin injury.

Learner Outcome:

• Develop further understanding of the mechanisms of skin integration issues as it relates to seating and positioning.
• Acquire a basic understanding of postural evaluation and how it translates to optimal seating for your clients.
• Identify common pitfalls in seating and positioning to help prevent and/or mitigate skin injuries.

The goal of care is to provide age appropriate examination. To enhance the examination one should choose standard of care imaging. There is a lack of consistency in the utilization of imaging across the life continuum by providers.

The goal of this discussion is to describe the development of a tool to aid in examination and diagnosis.

Learner Outcome:

• The learner will be able to identify age appropriate imaging in the diagnosis of the male.

The lack of continence impacts intimacy and sexuality. We will seek to define and manage those affected. The goal is changing the course of disruption to allow for a greater quality of life.

Learner Outcome:

• The learner will be able to describe the impact of continence on sexuality.

This session will review the more chronic and complex dermatological and medical disease states beyond contact dermatitis, folliculitis and candidiasis. There will be photos of the clinical presentation, review of diagnosis and the parastomal implications. There will be heavy focus on both systemic and local pharmacological treatments. Learn how to manage the stomal and parastomal region and how to co-manage the disease with an interdisciplinary focus for the patients well being.

Learner Outcome:

• The learner will have a greater awareness of advanced parastomal conditions as they relate to chronic disease states, diagnosis, treatment and interdisciplinary management.

Pressure injury remains a nurse sensitive indicator of quality of care. Because of its importance, wound nurses are often at increased legal exposure due to the severity of the pressure injuries. This session will highlight where you may be at risk when pressure injuries develop. Methods to improve your documentation, diagnose unusual wounds and determine if the pressure injury was evolving at the time of admission will be emphasized.

Learner Outcome:

• Describe processes that can be instituted to reduce the risk of legal claims brought upon wound care nurses

Skin substitutes vary in their biological makeup and applications but definitely have a place in wound management. Although there is no perfect skin substitute, individual characteristics and wound types must be considered when selecting which product to utilize. The product under consideration should be easy to use in the appropriate clinical setting. The best evidence, if available, should be factored into the decision process as well as clinical expertise and experience. Wound care providers should develop an individualized and multidisciplinary approach including the basic principles of reducing bioburden and edema and offloading.

Learner Outcome:

• Describe skin substitutes and grafts, indications and utilization.