The first part of this session will discuss urinary incontinence, a common condition in older adults, many of whom believe that this is normal. Typically, incontinence in older adults results from a combination of factors, not only lower urinary tract and pelvic floor dysfunction. This session will provide a framework by which to consider the multi-aetiological nature of incontinence in later life as a "geriatric syndrome" and offer practical steps in management including the potential of pharmacological therapies to ameliorate incontinence in later life.

The second part of this session will discuss Incontinence-Associated Dermatitis (IAD), a common and under-recognised painful skin condition, caused by erosion of the skin from prolonged exposure to urine or stool from incontinence. IAD is often mistaken for a pressure injury and there are major gaps in current practice, including its identification, prevention, and management. As part of a program of work initiated in NSW Australia to improve incontinence skin care, an instrument was developed “Barakat-Johnson Incontinence-Associated Dermatitis Knowledge tool (KnowIAD).” The KnowIAD is a validated instrument and can be applied to evaluate clinician knowledge on incontinence-associated dermatitis.

Supported by 3M Health Care

• Learn about the brand-new innovations of 2022 to simplify the use of instillation therapy for the management of wounds.
• Review the data suggesting instillation therapy is evidence-based, efficient, and cost-effective
• Share expert tips and best practices from the use of the new products that saves time during dressing applications on a variety of wounds
• Engage in case study discussion with panelists
• Take part in a question-and-answer session

Supported by Smith+Nephew

Time is precious. Right now, we are witnessing a growing, aging population with multiple health issues, and an increase in chronic wounds. The economic and human cost to treat wounds are high and can quickly spiral out of control. Healthcare providers are asked to do more with less.

Did you know, 70% of dressing changes are driven by schedules? Unnecessary dressing changes consume valuable time which could be used for patients’ other clinical needs, impacting their wellbeing. 24% of patients with chronic wounds have lived with their wound for at least 6 months, with almost 16% remaining unhealed for a year or more. It’s time to take control of chronic wound care, while empowering our patients in their care.

This session will include a review of urinary incontinence and dysfunction, therapeutic treatment options, and a holistic approach to male and female sexual health.

Science emerging from Adverse Childhood Experiences (ACEs) research demonstrates a compelling dose-response relationship with chronic illness and health risk behaviors in adulthood that overlap significantly with risk factors for wound, ostomy, continence care issues. This session will review the science of ACEs, epigenetics, and resilience factors from the perspective of the WOC nurse and focus on trauma-informed approaches to managing affected adults.

This session will provide a synopsis of the 2021 Guideline for Management of Patients with Lower-Extremity Wounds Due to Diabetes Mellitus and/or Neuropathic Disease from the Wound, Ostomy and Continence Nurses Society™ (WOCN®). The discussion will include: a brief overview of the systematic process used to update/develop the guideline; a summary of evidence-based recommendations from the guideline for screening/ diagnosis, assessment, and management of patients with lower-extremity wounds due to diabetes mellitus (DM) and/or neuropathic disease (ND).

In developed countries, healthcare professionals and patients have access to vast ranges of ostomy products and systems as well as nurses trained in stoma care. In most developed countries stoma products are fully reimbursed. Appropriate pouch selection can be based on clinical assessment.

In emerging countries, the lack of products available can be challenging and may require the use of unconventional materials when no affordable options are there.

This session will discuss some challenges and creative solutions ET/ Stoma/ Ostomy care Nurses and patients have to deal with over the world.

Type 2 diabetes is a worldwide epidemic, often leading to serious complications and premature mortality. In the context of Covid-19, poorly controlled diabetes greatly increases mortality, and racial disparities in diabetes prevalence have fueled disparities in Covid-19 mortality.

New nutritional interventions for diabetes have shown surprising power in both its prevention and management, and particular attention has been paid to plant-based diets. As a group, individuals following such diets have a lower diabetes prevalence, compared to others. They also tend to have lower cholesterol levels and are less likely to be overweight or hypertensive. In clinical trials, plant-based diets have led to dramatic improvements in diabetes management, typically reducing medication requirements and sometimes making the condition disappear for all intents and purposes.

Type 2 diabetes starts with the build-up of microscopic fat particles inside muscle and liver cells (intramyocellular and hepatocellular lipid), which causes the cells to stop responding normally to insulin, a condition called insulin resistance. A low-fat, plant-based diet—which, of course, has no animal fat and very little fat in general—directly addresses this fundamental cause of diabetes. Magnetic resonance spectroscopy shows that a low-fat plant-based diet reliably reduces intramyocellular and hepatocellular lipid, with the result that insulin resistance can be replaced by increasing insulin sensitivity.

This presentation will describe the rationale for a plant-based diet and how to put it to use, including simple steps that can be used by patients in the clinical setting. Because the intervention relies on food, the result is not only improvement in the identified patient, but often also in the family.

The following session is not available for Contact Hours. It does not comply with ANCC Standards.

This session will focus on updates in robotic surgery for cystectomy and optimization of pre and post operative cystectomy patients to improve outcomes. This will include a review of the pros and cons of a robotic approach for cystectomy. A focus on enhanced recovery after surgery coupled with a unique interactive-home monitoring program and the role of the APP and WOC nurse will be discussed. Reducing readmissions is the focus of this surgical program for optimal patient outcomes.

Advance practice providers are being utilized in many different capacities to address gaps in care within our health care system. In 2012, the Wound, Ostomy and Continence Nursing Certification Board started to offer certification in wound ostomy and continence for providers at an advance practice level. This was done to recognize the benefits that additional training may offer to this patient population including ordering and interpreting diagnostic tests, medication management as well as prevention of emergency department visits/hospitalizations for skin and fluid/electrolyte balance and prescription management for ostomy supplies. This session will describe the transformation of a small nurse-run ostomy clinic into a system-wide nurse practitioner run program.