15 minute read
Monday, June 6
MONDAY, JUNE 6, 2022
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BREAKFAST SYMPOSIA SESSIONS
(S06) Challenge Your Past Understanding of Convexity and Imagine a New Approach 7:00 AM CDT - 8:30 AM CDT
(Lecture and Discussion) CONTACT HOURS: 0
Moderator: Mikel Gray, PhD, FNP, PNP, CUNP, CCCN, FAANP, FAAN
Speakers: Janice Colwell, APRN, CWOCN, FAAN Bethany McDade, MS, RN, AGPCNP-BC, CWON Terran Sims, MSN, ACNP-C, CNN-BC, COCN-C Janet Stoia Davis, RN, CWOCN, FCN
SUPPORTED BY COLOPLAST CORP.
Ostomy care nurses use multiple clinical parameters and clinical judgement, based on evolving education and experience, to help each patient find the best pouching system to minimize leakage. Ideally, this process is based on clinical practice guidelines; however, when it comes to the use of convexity as a first-line choice there is a lack of guidance in the post-operative period. In this session, you will hear from a panel of experts as they discuss the use of a convex pouching system in the post-operative period – including the immediate (0-8 days), post-operative (9-30 days), and transition (31-180 days) periods -based on their involvement in a recent national consensus.
(S07) At-Risk Skin – Are We Doing What We Think We Are?: 21 New Consensus Statements 7:00 AM CDT - 8:30 AM CDT
(Lecture and Discussion) IN-PERSON ONLY
CONTACT HOURS: 0
Speakers: Diane Krasner, PhD, RN, FAAN, FAAWC, MAPWCA Joanne Labiak, MSN, CRNP, CWOCN, CWS, DAPWCA Catherine Milne, APRN, MSN, ANP/ACNS-BC, CWOCN-AP Melissa Morgan, MSN, RN, CWCN Monica Timko-Progar, BSN, RN, ET, CWS, FACCWS
SUPPORTED BY MEDLINE INDUSTRIES, INC.
• To present 21 new consensus statements on At-Risk Skin
• To review the data and research on At-Risk Skin
• To discuss the implications of the 21 new consensus statements on At-Risk Skin across the continuum of care
GENERAL SESSIONS
(GS3) The Science Catches Up with the Kennedy Terminal Ulcer (W, PP) 8:40 AM CDT - 9:40 AM CDT
(Lecture and Discussion) CONTACT HOURS: 1
Speakers: Karen Kennedy-Evans, RN, APRN-BC, FNP Leslie Ritter, PhD, RN
The presenters will discuss the KTU in the context of skin failure. The Kennedy Terminal Ulcer (KTU) was first described by Karen Kennedy-Evans over three decades ago. Common characteristics of the KTU, for example, size, shape, onset, and association with end of life will be Presented by Ms. Kennedy Evans. She will also present findings from a recent study using thermography to examine skin temperature characteristics of early KTU. Leslie Ritter, PhD, RN will discuss the microvascular pathophysiology that may explain theories on the development and characteristics of the KTU.
(GS4) What’s Next in Research: Abstract Presentations & Poster Merit Awards (W, O, C, PP) 9:50 AM CDT - 11:05 AM CDT
(Lecture and Discussion) CONTACT HOURS: 1
Moderator: Carole Bauer, MSN, RN, ANP-BC, OCN, CWOCN
This session will provide an opportunity for you to hear the latest research findings in WOC nursing. Research-based abstracts are selected by a rigorous, two-step peer review process. Clinical investigators will present their findings in a moderated session.
“It’s Different When Your Prosthesis Is A Bag” Experiences of Persons Living with an Ostomy: A Photo Elicitation Study Shanna Fraser, PhD, RN, ACNS-BC, CWOCN
Neonatal Intensive Care Nursing Pressure Injury Prevention Practices: A Descriptive Survey Ivy Razmus, RN, CWOCN, PhD
Benefits of providing a single-session, in-hospital preoperative education program in patients undergoing ostomy: a randomized controlled trial Hyunjung Yeo, RN, MSN, WOCN, APN
An external female urinary management device: A quasiexperimental study Terrie Beeson, MSN, RN, CCRN, ACNS-BC
CONCURRENT SESSIONS
(300) Strengthening the Core After Ostomy Surgery: What’s Safe? What Can Patients Do and What Should They Avoid? (O, C, PP) 11:15 AM CDT - 12:15 PM CDT
(Lecture and Discussion) CONTACT HOURS: 0
Speaker: Sarah Russell, MSc
In this presentation, Sarah will share the evidence and research about the importance of core exercises for ostomy patients. Instead of ‘rest for 6 weeks’ or ‘avoid core exercises’ she will talk about the important role of early rehabilitation and how this could reduce the risk of parastomal hernia. In the presentation, she will also share exercises that nurses can teach their patients right away, plus highlight some exercises that patients might want to avoid. After this presentation, participants will feel more confident to talk about safe and appropriate core exercise with their ostomy patients.
(301) Abstract Presentations (W, O) 11:15 AM CDT - 12:15 PM CDT
(Lecture and Discussion) CONTACT HOURS: 1
Moderator: Carole Bauer, MSN, RN, ANP-BC, OCN, CWOCN
This session will provide an opportunity for you to hear the latest research findings in WOC nursing. Research-based abstracts are selected by a rigorous, two-step peer review process. Clinical investigators will present their findings in a moderated session.
Elderly Partners’ Experience of Bladder/Colorectal Cancer Diagnosis, Surgery, and Ostomy Dinah Herrick, PhD, RN
Effect of a Cooling Intervention on Pain and Physical Activity in Patients With Recently Healed Chronic Venous Leg and Diabetic Foot Ulcers: A Randomized-Controlled Trial Teresa Kelechi, PhD, RN, CWCN, FAAN
Surgical Nurses’ Perception of Their Knowledge, Skills and Confidence in Providing Ostomy Education to Adult Post-Op Ostomy Patients Laura Benedetto-Rugen, RN, BSN, CWOCN
Subepidermal Moisture Measures and Their Relationship to Early Identification of Pressure Injuries in Both Dark and Light Skin Tones in The Acute Care Setting Cecilia Zamarripa, PhD, RN, CWON
(302) Development of a Fecal Management Protocol (C) 11:15 AM CDT - 12:15 PM CDT
(Lecture and Discussion) CONTACT HOURS: 1
Speaker: Carol Mathews, BSN, RN, CWOCN
Nurses can develop creative ways to overcome symptom management in their patients especially when it involves bodily fluids such as diarrhea. We found that nurses were using Nasopharyngeal Airway devices as off label rectal trumpets to manage fecal incontinence. However, in addressing the diarrhea containment problem other unintended patient problems soon developed resulting in several adverse patient safety events including: rectal mucosal injury, bleeding, and perirectal injuries. The team revised the existing fecal containment policy which now includes a focus on patient assessment of reversible factors resulting in diarrhea, and initiation of nursing interventions to address those factors. A formal protocol was developed to address inappropriate utilization of fecal containment systems.
(303) Rash Decisions: An Algorithmic Approach to Skin Eruptions (W, O, C)
Speaker: Jeremy Honaker, PhD, MSN, FNP-C, CWCN, DCNP
Have you ever been asked to look at a rash? Skin eruptions can be intimidating to evaluate and even harder to figure out. In this interactive session, an algorithmic approach to evaluating and diagnosing skin eruptions will be presented. Skin exam tips, common dermatology terminology, dermatology morphology examples, and 3 case studies will be used to assist in understanding how to apply the algorithm in real world scenarios.
EXHIBITS OPEN
12:15 PM CDT – 3:15 PM CDT
INNVOVATION HUB PRESENTATIONS
(IH04) Initial Experiences with NPWT Innovations: How Recent Advances Play a Role in Bringing Efficiency to the Acute Patient’s Wound Healing Journey 12:45 PM CDT - 1:15 PM CDT
CONTACT HOURS: 0
Speakers: Elizabeth Faust, MSN, CRNP, CSWS, CWOCN-AP, DAPWCA Mary Anne Obst, RN, CWON
PRESENTED BY 3M HEALTH CARE
Are you curious about the latest innovations for instillation therapy? Come learn how 3M has simplified the instillation process and enhanced dressing application experience for clinicians!
During this program, the speakers will: • Share initial experiences with new system upgrades and dressings • Help clinicians gain confidence in instillation therapy and solution settings • Explore compatible solution types for wound healing • Learn how a skin-friendly hybrid-acrylic drape helps establish seals in wounds across diverse anatomical locations • Discuss clinical experiences with the latest clinical innovations • Take part in a question-and-answer session
(IH05) Widen the Possibilities! Introducing Hollister’s New Line of High Output Pouches with Extra Wide Bore Tap 1:20 PM CDT - 1:50 PM CDT
CONTACT HOURS: 0
Speakers: Sarah Strong, BSN, RN, CWON Ryan Hutchinson, MBA
PRESENTED BY HOLLISTER INCORPORATED
Please join us as we share the new product innovations in high output ostomy management available from Hollister Incorporated. Perspectives will be shared by Hollister R&D on product development, as well as insights on how to utilize the new line of high output solutions.
(IH06) A New Approach to and Old Problem: Implementation of a Pressure injury Bundle in the Emergency Department 1:55 PM CDT - 2:25 PM CDT
CONTACT HOURS: 0
Speaker: Lisa Grubb, DNP, RN, C/DONA, WOC, CPHQ
PRESENTED BY MÖLNLYCKE HEALTH CARE
Learner Objectives: 1. Learner will be able to describe some components of a pressure injury prevention bundle. 2. Learner will understand the importance of pressure injury prevention in the emergency department.
(IH07) Transform Cleansing Practice: Following the Science and Consensus Guidelines 2:30 PM CDT - 3:00 PM CDT
CONTACT HOURS: 0
Speaker: Mary Anne Obst, RN, CWON
PRESENTED BY URGO MEDICAL
Protocols are vital in clinical practice; however wound care presents unique challenges that can impact quality outcomes. In this session, we will explore consensus guidelines and published evidence to understand how variables can be removed through the standardized use of Pure Hypochlorous Acid (pHA) preserved solutions to improve outcomes and lives for patients.
CONCURRENT SESSIONS
(304) If The Shoe Fits: An International Perspective on Footwear (W, FN) 3:25 PM CDT - 4:25 PM CDT
(Lecture and Discussion) CONTACT HOURS: 1
Speaker: Dennis Janisse, C.Ped.
In this session we will review simple, low-cost solutions to footwear and offloading techniques for plantar ulcerations, and protection of feet. In many parts of the world appropriate/ protective shoes are not available or are prohibitively expensive. These solutions can be accomplished with materials, tools, and supplies available locally in low resource regions of the world.
(305) Norma Gill Lecture: History and Current Trends in Intestinal Rehabilitation and Transplantation (W, O, P)
Speaker: Geoff Bond, MD
The world of intestinal failure has changed markedly over the last 30 years. From TPN dependence and the complications of intestinal failure associated liver disease and central line management, intestinal transplantation came to the fore as the ultimate salvage therapy. Now some 30 years later, the pendulum has swung somewhat to fewer transplants and better long term salvage with medical and surgical therapies for intestinal failure. New pharmacological therapies may offer alternatives to transplantation. This session will review where we started, how we progressed and what is the paradigm for managing intestinal failure patients, adults and children currently.
(306) Zeros for Heroes - Skin Champions Integrating Evidence into Practice (W, C, P)
Speakers: Sharon John, BSN, RN, WCC Melayne Martin, BSN, RN, CWOCN Tammy Regitz, RN, WCC Marivel Tharp, BSN, RN, WCC
This session will describe how one urban, teaching hospital garnered support for and developed a team of Skin Champions. It will explain how this team has created evidence-based algorithms and protocols to guide practice for both prevention and treatment of skin injuries. Tools, education tactics, and documentation will all be shown to illustrate how this team is translating evidence into practice, one patient at a time.
(307A) The Effects of Education About UI on Nurses and CNAs (C, PP)
Speaker: Kathleen Hunter, PhD, RN, NP
Nurses and health care aides provide the majority of frontline continence care across settings, from hospital to long term care. Unfortunately, this care is often seen as ‘simple” or “basic”, and assigned to care aides with minimal professional involvement. Myths abound, including the myth that incontinence is an inevitable part of aging. This presentation will focus on how education for nurses and health care aides can shift to understanding continence as a complex part of care when viewed from the lens of lower urinary tract symptoms rather than a binary of people being simply continent or incontinent. The different learning needs for licensed nurses versus care a ides will be identified, and approaches to team work to improve continence promotion, assessment and management through education strategies explored.
(307B) Medications That Cause UI (C)
Speaker: Kathleen Hunter, PhD, RN, NP
In this session, we will explore five classes of medications that increase the risk of incontinence or increased risk of related issues including Incontinence Associated Dermatitis (IAD), adverse changes in cognition, falls and urinary tract infection. Drug classes that will be reviewed include: anticholinergics, calcium channel blockers, diuretics, psychotropic drugs, and sodium-glucose co-transporter 2 (SGLT2) inhibitors.
(308) Crafting Techniques to Address Ostomy Clinical Challenges Hands-on Workshop (O)
3:25 PM CDT - 4:55 PM CDT 90 (Hands-On Workshop) IN-PERSON ONLY
CONTACT HOURS: 1 .5
Speakers: Janice Colwell, APRN, CWOCN, FAAN Laurent Olivier Chabal, BSc (CBP), RN, OncPall (Cert), Dip (WH), ET, EAWT
This session will present several clinical challenges that our ostomy patients face. The session will be interactive, the attendee will be asked to start the session by sharing challenges that we all face (access to supplies, lack of support, lack of follow up, etc.), then will be presented with several challenges with some access to products and will work in small groups to develop a plan of care. The plan of care will be Presented by a spokesperson for each group and the entire group will provide feedback. The number of attendees will be limited to allow for discussion and feedback. Attendees should come prepared for group work and discussion.
TICKETED SESSION
(309) What You Need To Know Before You Go Travelling (O, C, PP)
Speaker: Zarah Perry-Woodford, RN, MSC Advance practice, Nonmedical prescriber
For millions of people around the globe, travelling is an integral part of modern life, encompassing both recreational and occupational activities, with little attention being paid to the complexities it may hold. However, since the outbreak of the novel Covid-19 strain of the coronavirus, the concept of travel has changed universally. For some people, travel has become impossible or too challenging to consider, leading to an array of physical and psychological conditions. This session aims to inform nurses how they can holistically support stoma and pouch patients who are either new to the concept of travel or those who have lost confidence to do so.
(310) International Working Group on the Diabetic Foot (IWGDF) Practical Guidelines (W, FN) 4:35 PM CDT - 5:30 PM CDT
(Lecture and Discussion) CONTACT HOURS: 1
Speaker: Joseph Mills, MD, FACS
Every 20 seconds somewhere in the world someone loses a leg due to the complications of diabetes. At this moment, millions of people with diabetes suffer from poorly healing foot ulcers. These people can be helped when a multidisciplinary foot team shares common goals and follows evidence-based care. The mission of the International Working Group on the Diabetic Foot (IWGDF) is to produce evidence-based guidelines to inform health care providers all over the world on strategies for the prevention and management of diabetic foot disease. Thus the IWGDF aims to reduce the high patient and societal burden of diabetic foot disease.This session will review the latest IWGDF guidelines on the prevention and management of diabetic foot disease and discuss practical ways to implement the guidelines.
Speaker: Jennie David, PhD
This session aims to provide an overview of the roles of medical decision-making and education in pediatric ostomy surgery, with a focus on the developmental nuance this populations present. The decision-making by parents, patients, and providers are complex in navigating the child’s development, psychosocial health/considerations, and clinical equipoise of other medical options; additionally, these experiences become more nuanced in integrating the child or adolescent’s perspective in a manner that is developmentally and culturally appropriate. This session will incorporate recent research about what is known for medical decision-making and education in pediatric ostomy surgery. Implications of this research, as well as the gaps in knowledge will be discussed and will then highlight the work that needs to be done in this area. Additionally, this session will incorporate resources and clinical considerations for attendees.
(311B) Treatments for IBD in the Young Population (O, PP)
Speaker: Shervin Rabizadeh, MD, MBA
This session will review the latest knowledge in pediatric Inflammatory Bowel Disease with particular focus on the treatment of patients with this lifelong, often debilitating, disorder.
(312) Abstract Presentations (W, PP, FN) 4:35 PM CDT - 5:35 PM CDT
(Lecture and Discussion) CONTACT HOURS: 1
Moderator: Elizabeth Ayello PhD, MS, BSN, ETN, RN, CWON, MAPWCA, FAAN
This session will provide an opportunity for you to hear the latest research findings in WOC nursing. Research-based abstracts are selected by a rigorous, two-step peer review process. Clinical investigators will present their findings in a moderated session.
A Pragmatic Randomized Controlled Clinical Study to Evaluate the Use of Silicone Dressings for the Treatment of Skin Tears Kimberly LeBlanc, PhD, RN, NSWOC, WOCC(C), FCAN
Incidence and Risk Factors for Medical Device-Related Pressure Injury in Intensive Care Unit Unstable Patients: A Prospective Cohort Study Juliano Teixeira Moraes, RN, MS, PhD, CETN
Digitizing Wound Care: How Data-Driven Wound Management Transformed Our Practice Forever Michael Oliver, MSc, BSc (Hons)
Evaluation of the Microbial Population and Treatment with Photodynamic Therapy in Feet Ulcers of People with Diabetes Idevania Costa, RN, NSWOC, PhD
