Program

Lower Extremity Summit

Time Information
7:45 AM - 8:25 AM
Registration and Breakfast

8:25 AM - 8:30 AM
Welcome

8:30 AM - 9:30 AM
Global Issue of Lower Extremity Wounds
Valerie Messina RN, ,

What is the impact that lower extremity wounds have on health care systems and the community?  Both the actual cost of treating these wounds and the “real” cost of lower extremity wounds will be explored and discussed.  This will set the stage for the importance of this conference.
9:30 AM - 10:00 AM
Wound Care Work Up: The Basics
Kim Thomas DNP, ,

A thorough wound care work-up is essential to help develop a comprehensive plan of care to treat complex and/or chronic wounds. This session will outline the importance of a wound care work up and what relevant pieces of patient history and diagnostics should be gathered as part of the consultation process.
10:00 AM - 10:30 AM
AM Break and Exhibition Viewing

10:30 AM - 11:00 AM
Wound Bed Preparation: Debridement: The Art Form and the Science
James McKee DPM, ,

This session will look at clinical and surgical wound bed preparation. Two surgeons will take you through both frequency and adequacy of the debridement of wounds. How deep is too deep? Should all wounds be debrided? Is surgical debridement the only debridement?
11:00 AM - 11:45 AM
Oh Those Swollen Legs: Edema
Marta Ostler PT, ,

This session will educate the learner about lower extremity edema and focus on clinical treatment to reduce the edema. There will be a discussion on the relationship between the lymphatics and the vascular system and what role they play in chronic ulcer management. The focus will be on the treatment opportunities that need to be included in clinical management of every patient with edema.
11:45 AM - 12:25 PM
Lunch and Exhibition Viewing

12:25 PM - 12:45 PM
The Influence of Adequate Debridement on Healing of Chronic Lower Extremity Diabetic Ulcers
William Tettelbach MD, ,

12:45 PM - 1:30 PM
Lymphedema - Edema with a Twist
Frank Aviles PT, ,

The Lymphatic system is poorly understood especially when dealing with our wounded population. Recognizing and effectively treating edematous conditions such as chronic venous hypertension, lymphedema, and phlebolymphedema can help prevent further disease progression and wound regression.
1:30 PM - 2:00 PM
Confucius Say - All mixed up! Wounds with Mixed Etiologies
Frank Aviles PT, ,
Kara Couch NP, ,

Ulcers do not always have just one etiology.  Often times, especially in lower extremity ulcers, other etiologies or comorbidities play a role in slowing ulcer healing.  We will discuss the common etiologies that affect our patients with lower extremity ulcers
2:00 PM - 2:45 PM
When Do You Call the Surgeon - Surgical Interventions
James McKee DPM, ,

Have you ever asked yourself the question, ‘How long should I hold on to this non-healing wound?’ This session will provide guidance on when to call in your surgeon. Take a look at pedal wounds from a podiatric surgeon’s eyes. We will also look at different levels of amputation and what the intermediate and long-term effects are for patients.
2:45 PM - 3:15 PM
PM Break and Exhibition Viewing

3:15 PM - 3:45 PM
If it Quacks is it a Duck? Atypical Wounds
Kim Thomas DNP, ,

Sufficient high-quality evidence is limited for wounds that are considered atypical. This session will provide an overview about wounds considered atypical and modern treatments available for wound healing based on best documented options.
3:45 PM - 4:15 PM
How does Blood Flow to the Toe?
Misty Humphries MD, ,

4:15 PM - 5:15 PM
Wound Healing Roundtable
James McKee DPM, ,
Elizabeth Faust NP, ,
Misty Humphries MD, ,
Bijan Najafi PhD, ,
Frank Aviles PT, ,

The moderator will guide the multidisciplinary panel discussion about best practices to improve outcomes in a “live” unrehearsed setting. The topic will include the treatment of challenging wounds. 
Time Information
7:30 AM - 8:00 AM
Registration and Breakfast

8:00 AM - 8:30 AM
At Risk Populations
Mary Haddow RN, ,

Skin serves as our protective suit of armor against environmental insult and injury. If eyes are a window of the soul, skin might be considered a window to or indicator of overall health and well-being. Age-related changes to our bodies are inevitable and most visible early and late in life. While nothing stops Father Time and Mother Nature from their steadfast march, there are simple, effective strategies and protective measures that can aid in reducing the potential for harm to fragile extremity skin as a consequence of the activities of daily life.  Participants will be able to ask questions and share their successful experience.

8:30 AM - 9:00 AM
The Four Week Marker
Elizabeth Faust NP, ,

This session will discuss the importance of healing rates over the first 4 weeks of wound management and the predication for wound healing beyond that.  It will tie in well with other sessions discussing advanced wound modalities.
9:00 AM - 9:30 AM
Bioburden Continuum 2: Systemic Infections, Abx Stewardship
Kara Couch NP, ,

Our patients with ulcers are constantly dealing with various aspects of bioburden, infection and colonization.  With the focus on antibiotic awareness in treatment, it is very important to become more educated on the correct way to work up and treat our patients who are dealing with the bioburden issues that affect ulcer healing
9:30 AM - 10:00 AM
When the Foot Hits the Ground the Wound Changes (IDSA Guidelines)
Bijan Najafi PhD, ,

In this exciting session Dr Najafi will provide an introduction to biomechanics, an explanation of what happens as our feet hit the ground. He will also take us into the near future, one where wearable sensors (wearables) help detect and most importantly prevent injury in our most vulnerable populations.
10:00 AM - 10:30 AM
AM Break and Exhibition Viewing

10:30 AM - 11:00 AM
Adjunctive Modalities
Frank Aviles PT, ,
Marta Ostler PT, ,

Clinicians may need to utilize various interventions or modalities when treating chronic wounds. Modalities such as electrical stimulations, low frequency contact and noncontact ultrasound, and high frequency ultrasound can be beneficial when selected for the right reason at the right time for the right patient.
The Patient Experience

11:00 AM - 11:30 AM
So Many Dressings, So Little Time
Mary Haddow RN, ,

Choosing the proper dressing for your patient is not always easy, but it can be if you follow the ‘map’ in front of you. Let your experience – and your current wound assessment be your guide. This includes how well the previous dressing you just removed performed for the patient. The dressing will and should change as the wound heals. Wound care is like cooking: there are novices, there are chefs and there are master magicians. Knowing what to use from your ‘pantry’ can make a big difference!
11:30 AM - 12:00 PM
Physical Therapy - What's the Role?
Marta Ostler PT, ,

This session will provide the learner with a historical perspective on the role of PT in the clinical management of wounds and ulcers. The learner will be provided opportunities to engage Physical therapist to be on the wound/ulcer healing team for the benefit of healing and more long-term management of the patient with ulcers.
12:00 PM - 1:00 PM
Lunch and Exhibition Viewing

1:00 PM - 1:30 PM
The Future Today: Advanced Modalities
James McKee DPM, ,

1:30 PM - 2:00 PM
2:00 PM - 2:30 PM
PM Break and Exhibition Viewing

2:30 PM - 3:30 PM
Regulatory: Call to Action/A-Z workup
Kara Couch NP, ,

Wound care is expensive and uses a lot of healthcare resources in all care environments.  Insurance companies and CMS are constantly revising coverage determinations and these policies can make it very difficult to provide care. So much has been happening in 2019 and we will review the new payment models for home care as well as upcoming changes for the Outpatient Prospective Payment System for 2020.
3:30 PM - 4:30 PM
All Hands On Deck: The Team Approach
James McKee DPM, ,
Kara Couch NP, ,
Mary Haddow RN, ,

Healing lower extremity wounds requires multiple specialties; each of whom plays a key role. If you don’t know what you are doing, you need to refer to someone else. Using a case-based approach, a team of providers and clinicians will share their experiences and how they use their collective wisdom. This interactive session will include the attendees to gain additional perspectives on how wound care is a team sport.