Challenges and Solutions for End-of-Life Wounds

Credit

Speaker

Marygrace K. Lomboy, MSN, CRNP, ACHPN®, CWCN® Related seminars and products

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Mary Grace Lomboy, MSN, CRNP, ACHPN®, CWCN®, is a Certified Family Nurse Practitioner with Palliative Medicine Consultants and Hospice and Community Care in Pennsylvania. She holds certifications in family practice, advanced certification in hospice palliative care, and a wound care certification through Wound, Ostomy and Continence Certification Board®.

Marygrace has over 38 years of experience in nursing and has gained extensive experience caring for patients with end stage disease through work in hospice and palliative care for the past 18 years. She is a speaker for PESI HealthCare and Med Ed, providing seminars throughout the country on palliative care, wound management, compassionate fatigue, and resiliency training.

Speaker Disclosures:
Financial: Marygrace Lomboy has an employment relationship with Hospice and Community Care. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Marygrace Lomboy has no relevant non-financial relationships.

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Objectives

1. Evaluate common wounds seen at end of life and provide a comprehensive wound and periwound assessment.
2. Differentiate between arterial, venous, neuropathic, pressure ulcers, incontinent associated dermatitis, and end of life wounds.
3. Determine strategies to manage symptoms (odor, bleeding, drainage) of an unavoidable end of life wound.    
4. Analyze pain management plans for various end of life wounds.

Outline

Palliative Wound Care

• When to choose palliative wound care vs aggressive wound care options
• Addressing frailty and comorbid disease

End of Life Wounds, Challenges & Solutions

•  Pressure
• Incontinent associated dermatitis
• Arterial
• Venous
• Fungating wounds/cancer related
• Kennedy ulcerations

Symptom Management Strategies for End of Life Wounds

• Bleeding
• Odor
• Excessive drainage
• Complex fistulas
• Pain
• Infection/sepsis prevention
• Dressings/management strategies

Addressing Pain

• Physical pain
• Social pain
• Emotional pain
• Spiritual pain

Target Audience

• Social Workers
• Nurses
• Physician