Cheryl Aaron – Managing the Diabetic Foot: Protocols That Work

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Exploring the Essential Features of “Cheryl Aaron – Managing the Diabetic Foot: Protocols That Work”

Speaker: Cheryl Aaron, PT, DPT, CWS®

Duration: 2 Hours 26 Minutes

Format: Audio and Video

Copyright: Oct 20, 2022 

Media Type: Digital Seminar

Description

According to the National Diabetes Statistics Report, 37.3 million adults are diabetic, 8.5 million are yet undiagnosed and 96 million are prediabetic. Up to 20% of these will develop a diabetic foot ulcer, 80% of which will result in amputation. It doesn’t have to be this way! This session will provide the assessment skills, common causes, complications, and treatment strategies both to prevent ulceration and achieve healing in these difficult cases.

Speaker

Cheryl Aaron, PT, DPT, CWS®

 
Dr. Cheryl Aaron has over 36 years of hands-on wound care experience in multiple clinical settings including private practice, acute, sub-acute, SNF, outpatient, and homecare venues. She is presently the owner of Advanced Wound Care Consultants, providing consultation, teaching, program development, survey readiness, and clinical competencies to the multidisciplinary wound care teams of Homecare agencies, hospitals, nursing and physical therapy schools and other organizations, both locally and nationally. Dr. Aaron is known for her lively, passionate delivery of her presentations with the latest evidence-based research and clinical guidelines. As a doctoral prepared Physical Therapist and nationally board Certified Wound Specialist® with the American Academy of Wound Management, she has a wealth of educational and work-related experience to draw from. Expect to take away valuable insight and information to optimize your clinical outcomes.

Speaker Disclosures:
Financial: Dr. Cheryl Aaron is the owner of Advanced Wound Care Consultants. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Cheryl Aaron has no relevant non-financial relationships.

Objectives

1. Assess the characteristics of a diabetic foot ulcer. 
2. Appraise the factors that contribute to the development of a diabetic foot ulcer. 
3. Apply evidenced based interventions to promote healing. 
4. Determine when to refer to other disciplines to complement healing. 
5. Develop individualized treatment programs for each patient. 

Outline

Comorbidities 

• Coronary artery disease 
• Large and small vessel damage 
• Depression 

Causes of Foot Ulcerations 

• Peripheral & autonomic nervous system neuropathy 
• Mechanical stress 
• Foot deformities 

Assessment and Diagnostic Tools 

• Loss of protective sensation 
• Semmes- Weinstein 5.07 monofilament 
• 128hz tuning fork 
• Capillary refill 
• ABI 

Managing the Diabetic Foot 

• L.E.A.P 
• Callus management 
• Footwear 

Characteristics of a Diabetic Foot Ulcer 

• Location 
• Shape 
• Exudate 
• Wound bed appearance 

Assessment of Bacterial Burden 

• Signs of infection 
• Silent infection 
• Quantitative tissue biopsy 
• Wound cultures 
• Proper wound cleansing 

Orthopedic Assessment 

• X ray 
• Osteolysis 
• Charcot foot 
• Total contact casting 
• Offloading boots 
• Custom shoe inserts 
• Osteomyelitis 

Vital Role of Dietitian 

• Protein & carbohydrates 
• RDA’s for adults 
• Amino acids 
• Nitric oxide 

Optimal Wound Healing Requirements 

• Too wet/too dry 
• Dressings 
• Biologics 
• Silvers 
• Cytotoxics 

Therapy Modalities 

• High and low frequency ultrasound 
• Pulsed lavage/jet ox 
• Hyperbaric oxygen 
• Topical/transcutaneous oxygen 
• Electric Stimulation (HVPG) 
• MIRE 
• Wound Vac 

Target Audience

• Nurses
• Nurse Practitioners
• Physicians Assistants
• Physical Therapists

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