Skin and Peristomal/Peri-wound

Required readings

1. Sibbald RG, Alavi A, Sussman G, Ayello E, Goodman L. Dermatological
   aspects of wound care. In Krasner DL, Rodeheaver GT, Sibbald RG, Woo
   KY, editors. Chronic Wound Care: A Clinical Source Book for Healthcare
   Professionals. 5th ed. Vol 1. Malvern, PA: HMP Communications, 2012:207-222.
2. Woo KY, Sibbald RG. The ABCs of skin care for wound care clinicians: dermatitis
   and eczema. Adv Skin Wound Care. 2009; 22(5):230-6.

Question 1: A patient with a venous leg ulcer develops acute dermatitis.
Discuss the elements of your assessment, differential diagnosis and treatment approach.

Required readings

1. McNichol, L, Ayello EA, Phearsman LA, Pezzella PA, Culver, EA. Incontinence
   Associated Dermatitis: State of the Science and Knowledge Translation. Advances
   in Skin and Wound Care. 2018, 31(11) in press.
2. Black, J, Gray M., Bliss, DZ, et al. MASD Part 2: Incontinence-associated
   dermatitis and intertriginous dermatitis. A Consensus. JWOCN. 2011;38(4):359-370.
3. Diane K. Newman, RNC, MSN, CRNP, FAAN; Ave Maria Preston, RN, MSN, CWOCN; Sylvia Salazar, MD, Moisture Control, Urinary and Fecal, Incontinence, and Perineal Skin Management

Question 2 (i): Differentiate the following:
• moisture associated skin damage (MASD)
• pressure ulcer/injury

Question 2 (ii): Develop a plan of care for the assessment and treatment of MASD due to IAD (incontinence associated dermatitis).

Required reading

1. Reddy M, Holroyd-Leduc J, Cheung C, Woo K. Geriatric principles in the practice
   of chronic wound care. In Krasner DL, Rodeheaver GT, Sibbald RG, editors.
   Chronic Wound Care: A Clinical Source Book for Healthcare Professionals. 4th
   ed. Malvern, Pa: HMP Communications, 2007:663-678.

Question 3: Discuss the common causes of poor wound healing in either the aged or the neonate/pediatric patient and propose a “skin healthy program”.

Required reading

1. Kennedy-Evans KL, Henn T, Levine N. Skin and wound care for the bariatric
   patient. In Krasner DL, Rodeheaver GT, Sibbald RG, editors. Chronic Wound
   Care: A Clinical Source Book for Healthcare Professionals. 4th ed. Malvern,
   Pa: HMP Communications, 2007:695-700.

Question 4 (i): Discuss the risk factors that delay healing in the bariatric patient and what treatment options are available to optimize healing?

Question 4 (ii): Develop a plan of care for the assessment and treatment of skin folds in the bariatric patient.

Required readings

1. Shavit E, Afsaneh A, Sibbald, RG. Pyoderma Gangrenosum: A Critical Appraisal.
   Advances in Skin & Wound Care: December 2017 - Volume 30 - Issue 12 - p 534–
   542 doi: 10.1097/01.ASW.0000526605.34372.9e
2. Poritz LS, Lebo MA, Bobb AD, Ardell CM, Koltun WA. Management of
   peristomal pyoderma gangrenosum. J Am Coll Surg. 2008; 206(2):311-5.
3. Woo KY, Sibbald RG, Ayello EA, Coutts PM, Garde DE. Peristomal skin
   complications and management. Adv Skin Wound Care. 2009; 22(11):522-532.

Question 5 : Develop a table that differentiates between peristomal pyoderma gangrenosum and another peristomal condition of your choice. Include how treatment options differ.