The Skin and Aging: Impact on Wound Prevention and Management
Section: Academy of Clinical Electrophysiology and Wound Management
Co-Section: Academy of Geriatric PT,Home Health Section
Session Code: CE-1A-5373
Date: Thursday, January 24, 2019
Time: 8:00 AM - 10:00 AM
Location: Marriott Marquis
Room: Liberty Salon N

Speaker(s):   Scott Bennie, PT, DSc, MBA
  Jeffrey Emde, PT, DPT
  Rose M. Pignataro, PT, DPT, PhD

Session Type: Educational Sessions
Session Level: Intermediate

The number of adults aged 65 and above will nearly double worldwide between 2015 and 2050. Age-related physiological changes and a decline in functional independence can lead to high rates of chronic wound issues. Elevated risks and impaired healing contribute to reduced quality of life and result in total annual expenditures for wound care greater than $25 billion. This session will cover histologic changes that occur as people age, including differences in size and shape of keratinocytes with epidermal dysplasia and atrophy, decreased dermal cell thickness, and reduced number of mast cells and fibroblasts. The speakers also will discuss pathological consequences arising from impaired angiogenesis, degeneration of the extracellular matrix, thinning of the subcutaneous adipose tissue, decreased immune response, and photoaging. Categories for differential diagnosis of common conditions such as neoplasms, skin tears, pressure injuries, metabolic skin disorders/ neuropathic foot ulcers, and vascular ulcers have been selected based on epidemiological data. Attendees will gain an understanding of guidelines for comprehensive screening and risk assessment, including overall mobility, fall risk, balance deficits, low vision, polypharmacy, psychological stress, environmental conditions, and socioeconomic status. Illustrative case studies will highlight evidence-based interventions to maintain and restore skin integrity, featuring a comprehensive, patient-centered plan of care.

Learning Objectives: Upon completion of this course, you will be able to:

1. Recognize the impact of wounds on the individual and society by reviewing epidemiological data reflecting common types of acute and chronic skin conditions experienced by older adults.

2. Describe physiologic changes associated with aging and their impact on risk of integumentary impairment and delayed healing.

3. Formulate an examination and evaluation strategy that includes comprehensive risk assessment, differential diagnosis, prognosis, and appropriate outcome measures.

4. Construct an evidence-based, patient-centered plan of care to maintain and restore skin integrity in older adults.

CEU: 0.2

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