EPUAP 2022 Workshops
Due to the limited capacity of workshops, we recommend saving a place via pre-registration.
The role of risk assessment in pressure ulcer prevention (Susanne Coleman, Great Britain) 15.09.2022 10:45 – 12:00
GIBBON workshop (Kevin Moerman, Ireland) 15.09. 2022 13:15 – 15:30
Repositioning (Menno Van Etten, Norway) 15.09.2022 13:15 – 14:30
Debridement (Lucie Charbonneau, Switzerland and Steven Smet, Belgium) 15.09.2022 16:40 – 17:40
Wound assessment (Helen Strapp, Ireland) 16.09.2022 09:00 – 10:15
Skin care considerations for the patient in the prone position (Dimitri Beeckman and Anika Fourie, Belgium) 16.09.2022 09:00 – 10:15
Pain in pressure ulcers (Jane Nixon, Great Britain) 16.09.2022 11:00 – 12:00
Pressure ulcer prevention in younger population (Guido Ciprandi, Italy and Ann Marie Nie, USA) 16.09.2022 11:00 – 12:15
Workshop: The role of risk assessment in pressure ulcer prevention by Susanne Coleman (UK)
Workshop Risk assessment remains a key component of Pressure Ulcer prevention and this workshop will explore its role from a theoretical and practical perspective. The workshop will incorporate a short power point presentation and delegates will then have the opportunity to practice conducting risk assessment using case studies with clinical judgement alone and a risk assessment instrument/tool.
Workshop GIBBON: the open source toolbox for computational biomechanics by Kevin Moerman (Ireland)
Join this workshop to learn about GIBBON: a FREE and open-source MATLAB toolbox for computational biomechanics. Applications, in the context of pressure ulcer research include tissue load evaluation, as well as the computational design and optimisation of biomechanical interfaces, such as mattresses and prosthetic sockets. GIBBON includes tools for image-based modelling and segmentation, geometry processing, meshing, and, by interfacing with FEBio, advanced finite element analysis. The first half of this workshop provides an overview of GIBBON’s core functionality in the context of pressure ulcer research. In the second half attendees are guided to explore functionality themselves, and have the opportunity to apply GIBBON to their own data and applications.
Learning objectives
Through this workshop you will be introduced to:
• Finding GIBBON documentation and running demos
• Obtaining model geometry from 3D image data
• Basic geometry processing, such as cutting, extruding, smoothing, and remeshing
• Creating volumetric meshes (e.g. tetrahedral and hexahedral meshes)
• Specifying finite element model boundary conditions in GIBBON
• Running GIBBON coded FEBio models from MATLAB
Workshop: Repositioning by Menno van Etten (Norway)
In the EPUAP definition of pressure ulcers is says: “a localized injury to the skin and/or underlaying tissue, usually over a bony prominence”. The goal for positioning an individual should be to reduce the time spent laying directly on bony prominences. In this workshop participant will practice on the 30 degrees side lying position and get hands on tips how to handle the challenges this position has. For example, how to position the individual stable, comfortable and secure, so they will be able to lay over prolonged periods of time. We will also shortly discuss repositioning in seated.
Workshop: Debridement by Lucie Charbonneau (Switzerland) and Steven Smet (Belgium)
Throughout this workshop, the participants will be introduced to various types of debridement and will explore a comprehensive wound assessment methodology to evaluate whether wound debridement is required or not. In the 2nd part the participants can practice their sharp debridement skills to experience the importance of professional accountability and to recognize the possible limitations when performing a sharp debridement in clinical practice.
Workshop: Skin care considerations for the patient in the prone position by Anika Fourie and Dimitri Beeckman (Belgium)
Placing the patient with moderate to severe acute respiratory distress syndrome (ARDS) in the prone position to improve oxygenation is not a new concept; yet literature shows that pressure ulcers are still a highly prevalent adverse event seen with this life-saving therapy. Skin damage can be mitigated through education and implementation of evidence-based practices. In this workshop we will discuss practical suggestions for the prevention of skin damage for the ventilated patient in the prone position.
Workshop: Wound assessment by Helen Strapp (Ireland)
The complexity of wounds requires practitioners who are skilled in wound assessment, diagnosis and treatment. Accurate and timely wound assessment within underpins effective clinical decision-making. A systematic and standardised approach is essential for good wound management to enable appropriate clinical diagnosis, accurate and timely wound management. The accurate assessment provides baseline information against which progress can be measured.
This workshop will explore:
- How to carry out a comprehensive Assessment
- Wound Assessment Tools
- Measuring Wounds
- Discuss the factors that may delay wound healing
- Undertake completing a wound assessment char
Workshop: Pain in Pressure Ulcers by Jane Nixon (UK)
Introduction:
Patients have reported: pressure ulcer pain is their most distressing symptom; that pain at ‘pressure areas’ was experienced prior to pressure ulcer manifestation and; patient’s reports of pain are ignored by nurses. A number of related studies have aimed to determine the extent of pressure area and pressure ulcer pain and explore the role of pain as a predictor of Category ≥2 pressure ulcers in acute hospital and community populations.
Evidence:
We will present evidence about pressure ulcer pain and pressure related pain from a number of sources including: a) mixed methods systematic review (1), b) multi-centre, acute hospital pain prevalence study (2); c) multi-centre community pain prevalence (3) d) multicentre, prospective cohort study (4) and e) multi-centre randomised controlled trial (5).
Pain severity by Grade and Inflammatory vs Neuropathic Pain
We will discuss how to assess pain clinically, evidence relating to pain severity by pressure ulcer Grade and also assessment approaches to distinguish between inflammatory pain and neuropathic pain.
Clinical implications
We will discuss clinical implications and work through clinical examples of incorporating pain assessment into risk assessment and pain management approaches for inflammatory and neuropathic pain.
Workshop: Pressure ulcer prevention in younger population by Guido Ciprandi (Italy) and Ann Marie Nie (USA)
The prevention of pressure injuries in premature babies, newborns, infants and other pediatric ages is a translational reality among all paediatric hospitals that welcome highly complex patients. Prevention starts from the reception and must follow the child in his / her path in the operating room, in intensive and sub-intensive care, in the specialist hospitalization ward until discharge, home caring and follow-up. Prevention maneuvers require attention to any associated comorbidities and to the particular fragility of the skin. Offloading includes a direct and indirect skin contact protection strategy that uses multilayer polyurethane foams and fluidized positioners, all of different sizes and adaptable to early life. Each medical therapeutic device must be positioned beyond the limits of the body surface and the contact sections must be protected to avoid MDRPU: the materials used must often be cut and adapted to measure to achieve better compliance.