Here - EWMA 2013

E-POSTER: EDUCATION
E-Poster: Education
EP 498
NURSE TRAINING IN VASCULAR WOUNDS
Ana Maria Calvo 1 , Maria Teresa Hernandez 1 , Maria Cruz Vicente 1 , Gloria Martin 2 ,
Nuria Serra 3
1 Hospital Universitario de Salamanca (Salamanca, Spain);
2 Hospital Clinico Universitario de Valladolid (Valladolid, Spain);
3 Angiogrup (Barcelona, Spain).
Introduction: Training in vascular nursing started in Spain in 2008 at a regional level
(Castilla y León). The Conference was endorsed by Spanish Association of Vascular
Nursing and Wounds (AEEVH). Recently, the III Conference was held on 2012
Aim: Evaluate III Spanish Regional Conference of Vascular Nursing. Make proposals for
improvement.
Methods: Assessment of the organization and the scientific content of the III
Conference of Vascular Nursing by surveys made to both the participants and members
of the organizing committee.
Results: The 100 conferences registrations were completed by nurses of all levels of
care. The conference lasted two days and the registration fee was 30 euros. For the first
time a continuing training certified with 2, 4 credits by the Spanish Health System was
included. All participants completed the questionnaire valuation showing a satisfaction
over 80% in both human and material resources.
Discussion: We believe that the success of the inscription was due to the following
aspects: the great interest of participants to increase knowledge regarding wounds, the
schedule and the scientific content which included workshops offered to small groups of
10 people by highly trained and experience speakers.
Conclusions: Continuing regional education in vascular nursing and injuries has been
institutionalized. The evaluation of the training has been positive for both attendees and
organizers. The maintenance of scientific quality by making workshops with a low
registration fee are new challenges to achieve in the next conferences.
EP 499
Does OSA delay lower extremity wound healing?
E-Poster: Education
Ahmed Heshmat 1
1 Family Practice at Shady Grove hospital (Rockville, United States).
Research Method: Observation of Twenty-five patients admitted to the hospital for
wound debridement over a one-year span of time.
Tools: Data gathered from medical records and direct patient observation.
Discussion: Out of the twenty-five patients admitted, ten had an echocardiogram
preformed.Nine of those ten had a diagnosis of pulmonary hypertension. Thirty-eight
percent from total patient Eight out of nine were overweight by above 100 kilograms.
Ninety percent of these patients had an echocardiogram. Of those eight patients, three
had a confirmed diagnosis of OSA. Full investigation of lower extremity wound requires
arterial Doppler, venous Doppler and nutritional status especially in those patients with
lower extremity edema, as one of the signs of pulmonary hypertension is lower extremity
edema. Severe OSA is one of the causes of pulmonary hypertension. In addition obesity
contributes to OSA. When the medical provider directly observes lower extremity edema
in an obese patient it should merit further work up to include echocardiogram to
investigate for pulmonary hypertension, if the diagnosis of pulmonary hypertension is
confirmed then the medical provider must order a sleep study to evaluate OSA.
Conclusion: Thorough investigation of pulmonary hypertension is warranted in an
obese patient that presents with lower extremity wounds. When Arterial and Venous
Doppler studies are negative, the medical provider must order an echocardiogram to rule
out Pulmonary Hypertension. If Pulmonary Hypertension is diagnosed then OSA is highly
suggestive and must be treated for proper lower extremity wound healing.
OSA: Obstructive Sleep Apnoea
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
285