Time to complete: Approximately 15 minutes
About this Course
Skin and Wound Care in Long-Term Care is a self-paced orientation course that will equip or refresh long-term care team members on the knowledge and skills required to support residents.
Skin breakdown puts residents at risk for pain and infections and can decrease their quality of life. The awareness and actions of all team members are needed for effective prevention and management of wounds. Non-clinical team members act as the eyes and ears of clinical team members. It is important for all team members to be knowledgeable about skin and wound care so they know what to look out for and what to report to the clinical team.
After taking this course, learners will be able to:
- explain which risk factors impact skin integrity and wound healing in older adults
- explain which skin and wound care issues are of particular concern in long-term care
- recognize some indicators that a resident is experiencing skin and wound care issues
- explain what non-clinical team members should report to clinical team members.
Learners will receive an Ontario CLRI certificate for completing this course.
About the Orientation eLearning series
The Orientation eLearning courses, created by the Ontario CLRI at the RIA, provide education for new team members during orientation, and for existing team members during their annual training. These scenario-based learning courses ensure that learners have the knowledge and skills needed to assist the people they support and are in line with Ministry of Long-Term Care guidelines. They were developed using evidence-based best practices and adult education principles, in collaboration with subject matter experts and LTC leaders.
This course is for long-term care team members in non-clinical roles.
This eLearning course, part of the Orientation course series, was developed by the Ontario CLRI at RIA with the generous support of Schlegel Villages.
We would like to thank the people who contributed to the development and review of content for this course:
Subject Matter Experts
Kimberly Arquette, RN, BScN, Clinical Specialist, Schlegel Villages
Jennifer Bilbie RN, BScN, MCISc, CIC, Long-Term Care Nurse Consultant, Extendicare
This course was developed in collaboration with an advisory panel of LTC team members: Julia Karls, Alison Harper, Tammy Casado, and
Basic skin physiology. (n.d.). WoundsCanada. Retrieved March 29, 2022, from https://www.woundscanada.ca/patient-or-caregiver/preventing-and-managing-wounds/basic-skin-physiology
Bassett, K. (2021). Connect, collaborate, co-create. Wound Care Canada, 19(2), 18.
Curley, M. A., Razmus, I. S., Roberts, K. E., & Wypij, D. (2003). Predicting pressure ulcer risk in pediatric patients: The Braden Q Scale. Nursing Research, 52(1), 22–33.
Edwards, H, Courtney, M, Chang, AM, Finlayson, K, Gibb, M, & Parker, C. (2010) Promoting Healthy Skin: A Self-Directed Learning Resource for Residential Aged Care Workers (web based interactive DVD). Brisbane: Queensland University of Technology.
Fletcher, J. (2019). Pressure ulcer education 3: Skin assessment and care. Nursing Times, 115(12), 26–29.
Fletcher, J., Beeckman, D., Boyles, A., Fumarola, S., Kottner, J., McNichol, L., Moore, Z., Sarkar, N., Stenius, M., & Voegeli, D. (2020). International best practice recommendations: Prevention and management of moisture-associated skin damage (MASD). Wounds International.
HCPR – Braden Q Scale.pdf. (n.d.). Retrieved March 25, 2022, from https://www.swrwoundcareprogram.ca/Uploads/ContentDocuments/HCPR%20-%20Braden%20Q%20Scale.pdf
Health Quality Ontario. (2017). Pressure injuries: Care for patients in all settings. Queen’s Printer for Ontario. https://www.hqontario.ca/Portals/0/documents/evidence/quality-standards/qs-pressure-injuries-patient-guide-en.pdf
Keast, D. H., Ketchen, R., Kuhnke, J., McCallum, C., McGrath, S., Orsted, H. L., & Rosenthal, S. (2021). Caring for pressure injuries at home: Preventing and managing pressure injuries. Canadian Association of Wound Care. https://www.woundscanada.ca/docman/public/patient-or-caregiver/1691-home-pi-care-1940e/file
LeBlanc, K., Woo, K., Christensen, D., Forest-Lalande, L., O’Dea, J., Varga, M., McSwiggan, J., & van Ineveld, C. (2017). Best practice recommendations for the prevention and management of skin tears. In Foundations of Best Practice for Skin and Wound Management. A supplement of Wound Care Canada. www.woundscanada.ca/ docman/public/health-care-professional/bpr-workshop/552-bpr-prevention-andmanagement-of-skin-tears/file.
Mackay, E. (2018). Healing with hydration. Wound Care Canada, 16(2), 22–24.
National Pressure Injury Advisory Panel. (2016). Pressure injury and stages. https://cdn.ymaws.com/npiap.com/resource/resmgr/NPIAP-Staging-Poster.pdf
Norton, L., Parslow, N., Johnston, D., Ho, C., Afalavi, A., Mark, M., MCISc, R. M., O’Sullivan-Drombolis, D., & Moffatt, S. (2017). Best practice recommendations for the prevention and management of pressure injuries. In Foundations of Best Practice for Skin and Wound Management. A supplement of Wound Care Canada. https://www.woundscanada.ca/docman/public/health-care-professional/bpr-workshop/172-bpr-prevention-and-management-of-pressure-injuries-2/file
Orsted, H. L., Ho, C., & Kuhnke, J. (2016). A new way of looking at pressure injuries. Wound Care Canada, 14(2), 10–13.
Orsted, H. L., Keast, D. H., Forest-Lalande, L., Kuhnke, J. L., O’Sullivan-Drombolis, D., Jin, S., Haley, J., & Evans, R. (2017a). Best practice recommendations for the prevention and management of wounds. In Foundations of Best Practice for Skin and Wound Management. A supplement of Wound Care Canada. https://www.woundscanada.ca/docman/public/health-care-professional/bpr-workshop/165-wc-bpr-prevention-and-management-of-wounds/file
Orsted, H. L., Keast, D. H., Forest-Lalande, L., Kuhnke, J., O’Sullivan-Drombolis, D., Jin, S., Haley, J., & Evans, R. (2017b). Skin: Anatomy, physiology and wound healing. In Foundations of Best Practice for Skin and Wound Management. A supplement of Wound Care Canada. www.woundscanada.ca/docman/public/health-care-professional/bprworkshop/166-wc-bpr-skin-physiology/file
Registered Nurses’ Association of Ontario. (2005). Risk assessment and prevention of pressure ulcers. Registered Nurses’ Association of Ontario. https://rnao.ca/sites/rnao-ca/files/Risk_Assessment_and_Prevention_of_Pressure_Ulcers.pdf
Talley Group Limited. (n.d.). Pressure ulcers in people with dark skin tones. Retrieved November 25, 2022, from https://www.talleygroup.com/medias/documents/PPPIA-Pressure-Ulcers-in-People-with-Dark-Skin-Tones-Poster-A3L-0-1604484440.pdf