Edema Pathophysiology and Management Approaches – a Paradigm Shift that Impacts all Disciplines

April 22, 2023, 10:00 AM – 10:45 AM EDT(-04:00)
M. Mark Melin MD FACS RPVI FACCWS
Objectives: By the end of the course, the participant will be able to:

1. Explain edema and its causes
2. Explain endothelial glycocalyx and EPIC characteristics
3. Describe local, regional, and systematic therapies for edema management; from MPFFs to active dermal lymphatic stimulation

Role of Compression for Management of Edema – Why do we use Compression for Edema Management

April 22, 2023, 10:45 AM – 11:15 AM EDT(-04:00)
Marijke Carson PT, CWS, CLT, CLWT
Objectives: By the end of the course, the participant will be able to:

1. Describe the impact of compression: What is it, why, and how is it used in the management of chronic non-healing wounds and edema?
2. Summarize and clinically interpret compression science literature relative to clinical utilization.
3. Identify compression effects beyond edema reduction—hemodynamic benefits of compression on circulation and integumentary healing.

Medical Compression: What Options are Available and How to Individualize Product Choice and Utilization

April 22, 2023, 11:15 AM – 11:45 AM EDT(-04:00)
Suzie Ehmann, PT DPT, PhD(c), CWS, CLT
Objectives: By the end of the course, the participant will be able to:

1. Summarize compression therapy options available and discuss how they are different.
2. Discuss the utilization of STRIDE compression selection algorithm to optimize individualized compression selection in both the long and short term.
3. Explain knowledge of compression therapy aides to optimize don /doff.

Medical Management of Edema Beyond Compression. Addressing Co-exisiting Comorbidities.

April 22, 2023, 11:55 AM – 12:25 PM EDT(-04:00)
M. Mark Melin MD FACS RPVI FACCWS
Objectives: By the end of the course, the participant will be able to:

1. Describe dermal lymphatic stimulation
2. Discuss Guyton’s forces
3. State local, regional and systematic therapies for edema management; from MPFFs to active dermal lymphatic stimulation to automated MLD-like devices
4. Describe nutrition/micronutrients, high sodium diets
5. Describe whole organ dysfunction that contributes to lymphedema
6. Summarize pressure injuries/ulcers, dependent edema, SEM monitoring

Speaker Roundtable

April 22, 2023, 12:25 PM – 01:00 PM EDT(-04:00)
Marijke Carson PT, CWS, CLT, CLWT , Suzie Ehmann, PT DPT, PhD(c), CWS, CLT, M. Mark Melin MD FACS RPVI FACCWS

LUNCH N LEARN

April 22, 2023, 01:00 PM – 02:00 PM EDT(-04:00)
LUNCH N LEARN

Phlebolymphedema and Lymphatic Immunopathy: How it’s a Causative Factor in Many Wounds

April 22, 2023, 02:00 PM – 02:30 PM EDT(-04:00)
James McGuire DPM, LPT, LPed, FAPWHc
Objectives: By the end of the course, the participant will be able to:

1. Review sources of and treatment for chronic fluid overload in the lower extremity and its contribution to wound chronicity.
2. Define Lymphatic Immunopathy and its role in chronic wound generation and healing.
3. Propose suggestions for improving the treatment of chronic wounds of the lower extremities in light of what we have learned.

Understanding Edema and its Impact on Tissue Healing

April 22, 2023, 02:30 PM – 03:00 PM EDT(-04:00)
Heather Hettrick PT, PhD, CWS, AWCC
Objectives: By the end of the course, the participant will be able to:

1. Discuss the nature of edema and its clinical presentation.
2. Appreciate the lymphedema continuum as it pertains to the revision of the microcirculation. 
3. Describe the impact edema has on tissue and wound healing.

Lymphedema in the Diabetic Foot

April 22, 2023, 03:00 PM – 03:30 PM EDT(-04:00)
Windy Cole, DPM, CWSP, FAPWH
Objectives: By the end of the course, the participant will be able to:

1. Discuss the pathophysiology of diabetes, lymphedema, and venous insufficiency.
2. Describe the link between diabetes, venous insufficiency, and lymphedema.
3. Summarize local and systemic factors contributing to disease progression.
4. Discuss clinical algorithms used to support wound prevention and resolution.

Billing and Coding for Lymphedema and Wound Care profitability

April 22, 2023, 03:40 PM – 04:20 PM EDT(-04:00)
Brandy Mckeown OTR/L, CLT-LANA, CLWT
Objectives: By the end of the course, the participant will be able to:

1. Describe the ICD-10 diagnosis codes for lymphedema and the most common types of wounds. 
2. Describe the CPT-4 billing codes for lymphedema and wound care profitability.
3. Describe the components necessary to establish a lymphedema and wound care program in their current physician practice.

SPEAKER ROUNDTABLE

April 22, 2023, 04:20 PM – 05:00 PM EDT(-04:00)
Heather Hettrick PT, PhD, CWS, AWCC, Windy Cole, DPM, CWSP, FAPWH, Brandy Mckeown OTR/L, CLT-LANA, CLWT, James McGuire DPM, LPT, LPed, FAPWHc