webinar presented September 28, 2007

1. SKIN CARE and the INDIVIDUAL WITH ALZHEIMER’S DISEASE Panelists: Judy Nelson, Gale Davis, Dana Raborg September 28, 2007

3. IDENTIFYING RISK FACTORS Risk Factors IMMOBILITY DECREASED LEVEL OF AWARENESS OR DECREASED SENSATION INCONTINENCE POOR NUTRITION/LOW WEIGHT ANEMIA, DIABETES OR OBESITY DEHYDRATION Aging in general causes skin to be fragile as the layers thin and lose their elasticity. Other risk factors are:

4. IDENTIFYING RISK FACTORS Most skin wounds begin in facilities, both in hospitals and in nursing homes . It is estimated that over 70,000 people in America die each year from wound infections that begin with skin breakdown or “pressure sores.” Other names for this injury are pressure ulcers, bed sores or decubitus ulcers. There are four stages of skin ulcers, from Stage I, the most superficial, to Stage IV, the deepest, extending into the muscles. These sores are slow to heal and easily infected, so prevention is paramount. STAGE I (most superficial) STAGE IV (deepest)

6. SKIN ULCER TYPES, CAUSES AND CARE 1 PRESSURE SORES 2 3 SHEARING INJURIES FRICTION INJURIES

13. TODAY’S PANELISTS Judy Nelson, BS, RN is the Adult Care Services Manager for Senior Connections, The Capital Area Agency on Aging in Richmond, Virginia. As such, she manages grants for respite and short term home care and assists families in assessing their care needs and finding resources in the community. For the past three years she has helped to organize and co-teach a week long seminar for family caregivers with Dr. Ayn Welleford and the VCU Department of Gerontology. Ms. Nelson is a graduate of the University of Vermont with a Bachelor of Science in Nursing, and has worked at New York University Hospital in pediatrics, at Virginia Commonwealth University Medical Center as a consultant and in public health nursing for the past 12 years. Gale Davis, MS joined the VCU Department of Gerontology staff in Fall, 2006. She is a Master’s Degree in Gerontology from VCU and undergraduate in Social Work from JMU. She is a Professional Geriatric Care Manager and member of the National Association of Professional Geriatric Care Managers. She teaches the course The Business of Geriatric Care Management for the Department of Gerontology. In addition Gale is the clinical site coordinator for GCM students at Senior Solutions of Richmond, a home care provider agency with a GCM practice. Gale’s work as Geriatric Care Manager started at Jewish Family Services of Richmond where she started their GCM Program and practiced there for 5 years. Dana RaBorg, RN has worked with Hill-Rom’s home care division for over 5 years providing the appropriate products to patients at risk for and with active decubitus ulcers. Dana provides inservicing to the staff of Home Care Agencies and Assisted Living Facilities in the Richmond and surrounding areas. She has received extensive training in pressure ulcer prevention and management of pressure ulcers through Hill-Rom. She also gained much knowledge of preventing and managing pressure ulcers while working as a Home Health nurse and also as being the Director of Nursing for Long Term Care facilities in the Richmond area.