Course Preview

  • Nursing
  • Advanced Practice Nursing
Hours: 4 Contact Hours
  • Linda J. Stricker, MSN, RN, CWOCN
  • Barbara J. Hocevar, MSN, RN, CWOCN
Peer Reviewer(s): Yvonne L. Weideman, DNP, RN, CNE, CWON, CFCN
Item#: N1803
Contents: 1 Course Book (62 pages)
Choose the best WS365 Online Nursing Membership for you:
Basic Membership – Access to 1-15 hour courses
PREMIUM Membership – Access to ALL nursing course

Impediments to Healing: Managing Acute and Chronic Wounds

Price $22.95
Item # N1803
When available, the Online Course format is included with the hard copy, eBook, or audio book formats!

Release Date: April 24, 2017

Expiration Date: January 31, 2020

Wound management and the promotion of healing are complicated and challenging to those suffering with such maladies. Whether wounds are acute or chronic, nurses are the clinicians most intimately involved with the care and ongoing evaluation of wounds. Nurses working in acute care, rehabilitative, long-term care, home health, and outpatient settings all contend with a variety of wounds at different stages in the healing process among all patient populations. Thus, the nurse in general practice must have a solid knowledge of wound a care and potential impediments to healing.

Most wounds heal through a predictable process that includes homeostasis, inflammation, proliferation, and scar maturation. Most acute wounds heal without difficulty, though the healing process remains complex. Managing chronic wounds, on the other hand, is often a significant challenge to nurses. Some wounds, for a variety of reasons, become stalled in some part of the healing phases. This effectively delays or prevents closure and durable scar formation. Although any wound can become chronic, patients with chronic disease have increased risk of developing the recalcitrant wound, or the wound unresponsive to treatment.

Careful selection of topical care, control of etiologic and systemic factors, and timely referral to appropriate interdisciplinary care members form the basis for moving a wound from nonhealing to healing and finally closure. Nurses need to understand and apply to practice the principles and factors that influence wound healing. Evidence-based standards guide care. Utilizing the nursing process provides the framework to implement effective strategies to meet patient specific needs posed by the presence of acute and chronic wounds.

This course will discuss factors that impede wound healing and measures to reduce them as well as types of wounds (both acute and chronic) and how to assess and manage both. 



This course is an extract of, and should not be taken in conjunction with N1737 - Wound Management: A Comprehensive Guide for Nurses.


Course Objectives

  • Describe factors that impede wound healing and measures to reduce them.
  • Discuss factors affecting wound healing and management of acute wounds.
  • Analyze factors affecting chronic wound healing and apply nursing interventions aimed at managing chronic wounds.


Linda Stricker, MSN, RN, CWOCN, has over 25 years of experience in wound, ostomy, and continence (WOC) nursing. She earned her Bachelor of Science degree in nursing from the University of Akron and a Master of Science degree with a minor in education from the University of Phoenix. She is the current program director of the R.B. Turnbull, Jr. MD School of WOC Nursing Education at Cleveland Clinic. Linda also serves the Wound Ostomy Continence Nurses Society™ in a variety of roles and is the current President-elect of the WOCN® Mideast Region. She has authored or coauthored publications on stoma construction, fistula management, and WOC nursing subjects, and presented on a variety of wound management topics.

Barbara J. Hocevar, MSN, RN, CWOCN, graduated from St. John College with her BSN in 1978. She attended the R.B. Turnbull School of WOC Nursing in 1982. She received her MSN from the University of Phoenix in 2012. Barbara has worked at a tertiary care facility in the acute care and outpatient areas as staff, clinical manager of the ostomy/fistula team, and now serves as the Assistant Director of the R. B. Turnbull, Jr. School of Wound, Ostomy, and Continence Nursing Education. She has published on WOC nursing topics and is a past section editor for the Journal of Wound, Ostomy and Continence Nursing. She has presented on a variety of ostomy and wound care topics locally, nationally, and internationally.


Yvonne L. Weideman, DNP, RN, CNE, CWON, CFCN, has more than 30 years of diverse nursing experience in home care, home infusion, nursing administration, and nursing education. Currently, Dr. Weideman is a full-time Assistant Clinical Professor at Duquesne University. Her primary area of clinical focus is wound and ostomy nursing, and she is board certified as a wound, ostomy, continence, and foot care nurse. Dr. Weideman earned her BSN from Duquesne University, her MBA from Robert Morris University, and her DNP from Duquesne University.

  • Courses must be completed on or before the expiration date noted in the course description above.
  • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
  • Through our review processes, Western Schools ensures that this course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
  • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.