Developing skills in leg ulcer nursing: the lessons learned

Journal of Wound Care
S Loftus, C Wheatley

Abstract

The high treatment costs of inappropriate leg ulcer management are well referenced. Wide variations in practice have also been reported. A training programme for community nurses has been in place in Leicestershire and Rutland NHS Trust for five years. Its objective is to promote evidence-based leg ulcer management. The aim of this prospective audit was to assess and compare the effectiveness of the compression bandage systems used in the trust: the original Charing Cross system (August 1996 to September 1997) and Robinson's Ultra Four kit (October 1997 to December 1998). All patients with leg ulceration were assessed using the Leicestershire leg ulcer assessment form. This was submitted along with an audit tool to the tissue viability service in exchange for a 12-week supply of compression bandages. The audit form was resubmitted after each subsequent 12-week period until the patient either had healed or was withdrawn from the audit. Differences between the two groups in mobility, previous deep vein thrombosis, fixed ankle deformity, the male to female ratio, duration of ulcer and ulcer surface area were noted. Patients using the Ultra Four kit had faster healing times than those given the Charing Cross system, but this was no...Continue Reading

References

Dec 5, 1992·BMJ : British Medical Journal·C J MoffattC N McCollum
Jun 22, 1985·British Medical Journal·M J CallamJ J Dale
Feb 1, 1995·International Journal of Nursing Studies·G A TysonL Beattie
May 1, 1997·Journal of Wound Care·K R VowdenP Vowden

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Citations

May 6, 2005·The International Journal of Lower Extremity Wounds·Christine Moffatt
Mar 3, 2006·British Journal of Nursing : BJN·Mary Louise Goode
Sep 1, 2015·British Journal of Community Nursing·A Elstone, Richard White

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