Use of specialist knowledge and experience to manage patients with mixed aetiology leg ulcers

Journal of Wound Care
K Neill, K Turnbull

Abstract

To discuss the role of the clinical nurse specialist in managing patients with ulceration caused by mixed venous arterial disease. A small scale retrospective audit study of eight mixed aetiology patients drawn from the caseload of leg ulcer patients within a specialist leg ulcer service in Ayrshire, Scotland was conducted by two specialist nurses with over 8 years' experience in specialist leg ulcer management. Patients were individually assessed using Doppler ultrasound and a rigorous set of validated risk factor criteria. Where Doppler ultrasound was considered to be unreliable, due to an inability to detect sounds, or where further diagnostic information was required in order to safely plan care, arterial duplex scanning was carried out by the cardiac department at Ayr Hospital. All patients were treated with a cohesive inelastic compression bandage system and closely observed by the specialist nurse. All eight patients with mixed aetiology leg ulcers were reported to experience complete ulcer healing within 6-30 weeks after first application of the inelastic bandage system. The regimen was well tolerated by all patients and no adverse events were recorded. With accurate assessment and treatment by a specialist team, patien...Continue Reading

References

Apr 6, 2002·Journal of Wound Care·J Arthur, P Lewis
Dec 4, 2003·Advances in Skin & Wound Care·Ian D GrahamAndrea Fisher
Dec 13, 2005·Medical Informatics and the Internet in Medicine·D R PrytherchG B Smith
May 15, 2007·The British Journal of Surgery·M L HumphreysK R Poskitt
Nov 6, 2008·British Journal of Nursing : BJN·Irene Anderson

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Citations

Jan 27, 2016·The International Journal of Lower Extremity Wounds·Kevin Y Woo, Kim Sears
Mar 20, 2021·International Wound Journal·Sheryl Li Xin LimKeith G Harding

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

Actico

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