Venous leg ulcers Resources

01 December 2021
The problem of delayed wound healing has been highlighted in several publications which has stimulated debate on variance and the need for updated care pathways. This paper demonstrates how adjunctive therapy can be added to the ‘standard care’ model, described in the National Wound Care Strategy Programme’s recommendations for lower limb wounds, to enhance outcomes for patients with ‘hard-to-heal’ lower limb wounds (NWCSP, 2020). A decision-making pathway based on published literature is described,  which uses wound assessment and observed response to treatment to allow the effective and targeted introduction of adjunctive therapies for ‘hard-to-heal’ wounds. This approach will allow the cost-effective introduction of new and evolving therapies, such as WoundExpress™(Huntleigh Healthcare), which addresses the underlying problems associated with resistant lower limb oedema and compromised venous function. The pathway also indicates how other adjunctive or innovative topical wound-based treatments can be integrated to optimise outcomes while providing cost-effective care.
01 August 2021
This article explores wound assessment and management, specifically the management in a challenging group of patients who inject drugs. It describes the development of a service to meet their specific needs and how this service has flexed and adapted over time. A case study is presented to showcase the assessment and subsequent management of a chronic wound, which developed as a result of injecting drugs, with Biatain® Ag Non-Adhesive with 3DFit™ Technology.
Topics:  Wound assessment
01 June 2021
Ulceration of the lower limbs can be a painful, debilitating condition which may have a profound effect on the patient physically, psychologically, and socially. With an ageing population, it is likely that we will see greater numbers of patients suffering with chronic wounds and associated skin conditions in the coming years. Where there are variations in care, and sub-optimal treatment regimens, delayed healing may be both common and costly to the NHS. National programmes have been put in place to address these inequities, however all clinicians are integral in the management of patients with wounds to ensure that accurate assessment takes place, both on initial contact and opportunistically throughout the care period. Following assessment, appropriate treatment plans should be implemented, preventing further skin breakdown, and improving outcomes for the patient and healthcare system.
01 April 2021
A chronic leg ulcer is defined as a defect in the skin below the knee that has persisted for more than two weeks and shows no sign of healing after three or more months (NHS, 2019). Lower limb and leg ulcer management presents a number of global health challenges in terms of nursing resources, wound care dressings and high recurrence rates. Also, the persistence and recurrence of lower limb conditions can lead to physical and emotional distress for individuals and their families, contributing to depression, lack of esteem, self-neglect, social isolation and loss of income.
05 February 2021
Increasing pressures experienced within community nursing are having detrimental effects on the care and treatment provided to patients. Among these is the management of venous leg ulcers, where a culture of passivity has possibly developed, resulting in significant delays in measuring patients’ ankle brachial pressure index (ABPI) and reduction in the use of full, therapeutic compression therapy. As pressures increase, so does the financial burden on the NHS and associated psychosocial impact often experienced by patients living with lower limb ulcers. Urgent reform of leg ulcer services is required to better manage these conditions and improve the quality of care received by patients. This article provides evidence from examples of successful service transformation, and puts forward recommendations for future practice.