Chronic oedema is a soft tissue swelling present for at least three months, most commonly caused by venous and lymphatic impairment. It has a huge impact on quality of life and over time may cause social deprivation. The mainstay of treatment is compression therapy and treatment of the underlying cause. Comfort and acceptability of the compression system is essential. Clinicians need to work with patients to ensure that they are included in treatment decisions and empowered to take charge of their condition.
Louise Brereton, Pauline Barber & Brenda King discuss the adequacy of educational provision for nurses involved in managing patients with leg ulcers.
Rosemary Pudner considers the issues involved when managing a patient with a leg ulcer.
Maureen Barrett discusses the treatment of primary lymphoedema.
Maureen Barrett RGN is a Community Staff Nurse, Fareham, Portsmouth.
Article accepted for publication February 2002
