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    Are we fully implementing guidelines and working within a multidisciplinary team when managing venous leg ulceration?

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    Publication date
    2013
    Author
    Vowden, Peter
    Vowden, Kath
    Keyword
    Venous leg ulceration; Wound care; High compression therapy; Lower limbs; Skin damage
    Peer-Reviewed
    Yes
    
    Metadata
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    Abstract
    High compression therapy, whether with bandage systems or hosiery, is the accepted treatment of lower limb venous ulceration. Compression has not only been shown to improve healing, it has been demonstrated to reduce oedema and improve tissue oxygen levels (Stacey et al, 1990), reversing some of the changes associated with chronic venous insufficiency (Vandongen and Stacey, 2000). The introduction of multilayer high compression bandage systems in the late 1980s, and subsequent improvements in bandage textiles and design, have undoubtedly improved outcomes for many patients. However, compression alone does not address the underlying pathology of venous ulceration, chronic venous insufficiency (CVI), and without treatment CVI continues to cause skin damage and increases the risk of recurrent ulceration. In 1999, Nelzen emphasised that compression treatment has been used since the days of Hippocrates and yet has not solved the problem of leg ulceration (Nelzen, 1999).
    URI
    http://hdl.handle.net/10454/9800
    Version
    No full-text in the repository
    Citation
    Vowden P and Vowden K (2013) Are we fully implementing guidelines and working within a multidisciplinary team when managing venous leg ulceration? Wounds UK. 9(2): 17-20.
    Link to publisher’s version
    http://www.wounds-uk.com/pdf/content_10868.pdf
    Type
    Article
    Collections
    Health Studies Publications

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