A Modern Leg Ulcer Service
| Autor: | Mark R. Whyman, M. Taylor, J. Deacon, C. Wakely, J. R. Barwell, Keith R. Poskitt |
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| Rok vydání: | 2001 |
| Předmět: | |
| Zdroj: | Phlebology: The Journal of Venous Disease. 16:24-28 |
| ISSN: | 1758-1125 0268-3555 |
| DOI: | 10.1177/026835550101600107 |
| Popis: | Aim: To define the components and organization of a modern leg ulcer service that is acceptable to patients cost effective and produces high quality outcomes. Method: Analysis of data from published literature as well as experience from the organisation of a leg ulcer service in Gloucestershire. Synthesis: Assessment of leg ulcers requires the services of a vascular laboratory to assess the venous and arteria systems. Effective systems of compression must be employed. Staff and patients must be educated to understand the principals behind their use. For some patients pinch-grafting may be appropriate. Where arterial disease is present in the lower limb, reconstructive surgery should be used for the lower limb vessels The organisation of such a service must ensure good liaison between General Practitioners, community nurses and hospital specialists. Many patients may be managed in community leg ulcer clinics. In some cases, the advice of specialists such as rheumatologists and dermatologists may be required. Conclusions: A national framework for leg ulceir management is needed within which resources are made available in a way that satisfy local needs. Such a framework must be based on management protocols derived from evidence-based practices that have been developed through the experiences of modern leg ulcer services. |
| Databáze: | OpenAIRE |
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