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Role of Nurses in Patient’s Concordance to Compression Therapy for Venous Leg Ulcer.
Pages 3 (753 words)
The healing of venous leg ulcers should be celebrated and is achieved through skill nurse input and significant patient effort. Keeping them healed, however, is a considerable challenge with one major cause of concern…
The rate of recurrence for venous leg ulcers reported varies. In the UK, one of the initial major studies in 1987 into venous leg ulcers reported approximate rates of 67% of recurrence (Douglas & Simpson, 2009: p448). Another study in 2006 reported a recurrence rate 36% at 5 years (Walshe, 2008: p1095), whereas a subsequent study in 2012 found a 16% rate of recurrence (Nemeth & Simon, 2008: p36). The authors suggested that patients not wearing their compression hosiery, or even not wearing them for long periods could have caused these increased rates of venous leg ulcer recurrence. Where there were lower recurrence rates, these were associated, with support from nurses for patients over a prolonged time, to ensure their therapy was followed. These patient interventions included weight control, elevation of feet while sitting, exercise involving movement of ankle joints and calf muscles, avoidance of prolonged standing, and keeping the lower leg skin in optimal condition (Flanagan & Schofield, 2011: p155). A concordance program that is nurse-led for patients is effective in the prevention of recurrences of venous leg ulcer, as well as increasing time spent by patients with legs above heart level.
Maintenance of healing is challenging since it is reliant on the ability and willingness of the patient to perform ulcer care daily, which the nurse should ensure the patient understands (Moffatt et al, 2008: p409). ...
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