Lower Limb and Leg Ulcer Assessment and Management 1st Edition by Aby Mitchell, Georgina Ritchie, Alison Hopkins ISBN 978-1119908210 1119908213
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ISBN 10: 1119908213
ISBN 13: 978-1119908210
Author: Aby Mitchell, Georgina Ritchie, Alison Hopkins
Lower Limb and Leg Ulcer Assessment and Management
Lower Limb and Leg Ulcer Assessment and Management is an indispensable resource for practitioners in primary and secondary care, offering a practical and accessible guide to treating and managing leg ulcers.
This comprehensive text challenges the misconception that leg ulcers are invariably ‘chronic’. In practice, proactive management will prevent the harm associated with sub-optimal management. Insights are provided into lower limb assessment, early intervention for ulcer prevention, ulcer types and their causes, along with the influence that swelling and biomechanical changes have on the lower limb. The authors draw on international best practice guidance on lymphoedema, wound pain, wound bed preparation, compression therapy, psychological impact, and evidence-based care to enhance leg ulcer management.
Each chapter aims to facilitate reader comprehension and promote productive patient discussions, empowering healthcare professionals to collaborate with patients and improve leg ulcer management rapidly and effectively.
This multi-disciplinary resource covers:
Normal venous, arterial, and lymphatic function in the lower leg
Leg ulceration due to venous hypertension, peripheral arterial disease, and lymphoedema
Leg ulcers of unusual aetiology, addressing autoimmune and inflammatory disorders such as pyoderma gangrenosum, rheumatoid arthritis, scleroderma, sickle cell, and more
Musculoskeletal changes in the lower limb, assessment, and management to enhance mobility and calf-muscle function
Clinical management, with topics like wound management, stages of wound healing, exudate management, holistic assessment including vascular assessment, compression therapy, and Laplace’s law
Pain management with an emphasis on understanding the complexities and features that exacerbate or diminish the pain response
The personalisation of care, understanding of social determinants of health, and the role of supportive self-management in lifelong management
For professionals seeking evidence-informed approaches to delivering exceptional care, Lower Limb and Leg Ulcer Assessment and Management is an essential companion on the journey to understanding and managing leg ulcers effectively.
Table of contents:
Introduction
Alison Hopkins and Joseph Montgomery
The Wound Care Burden
The Cost of Sub-Optimal Wound Care
Classification of Dressing Products
Dressing Product Analysis
Online Non Prescription Services
Conclusion
References
Chapter 1 Aetiology
Aby Mitchell
Normal Venous Function
Veins in Action
Blood Pressure in Veins and Capillaries
Venous Disease
Pathophysiology of Chronic Venous Disease
Theories of Tissue Damage
Chronic Venous Insufficiency
Risk Factors for Venous Insufficiency
Arterial Disease
The Skin
Wound Healing
Phases of Wound Healing
Conclusion
References
Chapter 2 Lymphoedema and Chronic Swelling
Caitriona O’Neill and Rhodri Harris
Function of the Lymphatic System
Prevalence and Key Facts
Causes of and Risk Factors
Assessment, Diagnosis and Staging
Management Challenges
Lymphovenous Disease
Treatment
Compression Therapy and Assessment Considerations
Adjunct Treatment Modalities
Surgery
Palliative Care
Lipoedema
Summary
References
Chapter 3 Atypical Causes of Leg Ulceration
Sarah Bradbury and Kirsten Mahoney
Inflammatory/Autoimmune Disorders
Metabolic Disorders
Malignant/Neoplastic Wounds
Drug-Induced Leg Ulcers
Erosive Pustular Dermatosis
Infective Conditions
Conclusion
References
Chapter 4 Musculoskeletal Factors in Leg Ulcers: Assessment and Management
Rona Frances Campbell
Risk Factors
Lower Limb Veno-Muscular Pumps
Ankle Joint Assessment
Holistic History Taking Relating to Factors that Influence Biomechanical Lower Limb Function
Management
Reducing Falls Risk
Allied Health Professionals as Part of the Multidisciplinary Team
Conclusion
References
Chapter 5 Assessment of Leg Ulceration
Karen Staines and Aby Mitchell
Assessment
History Taking
Examination
Arterial Disease
Wound Assessment
Skin Assessment
Diagnostic Assessment
How to Perform a Handheld Doppler
Red Flags for the Urgent Treatment of Patients with Venous Leg Ulcers
Reassessment and Recurrence
Conclusion
References
Chapter 6 Holistic Management of Pain
Fran Worboys and Alison Hopkins
The Pain Experience
Theories of Pain
Causes of Pain
Types of Pain
Pain Cycles: Never-Ending Pain
Impact of Pain on People’s Lives
Causes of Pain
Pain Management Solutions: Assessment
Managing Pain
Conclusion
References
Chapter 7 Personalised Care in Leg Ulceration
Alison Hopkins and Charlotte Smith
The Wider or Social Determinants of Health
Wider Determinants of Engagement with Treatment
Making Effective Change
What Influences Practitioners’ Decision-Making in Leg Ulcer Management?
The influence of Confidence, Courage and Competence
A Problematic Culture Within Leg Ulcer Management
Challenging Non-compliance
Understanding the Lived Experience
Support Personal Health Management Through Patient Activation
Patient Activation Measure
Shared Decision-Making
Social Prescribing
Motivational Interviewing
Supporting Self-Management
Legs Matter Coalition: Raising Awareness of Lower Limb Conditions
Peer Support Groups
Using Positive Language to Promote a Positive Culture
Conclusion
References
Chapter 8 Clinical Management of the Lower Limb
Georgina Ritchie
The Case for Early Intervention
Clinical Management
What Is Compression Therapy and How Does it Work?
Anti-inflammatory Action of Compression Therapy
Cautions and Contraindications
Considering and Commencing Treatment
Location of the Ulceration
Compression of the Foot
Intermittent Pneumatic Compression
Wound Bed Preparation and Clinical Management
Conclusion
References
Chapter 9 Lifelong Management
Jane Harry
Factors Influencing Venous Ulcer Recurrence
Holistic Reassessment Including Ankle Brachial Pressure Index
Endovenous Ablation
Compression Therapy Systems
Assessing for Compression Hosiery
Choosing and Prescribing Hosiery
Other Considerations when Choosing a Compression Therapy System
Empowering Patients’ Self-Management for Leg Ulcer Prevention
Knowledge, Staff and Training
Public Health
Patient Satisfaction and Quality of Life
Leg Ulcer Pathways
Conclusion
References
Index
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Tags: Aby Mitchell, Georgina Ritchie, Alison Hopkins, Lower Limb, Leg Ulcer, Assessment and Management