Lower Limb and Leg Ulcer Assessment and Management (eBook, ePUB)

Redaktion: Mitchell, Aby; Hopkins, Alison; Ritchie, Georgina

• Format: ePub

Produktbeschreibung

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.

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Produktdetails

• Verlag: John Wiley & Sons
• Seitenzahl: 496
• Erscheinungstermin: 20. März 2024
• Englisch
• ISBN-13: 9781119908234
• Artikelnr.: 70236421

Autorenporträt

Aby Mitchell, Senior Lecturer in Nurse Education, Adult Nursing Department, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London. Aby's clinical experience spans across burns and plastics, primary care, and physical health in community mental health. Aby is a registered specialist practitioner in district nursing and has an MSc in Advanced Practice (healthcare education). Aby is committed to improving patient care through nurse education. Georgina Ritchie, Executive Director and Director of Education at Accelerate. Georgina brings over two decades of experience in clinical practice and education. Her journey from military nursing in the British Army to leadership roles in the NHS and academia has honed her expertise in community and district nursing. Georgina is a registered community specialist practitioner and a V300 non-medical prescriber, holding an MEd, with a passion for empowering confident clinical practice through education. Alison Hopkins MBE, Executive Director and CEO at Accelerate. With over three decades of experience in wound care, Alison established the leg ulcer service at Tower Hamlet's District Nursing Service in 1989, beginning a life-long passion for compression therapy and community transformation. In 2019 Alison was awarded an MBE for services to nursing and wound care and holds an MSc in Psychology and Health. In addition to overseeing Accelerate, she continues to contribute to academic journals, and speak at conferences, always seeking to challenge the status quo so that excellent wound and lymphoedema care becomes the norm.

Inhaltsangabe

List of Contributors xiii

Foreword xv

Preface xvii

Acknowledgements xx

Introduction 1
Alison Hopkins and Joseph Montgomery

The Wound Care Burden 1

The Cost of Sub-Optimal Wound Care 3

Classification of Dressing Products 4

Dressing Product Analysis 6

Online Non Prescription Services 7

Conclusion 9

References 9

Chapter 1 Aetiology 11
Aby Mitchell

Normal Venous Function 11

Veins in Action 16

Blood Pressure in Veins and Capillaries 17

Venous Disease 18

Pathophysiology of Chronic Venous Disease 19

Theories of Tissue Damage 21

Chronic Venous Insufficiency 23

Risk Factors for Venous Insufficiency 24

Arterial Disease 24

The Skin 33

Wound Healing 35

Phases of Wound Healing 36

Conclusion 39

References 39

Chapter 2 Lymphoedema and Chronic Swelling 43
Caitriona O'Neill and Rhodri Harris

Function of the Lymphatic System 43

Prevalence and Key Facts 48

Causes of and Risk Factors 52

Assessment, Diagnosis and Staging 55

Management Challenges 66

Lymphovenous Disease 68

Treatment 74

Compression Therapy and Assessment Considerations 76

Adjunct Treatment Modalities 79

Surgery 82

Palliative Care 83

Lipoedema 87

Summary 97

References 97

Chapter 3 Atypical Causes of Leg Ulceration 106
Sarah Bradbury and Kirsten Mahoney

Inflammatory/Autoimmune Disorders 107

Metabolic Disorders 134

Malignant/Neoplastic Wounds 145

Drug- Induced Leg Ulcers 155

Erosive Pustular Dermatosis 161

Infective Conditions 172

Conclusion 176

References 177

Chapter 4 Musculoskeletal Factors in Leg Ulcers: Assessment and Management 188
Rona Frances Campbell

Risk Factors 190

Lower Limb Veno-Muscular Pumps 192

Ankle Joint Assessment 196

Holistic History Taking Relating to Factors that Influence Biomechanical Lower Limb Function 198

Management 205

Reducing Falls Risk 216

Allied Health Professionals as Part of the Multidisciplinary Team 218

Conclusion 218

References 219

Chapter 5 Assessment of Leg Ulceration 226
Karen Staines and Aby Mitchell

Assessment 227

History Taking 227

Examination 238

Arterial Disease 248

Wound Assessment 252

Skin Assessment 263

Diagnostic Assessment 265

How to Perform a Handheld Doppler 268

Red Flags for the Urgent Treatment of Patients with Venous Leg Ulcers 276

Reassessment and Recurrence 276

Conclusion 276

References 277

Chapter 6 Holistic Management of Pain 285
Fran Worboys and Alison Hopkins

The Pain Experience 285

Theories of Pain 287

Causes of Pain 292

Types of Pain 293

Pain Cycles: Never- Ending Pain 295

Impact of Pain on People's Lives 296

Causes of Pain 296

Pain Management Solutions: Assessment 298

Managing Pain 303

Conclusion 312

References 312

Chapter 7 Personalised Care in Leg Ulceration 318
Alison Hopkins and Charlotte Smith

The Wider or Social Determinants of Health 319

Wider Determinants of Engagement with Treatment 324

Making Effective Change 326

What Influences Practitioners