Leg Ulcers

  • Includes discussion on the causes of leg ulcers and provides a relevant case study
  • Contains appropriate visual and diagrammatic supports
  • Covers the general principles for the assessment of leg ulcers and possible treatment options
  • Compares between signs and symptoms of venous and arterial ulcers
  • Discusses mixed vessel ulcers

Leg ulcers are a significant burden on patients, their families, and healthcare systems. Approximately 15% of persons over the age of 80 years suffer from a leg ulcer (Hewitt et al. 2003). Leg ulcers have a high rate of recurrence and some people endure many years of non-healing leg ulcers (Scully 1999). This chapter first discusses the assessment and treatment of leg ulcers in general terms. For specific advice on the assessment and management of particular types of leg ulcers, see 'Venous leg ulcers' (this chapter, page 151) and 'Arterial leg ulcers' (this chapter, page 161).

Contents include

  • Causes of leg ulcers
  • Assessment
    • General principles of assessment
    • Leg-ulcer assessment tools
    • Specific investigations
    • Multidisciplinary assessment
    • Examination of the limb
    • Examination of the ulcer
  • Treatment objectives
  • Venous leg ulcers
    • Venous systems in the lower limb
    • Pathophysiology of leg ulcers
    • Conditions associated with venous insufficiency
    • Clinical appearance of venous ulcers
    • Skin conditions associated with venous insufficiency
    • Palpation of foot pulses
    • Investigations
    • Treatment of venous leg ulcers
    • Long-term care of venous insufficiency
  • Arterial leg ulcers
    • Conditions associated with arterial insufficiency
    • Clinical indications of arterial disease
    • Clinical appearance of arterial ulcers
    • Investigations
    • Treatment of arterial leg ulcers
  • Mixed vessel ulcers
  • Other aetiologies
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Author / Editor Biographies

Nurse Practitioner Wound Management
Sue Templeton is the nurse practitioner: wound management for RDNS SA Ltd. Sue has been involved in wound management since 1987 and has extensive experience in hospital and community sectors, managing individuals with a variety of acute and chronic wounds. Sue is involved with Wounds Australia (formerly AWMA) at both a national and state level and has held several leadership positions. Sue delivers clinical care to individuals with wounds, provides clinical consultancy services, develops and delivers education to health practitioners, develops policies and tools, publishes and presents, and is...

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