№ lp_2_3_43910
File format: docx
Character count: 46217
File size: 1092 KB
This document provides guidelines for healthcare professionals on the assessment, management, and prevention of recurrence of leg ulcers, emphasizing the most common causes and best practices in clinical care.
Version:
7.0
Year:
2024
Region / City:
England
Topic:
Leg Ulcer Prevention and Management
Document Type:
Procedural Document
Institution:
ELFT
Author:
Caroline Dowsett, Clinical Nurse Specialist Tissue Viability and Clinical Lead Leg Ulcer Service
Target Audience:
Healthcare professionals
Approval Date:
5th July 2024
Ratification Date:
25th September 2024
Implementation Date:
September 2024
Last Review Date:
June 2024
Next Review Date:
June 2027
Applicable to:
Trust wide, Community Health Services, Mental Health and LD
Predecessor:
Leg Ulcer Prevention and Management Guidelines 2021
Related Documents:
Wound Management Guideline, Infection Control Policy
Review Responsibility:
Clinical Lead for Leg Ulcer Service Tissue Viability Service
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2023-2024
Region / City:
Florida
Topic:
Agricultural Statistics
Document Type:
Survey Form
Organ / Institution:
National Agricultural Statistics Service, Florida Department of Agriculture and Consumer Services
Author:
National Agricultural Statistics Service
Target Audience:
Agricultural professionals and statisticians
Period of validity:
2023-2024
Approval Expiry Date:
Unknown
Date of approval:
Unknown
Date of amendments:
Unknown
Note:
Year
General Manager:
Denise Everett
Service Area:
Integrated Nursing and Conditions Service
Date:
19/04/2021
Proposal:
Pathway redesign for patients over 18 with Lower Limb Ulceration in line with NWCSP Lower Limb recommendations and CHCP/HUTH joint partnership first tranche implementation site
Participating Organisations:
CHCP; HUTH
Clinicians Involved:
Vascular Consultant; Vascular Specialist Nurse; Tissue Viability Nurse; District Nurse; Lead Treatment Room Nurse
Legislative Framework:
Equality Act 2010
Affected Groups Identified:
Age; Disability; Other Disadvantaged Groups
Potential Adverse Impacts:
Clinic attendance barriers; digital exclusion; limitations in self-care ability; restricted access for housebound patients, prisoners and hard-to-reach groups
Mitigation Measures:
Housebound service provision; individual digital support; face-to-face appointments; accessible information formats; supported home visits; specialist drop-in and in-reach prison clinics
Positive Impact Identified:
No
Monitoring Arrangements:
Communication and Patient Engagement work stream with ongoing dynamic review
Approval Date:
26/04/2021
Approval Authority:
General Manager
Submission Contact:
Equality Diversity and Inclusion Lead
Year:
Not specified
Region / City:
Not specified
Theme:
Healthcare / Medical Procedures
Document Type:
Assessment Form
Organization / Institution:
Not specified
Author:
Not specified
Target Audience:
Healthcare practitioners involved in compression therapy
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Contextual Description
Year:
2024
Patient Name:
Ollie (#29554)
Species:
Canine
Breed:
Terrier mix
Sex:
Male neutered
Age:
3 years
Weight:
9.3 kg
Date of Original Presentation:
February 28, 2024
Presenting Complaint:
Progressive bilateral front limb angular deformity affecting mobility
Type of Document:
Veterinary case report
Medical Specialty:
Small animal orthopedic surgery
Referral:
Veterinary small animal specialty surgical department
Diagnostics Performed:
Radiography and computed tomography with 3D bone modeling
Sedation Protocol:
Butorphanol 0.2 mg/kg IV and Dexdomitor 0.006 mg/kg IV
Tentative Diagnosis:
Severe bilateral forelimb angular limb deformity
Surgical Procedure:
Corrective radial and ulnar osteotomy with custom 3D-printed guides and locking bone plate fixation
Date of Surgery:
May 22, 2024
Implants Used:
2.7 mm 6-hole locking bone plate and k-wires
Postoperative Care:
Splinting, soft padded bandaging, incision management, and prescribed physical therapy
Follow-up Plan:
Recheck radiographs at 8 weeks postoperative; planned corrective surgery of right forelimb
Year:
2026
Region / City:
Not specified
Topic:
Post-operative patient care
Document Type:
Instruction sheet
Institution / Organization:
Patient Care Services
Author:
Healthcare team
Target Audience:
Patients undergoing surgery with nerve blocks
Procedure:
Peripheral nerve block
Duration of Effect:
12-48 hours depending on limb
Medication:
Acetaminophen, anti-inflammatory, narcotic pain medication
Activity Recommendations:
Limb protection, avoid weight bearing or strain
Expected Side Effects:
Numbness, heaviness, temporary muscle weakness, occasional tingling 3-7 days
Version:
1
Edited by:
Mark Kelly LAT, Timothy P. Fitzgibbons MD PhD
Document Type:
Laboratory Protocol
Species:
Mouse (Mus musculus)
Field:
Vascular Research / Peripheral Artery Disease
Procedure Duration:
30 minutes
Anesthesia:
Ketamine, Xylazine, Isoflurane
Analgesics:
Buprenorphine, Meloxicam
Surgical Materials:
6-0 Prolene suture, 7-0 Silk suture, Isoflurane, Heating pad, Forceps, Scissors, Needle driver, Eye ointment, 0.9% NaCl, Sterile gloves, Povidone-iodine, 70% EtOH
Safety Warnings:
Hazards and precautions for personnel safety are specified
Monitoring:
Respiratory rate, toe/ear pinch, visual observation
Post-procedure Care:
Analgesics administration and regular monitoring of mice for at least 72 hours
Context:
Preclinical research protocol detailing step-by-step procedures, materials, anesthesia, analgesia, and post-operative care for inducing and studying hind limb ischemia in mice.
Year:
2026
Type of document:
Video supplemental material list
Subject:
Quadriceps and lower limb exercise techniques
Format:
.MOV and .mp4 files
Target audience:
Physical therapists, sports trainers, rehabilitation specialists
Number of items:
25
Exercise modalities:
Isometric, NMES-assisted, BFR, eccentric, heavy-slow resistance, velocity-based, plyometric
Associated equipment:
Knee extension machine, leg press, jump training machine, elastic bands, curved treadmill, metronome
Purpose:
Instructional support for exercise protocols
Year:
2026
Region / city:
Not specified
Subject:
Equine physiotherapy
Document type:
Instructional guide
Organization:
Bridgefield Physiotherapy Ltd
Author:
Not specified
Target audience:
Horse owners, equine therapists
Intended use:
Physical therapy and mobility exercises for horses
Copyright:
© Bridgefield Physiotherapy Ltd
Usage restrictions:
Not to be copied without permission
Year:
2023
Region / City:
N/A
Topic:
Veterinary Anatomy, Canine Pelvic Limb
Document Type:
Educational Text
Institution:
N/A
Author:
N/A
Target Audience:
Veterinary students, professionals in animal anatomy
Period of Validity:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Year:
2025
Date:
7 April 2025
Region / City:
Swindon and Wiltshire, Gloucestershire
Country:
United Kingdom
Healthcare System:
NHS
Clinical Area:
Diabetes foot care
Topic:
Diabetic foot ulcer referral pathways
Document Type:
Clinical referral guidance and referral form
Issuing Organizations:
Gloucestershire Hospitals NHS Foundation Trust; Wiltshire Community Podiatry; Swindon Community Podiatry
Target Audience:
General practitioners, community podiatrists, healthcare professionals
Referral Pathways:
Same Day Emergency Care (SDEC); Foot Attack Clinic; Community Podiatry; Vascular Surgery
Urgency Categories:
Urgent referrals; Routine referrals
Associated Services:
Diabetes Foot MDT; Community Diabetes Teams
Clinical Conditions Covered:
Diabetic foot ulceration; infection; ischaemia; Charcot foot; neuropathy
Required Clinical Information:
Patient demographics; diabetes history; comorbidities; ulcer characteristics; investigations; treatments
Investigations Referenced:
Blood tests; wound swab; tissue sample; X-ray; ultrasound
Contact Methods:
Email referrals; ERS submissions; telephone
Period of Applicability:
Ongoing as of April 2025
Year:
2023
Region / city:
United Kingdom
Topic:
Nursing care plan, Pressure ulcers
Document type:
Medical protocol
Organization / institution:
NHS Forth Valley
Author:
Not specified
Target audience:
Healthcare professionals (nurses, doctors)
Period of validity:
Not specified
Approval date:
Not specified
Date of revisions:
Not specified
Note:
Clinical area
Healthcare setting:
Inpatient and community nursing
Topic:
Pressure ulcer prevention and incident review
Document type:
Clinical assessment and review record
Assessment focus:
Skin inspection, pressure ulcer risk, SSKIN interventions, nutrition, continence
Care bundle referenced:
SSKIN
Related reporting system:
Datix
Patient considerations:
Vulnerable person safeguarding, mobility, equipment needs
Review outcome categories:
Avoidable or unavoidable pressure ulcer
Follow-up actions:
Learning points, action plan, duty of candour review
Year:
2024
Country:
Scotland
Healthcare system:
NHS
Subject:
Venous leg ulcer management and intervention
Document type:
Clinical pathway and Standard Operating Procedure
Issuing programme:
National Wound Care Strategy Programme
Clinical setting:
Community Venous Leg Ulcer Clinic and Vascular Surgery Service
Target population:
Patients with venous leg ulcers
Related guidance:
NICE guidance; SIGN 120 (withdrawn)
Referenced trials:
ESCHAR trial (2007); EVRA trial (2018)
Contributors:
NHS Tayside clinical team (appendix adaptation)
Services involved:
Primary Care, District Nursing, Vascular Surgery, Dermatology
Procedures included:
ABPI measurement, compression therapy, venous duplex, endovenous ablation, sclerotherapy, surgical stripping
Referral pathway:
Community clinic triage and one-stop vascular clinic referral
Period of applicability:
From July 2024
Year:
2022
Region / city:
Riyadh, Saudi Arabia
Subject:
Medicine, Surgery
Document Type:
Case Report
Author:
Nasser Alzerwi
Target Audience:
Medical professionals, surgeons
Period of validity:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Publication Date:
April 2025
Review Date:
April 2027
Supersedes:
Island-Wide Pressure Ulcer Prevention and Management Framework 2021
Ratification:
Health & Care Jersey (HCJ) Policy and Procedure Ratifying Group; Family Nursing & Home Care (FNHC) Organisational Governance Approval Group
Review Cycle:
Every two years
Geographical Scope:
Jersey
Thematic Area:
Prevention and management of pressure ulcers
Document Type:
Clinical framework and standards document
Applicable To:
Health and social care services and organisations
Target Population:
Individuals of all ages at risk of or identified with pressure ulcers, including babies and children
Source Standards:
Health Improvement Scotland Standards for Prevention and Management of Pressure Ulcers 2020
Referenced Authority:
NHS Improvement (2019) Pressure Ulcer Categorisation
Key Components:
Leadership and governance; staff education and training; person centred information and support; risk assessment and reassessment; care planning; safeguarding procedures; clinical pathway guidance
Safeguarding Provisions:
Adult and children safeguarding procedures including reporting and decision guides
Note:
Year
Note:
Year
Topic:
Medical assessment
Document type:
Questionnaire
Target audience:
Medical professionals
Note:
Year
Topic:
Healthcare
Document Type:
Protocol
Target Audience:
Healthcare professionals
Contextual Description:
A protocol outlining the process for documenting and assessing skin damage using a body map in a healthcare setting.
Year:
2010–2011
Region / City:
Philadelphia, PA, USA
Subject:
Peptic Ulcer Disease, Gastritis, Nutrition Therapy
Document Type:
Case Study
Institution:
W.B. Saunders Company, Thomson Brooks/Cole, MedlinePlus, RxList
Author:
L.K. Mahan, S. Escott-Stump, M. Nelms, K. Sucher, K. Lacey, D. Habash, S. Roth
Target Audience:
Medical and nutrition students, healthcare professionals
Period Covered:
2010–2011
Medications Discussed:
Carafate, AlternaGel, Pepcid, Nexium, Amoxicillin, Clarithromycin
Risk Factors:
NSAID use, alcohol, tobacco, stress, poor nutrition
Symptoms:
Abdominal pain, anorexia, belching, bleeding, hematemesis
Treatment Mechanisms:
Gastric acid inhibition, ulcer protection, antibacterial action
Nutrient-Drug Interactions:
Thiamin, vitamin B12, vitamin D, iron, copper deficiencies; aluminum accumulation risk in elderly
Surgical Procedures:
Billroth I, Vagotomy, Exploratory Laparotomy
Diagnostic Procedures:
Abdominal tap
Anatomical Focus:
Gastric mucosa, duodenum