№ lp_2_1_33542
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Clinical pathway and procedural guidance outlining referral criteria, assessment standards, compression therapy protocols, and vascular intervention planning for patients with venous leg ulcers within NHS community and specialist services.
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NICE guidance; SIGN 120 (withdrawn)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
Price: 8 / 10 USD
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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:
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
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
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
Year:
2023
Region / city:
USA, Germany, Australia
Topic:
Entomology, Gasteruptiidae wasps, insect physiology
Document type:
Research article
Author:
István Mikó, Sarthok Rasique Rahman, Salvatore Anzaldo, Thomas van de Kamp, Ben A. Parslow, Nikolai J. Tatarnic, Maxwell T. Wetherington, Julie Anderson, Rudolf J. Schilder, Jonah M. Ulmer, Andrew R. Deans, Heather M. Hines
Target audience:
Entomologists, biologists, researchers in animal physiology
Period of validity:
N/A
Date of approval:
N/A
Date of changes:
N/A
Context description:
A research paper analyzing the expanded hind tibia of gasteruptiid wasps, exploring its role in vibrational signal amplification and potential functions such as detoxification and flight balance.
Note:
Year
Year:
2020
Region / City:
Sweden
Topic:
Medical Research, Thrombosis Prevention
Document Type:
Research Study Protocol
Organization / Institution:
Karolinska Institute
Author:
Paul Ackermann, Simon Svedman, Luigi Belcastro
Target Audience:
Medical Professionals, Researchers
Duration:
6-8 weeks for patients, study duration unspecified
Approval Date:
2020-03-25
Modification Date:
None
Funding:
Swedish Research Council
Primary Investigator:
Paul Ackermann
Clinical Trial Registration:
NCT03259204
Web:
https://ki.se/mmk/stop-leg-clots
Description:
A multicenter clinical trial to assess the impact of mechanical blood clot prevention on reducing deep vein thrombosis (DVT) risk in leg-immobilized outpatients.
Year:
N/A
Region / City:
N/A
Theme:
Accessibility, Mobility Aids
Document Type:
Product Specification
Organization:
N/A
Author:
N/A
Target Audience:
People with reduced mobility, Hospitals, Hotels
Validity Period:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Year:
2026
Region / City:
United Kingdom
Topic:
Chronic venous leg ulcer management
Document Type:
Clinical guideline / service protocol
Institution:
CWS Clinical Commissioning Group
Author:
Not specified
Target Audience:
Healthcare professionals treating leg ulcers
Assessment Tools:
Ankle brachial pressure index (ABPI), FBC, Electrolytes, Haematinics, Doppler ultrasound
Treatment Approach:
Multi-layer compression bandaging, individualized care plans, regular dressings
Referral Criteria:
Suspected malignancy, peripheral arterial disease, diabetes mellitus, rheumatoid arthritis/vasculitis, atypical ulcer distribution, contact dermatitis, non-healing ulcers
Education Provided:
Patient and carer written support on lifestyle management
Review Period:
12 weeks
Note:
Year
Topic:
Medical assessment
Document type:
Questionnaire
Target audience:
Medical professionals
Year:
2011–2012
Location:
Princeton, NJ, USA
Subject:
Mechanical Engineering Calculation of Coil Support Assembly
Document Type:
Calculation Report
Organization:
Princeton Plasma Physics Laboratory (PPPL)
Author:
Peter Rogoff
Reviewed By:
Irv Zatz, Mark Smith
Target Audience:
Engineering and project staff involved in NSTX-U
Calculation Number:
NSTXU-132-12-00
Revision Number:
00
WP Number:
1677
Materials:
SS316, Inconel 718
Simulation Tools:
Nastran FEA 2010.1r.2, ANSYS Global Models
Assumptions:
Lap joints secure, no slippage between coil conductors, clamp bolts properly installed
Design Status:
Preliminary design verification completed, final assembly pending further analysis
Description:
Technical calculation report documenting finite element simulations and structural analysis of the NSTX-U TF coil outer leg clamp assembly, including material specifications, forces, and recommended design modifications.
Year:
2026
Region / City:
Chorlton, Whalley Range, Fallowfield
Document Type:
Referral Form
Organization:
Chorlton, Whalley Range & Fallowfield Leg Club
Author / Coordinator:
Dawn Harris
Target Audience:
Healthcare professionals referring patients
Patient Information Included:
Yes
Contact Details Included:
Yes
Purpose:
Collect patient details and referral reasons for Leg Club attendance
Year:
2016
Region / City:
Lebanon, PA
Theme:
Plumbing, Contracting, Government Procurement
Document Type:
Solicitation Notice
Agency:
Department of Veterans Affairs
Author:
Not specified
Target Audience:
Veteran-Owned Small Businesses
Effective Period:
January 26, 2016 - February 29, 2016
Approval Date:
Not specified
Amendment Date:
Not specified
Project Number:
595-14-177
Contract Number:
VA244-16-B-0381
NAICS Code:
237110
Funding:
Recovery Act Funds not specified
Place of Performance:
Lebanon VA Medical Center
Contract Type:
Firm Fixed Price
Bid Guarantee:
20%
Performance Bond:
100%
Completion Time:
280 days
Contracting Office:
Network Contracting Office 4
Description:
Solicitation for Plumbing Dead Leg Removal Project at the Lebanon VA Medical Center, open only to Veteran-Owned Small Businesses (VOSB).