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    1. Medicin
    2. Klinisk medicin och internmedicin
    3. Diagnostiska metoder

    Lower Limb and Leg Ulcer Assessment and Management

    AvAby Mitchell,Georgina Ritchie

    Häftad, Engelska, 2024

    514 kr

    Beställningsvara. Skickas inom 5-8 vardagar. Fri frakt över 249 kr.

    Beskrivning

    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 legLeg ulceration due to venous hypertension, peripheral arterial disease, and lymphoedemaLeg ulcers of unusual aetiology, addressing autoimmune and inflammatory disorders such as pyoderma gangrenosum, rheumatoid arthritis, scleroderma, sickle cell, and moreMusculoskeletal changes in the lower limb, assessment, and management to enhance mobility and calf-muscle functionClinical management, with topics like wound management, stages of wound healing, exudate management, holistic assessment including vascular assessment, compression therapy, and Laplace’s lawPain management with an emphasis on understanding the complexities and features that exacerbate or diminish the pain responseThe 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.

    Produktinformation

    • Utgivningsdatum:2024-05-02
    • Mått:193 x 216 x 27 mm
    • Vikt:680 g
    • Format:Häftad
    • Språk:Engelska
    • Antal sidor:496
    • Förlag:John Wiley and Sons Ltd
    • ISBN:9781119908210

    Utforska kategorier

    • Diagnostiska metoder inom Medicin
    • Muskuloskeletala sjukdomar inom Medicin
    • Dermatologi inom Medicin

    Mer om författaren

    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.

    Innehållsförteckning

    • List of Contributors xiiiForeword xvPreface xviiAcknowledgements xxIntroduction 1Alison Hopkins and Joseph MontgomeryThe Wound Care Burden 1The Cost of Sub-Optimal Wound Care 3Classification of Dressing Products 4Dressing Product Analysis 6Online Non Prescription Services 7Conclusion 9References 9Chapter 1 Aetiology 11Aby MitchellNormal Venous Function 11Veins in Action 16Blood Pressure in Veins and Capillaries 17Venous Disease 18Pathophysiology of Chronic Venous Disease 19Theories of Tissue Damage 21Chronic Venous Insufficiency 23Risk Factors for Venous Insufficiency 24Arterial Disease 24The Skin 33Wound Healing 35Phases of Wound Healing 36Conclusion 39References 39Chapter 2 Lymphoedema and Chronic Swelling 43Caitriona O’Neill and Rhodri HarrisFunction of the Lymphatic System 43Prevalence and Key Facts 48Causes of and Risk Factors 52Assessment, Diagnosis and Staging 55Management Challenges 66Lymphovenous Disease 68Treatment 74Compression Therapy and Assessment Considerations 76Adjunct Treatment Modalities 79Surgery 82Palliative Care 83Lipoedema 87Summary 97References 97Chapter 3 Atypical Causes of Leg Ulceration 106Sarah Bradbury and Kirsten MahoneyInflammatory/Autoimmune Disorders 107Metabolic Disorders 134Malignant/Neoplastic Wounds 145Drug- Induced Leg Ulcers 155Erosive Pustular Dermatosis 161Infective Conditions 172Conclusion 176References 177Chapter 4 Musculoskeletal Factors in Leg Ulcers: Assessment and Management 188Rona Frances CampbellRisk Factors 190Lower Limb Veno-Muscular Pumps 192Ankle Joint Assessment 196Holistic History Taking Relating to Factors that Influence Biomechanical Lower Limb Function 198Management 205Reducing Falls Risk 216Allied Health Professionals as Part of the Multidisciplinary Team 218Conclusion 218References 219Chapter 5 Assessment of Leg Ulceration 226Karen Staines and Aby MitchellAssessment 227History Taking 227Examination 238Arterial Disease 248Wound Assessment 252Skin Assessment 263Diagnostic Assessment 265How to Perform a Handheld Doppler 268Red Flags for the Urgent Treatment of Patients with Venous Leg Ulcers 276Reassessment and Recurrence 276Conclusion 276References 277Chapter 6 Holistic Management of Pain 285Fran Worboys and Alison HopkinsThe Pain Experience 285Theories of Pain 287Causes of Pain 292Types of Pain 293Pain Cycles: Never- Ending Pain 295Impact of Pain on People’s Lives 296Causes of Pain 296Pain Management Solutions: Assessment 298Managing Pain 303Conclusion 312References 312Chapter 7 Personalised Care in Leg Ulceration 318Alison Hopkins and Charlotte SmithThe Wider or Social Determinants of Health 319Wider Determinants of Engagement with Treatment 324Making Effective Change 326What Influences Practitioners’ Decision-Making in Leg Ulcer Management? 329The influence of Confidence, Courage and Competence 330A Problematic Culture Within Leg Ulcer Management 332Challenging Non- compliance 335Understanding the Lived Experience 338Support Personal Health Management Through Patient Activation 339Patient Activation Measure 340Shared Decision- Making 340Social Prescribing 342Motivational Interviewing 342Supporting Self- Management 343Legs Matter Coalition: Raising Awareness of Lower Limb Conditions 345Peer Support Groups 345Using Positive Language to Promote a Positive Culture 346Conclusion 347References 348Chapter 8 Clinical Management of the Lower Limb 353Georgina RitchieThe Case for Early Intervention 360Clinical Management 360What Is Compression Therapy and How Does it Work? 372Anti- inflammatory Action of Compression Therapy 381Cautions and Contraindications 384Considering and Commencing Treatment 386Location of the Ulceration 396Compression of the Foot 396Intermittent Pneumatic Compression 397Wound Bed Preparation and Clinical Management 398Conclusion 400References 400Chapter 9 Lifelong Management 405Jane HarryFactors Influencing Venous Ulcer Recurrence 407Holistic Reassessment Including Ankle Brachial Pressure Index 409Endovenous Ablation 411Compression Therapy Systems 411Assessing for Compression Hosiery 413Choosing and Prescribing Hosiery 415Other Considerations when Choosing a Compression Therapy System 423Empowering Patients’ Self- Management for Leg Ulcer Prevention 434Knowledge, Staff and Training 439Public Health 441Patient Satisfaction and Quality of Life 450Leg Ulcer Pathways 450Conclusion 451References 452Index 457