Compression for venous leg ulcers

O’Meara, Susan; Cullum, Nicky; Nelson, E Andrea

doi:10.1002/14651858.cd000265.pub2

Cited by 265 publications

(337 citation statements)

References 72 publications

Supporting

Mentioning

302

Contrasting

Unclassified

Order By: Relevance

“…No patient had access to multi-layered compressive therapy, and mentioned only the use of the Unna boot, elastic bandage and stocking; that is to say, less effective systems that that of multilayers (2) . This could perhaps be explained by the fact that the municipality -scenario of the study -does not make this product available to the public, which is attended to in the Health Units, and does not have a center specialized in the treatment of wounds.…”

Section: Discussionmentioning

confidence: 99%

“…It is estimated that around one percent of the population in industrialized countries will suffer from lower extremity ulcers (LEU) at some time of life, the majority being caused by problems in the venous system, leading to an accumulation of blood in the lower extremities. These lesions are also called stasis or varicose ulcers (2) .…”

Section: Introductionmentioning

confidence: 99%

“…Studies have demonstrated that the treatment of excellence is compressive therapy, since this could contribute to increasing the healing rate. The multi-layered compression systems are the most effective forms in this line of treatment (2,6) .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Manejo clínico de úlceras venosas na atenção primária à saúde

et al. 2012

View full text Add to dashboard Cite

Objective: To discuss the clinical management of venous ulcers in primary health care, based on the vision of users who live with this affliction. Methods: This was a qualitative, exploratory, descriptive study, conducted with 25 adult users in treatment in the Family Health Units. Data were collected in the second semester of 2008, using a structured instrument with questions of sociodemographic characteristics, type of cleaning, coverings, use of compression therapy, medication and prescribed guidelines. Results: Cleaning products are used that aggravate the granulation tissue, such as coverings with various substances, including sunflower oil and antibiotic ointments; the majority of users do not use measures to control edema. Conclusion: It is necessary to elaborate and adopt clinical protocols for the care of venous ulcers, as well as to provide ongoing education for health professionals. Keywords: Varicose ulcer; Wound healing; Primary health care; Bandages RESUMOObjetivo: Discutir o manejo clínico de úlceras venosas realizado na atenção primária à saúde, com base na visão dos usuários que convivem com esta afecção. Métodos: Estudo de natureza qualitativa exploratório, descritivo, realizado com 25 usuários adultos em tratamento nas Unidades de Saúde da Família. Os dados foram coletados no segundo semestre de 2008, utilizando-se um formulário estruturado com questões de caracterização sociodemográfica, tipo de limpeza, coberturas, uso de terapia compressiva, medicamentos e orientações prescritas. Resultados: São usados para a limpeza produtos que agridem o tecido de granulação, como coberturas com várias substâncias, dentre elas o óleo de girassol e pomadas antibióticas; a maioria dos usuários não utiliza medidas para controle do edema. Conclusão: fazem-se necessárias a elaboração e a adoção de protocolos clínicos para o cuidado com úlceras venosas, bem como a capacitação permanente dos profissionais de saúde. Descritores: Úlcera varicosa; Cicatrização; Atenção primária à saúde; Bandagens RESUMENObjetivo: Discutir el manejo clínico de úlceras venosas realizado en la atención primaria a la salud, con base en la visión de los usuarios que conviven con esta afección. Métodos: Estudio de naturaleza cualitativa exploratorio, descriptivo, realizado con 25 usuarios adultos en tratamiento en las Unidades de Salud de la Familia. Los datos fueron recolectados en el segundo semestre del 2008, utilizándose un formulario estructurado con preguntas de caracterización sociodemográfica, tipo de limpieza, coberturas, uso de terapia compresiva, medicamentos y orientaciones prescriptas. Resultados: Son usados para la limpieza productos que agreden el tejido de granulación, como coberturas con varias sustancias, entre ellas el aceite de girasol y pomadas antibióticas; la mayoría de los usuarios no utiliza medidas para control del edema. Conclusión: Se hace necesaria la elaboración y la adopción de protocolos clínicos para el cuidado con úlceras venosas, así como la capacitación permanente de los profesionales de salud....

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Manejo clínico de úlceras venosas na atenção primária à saúde

et al. 2012

View full text Add to dashboard Cite

show abstract

“…In the specific domain of nursing patients with leg ulcers, there is good evidence to support the use of Doppler aided assessment of ankle-brachial pressure index (ABPI) to detect arterial disease for differential diagnosis (Royal College of Nursing 2006) and robust clinical trial evidence to support the use of multi-layer high compression for promoting healing in venous leg ulceration (O'Meara et al 2012). Therefore, a representative task (Cooksey 1996b) for evaluating expertise in managing venous leg ulceration is the accurate diagnosis of the aetiology of a leg ulcer (with an appropriate recognition of the value of Doppler assessment of ABPI) and an appropriate treatment judgement regarding whether or not to apply high compression.…”

Section: The Role Of Specialist and Generalist Community Nurses In Thmentioning

confidence: 99%

A comparison of the management of venous leg ulceration by specialist and generalist community nurses: A judgement analysis

Adderley

Thompson²

2016

International Journal of Nursing Studies

View full text Add to dashboard Cite

“…[12] These examples of how Cochrane Reviews of inadequate-sized trials have engendered and supported definitive studies are not atypical in the treatment of stroke or fractures. We are aware of many other examples in other areas, such as the direct influence of Cochrane Reviews, for example examining compression bandages [13], on a series of four definitive trials (VeNUS I, II, III and IV) on the management of venous ulcers.…”

mentioning

confidence: 99%