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Venous Leg Ulcers:

Comprehensive Assessment and Management

Venous leg ulcers (VLUs) have a high prevalence and a steep cost, both financially and in terms of patients’ quality of life. Wound care professionals will find this guide a helpful resource on VLUs. The step-by-step assessment protocol is comprehensive, and the treatment sections include practical instructions on edema control through compression, skin care techniques, medications and dressings, and pain management strategies.


Venous Leg Ulcer Management Principles

Presenter: Karen Bauer, NP-C, CWS

Venous disease is the most common cause of lower extremity ulceration, occurring in 3% of those above the age of 80. The pathophysiology of venous ulcers is complex, with multiple theories suggested. One of the problems related to venous ulcer management lies within the research to practice gap. While clinical practice guidelines exist, implementation of these is often inconsistent. The goal of this program is to delineate management of venous ulcers based on research and summarize guidelines proposed by different organizations in a practical and clinically applicable manner.

Quick Facts – Venous Leg Ulcers

Download Quick Facts – Venous Leg Ulcers and share it within your facility. This two-page fact sheet was created to support staff education on venous leg ulcer prevention and management. The print-friendly format is perfect for posting on the bulletin board or distributing to your nursing staff at in-service.

How Much Do You Know About Venous Leg Ulcer Management?

Take our 11-question quiz to find out!

Terms to know: Venous Leg Ulcers

Calf muscle pump: Functional result of the calf muscle surrounding the deep venous system and compressing the veins during plantarflexion by contracting the muscle to assist with venous return to the heart.

CEAP classification: Utilizing clinical manifestations, etiologic factors, anatomic location, and pathophysiologic dysfunction to create a comprehensive objective system for classifying chronic venous insufficiency including severity scoring.


What Is a Venous Leg Ulcer?

A venous leg ulcer (VLU) caused by vein disease that primarily affects older adults. As a prevalent problem among older patients, providing care for individuals with VLUs is time-consuming and costly. The direct costs vary from country to country, with…

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Complications of Venous Leg Ulcers

Venous leg ulcers (VLUs) are difficult to treat, and when they are present a variety of complications may arise. These complications can be challenging to treat and may often contribute to the prolonged healing times resulting from chronicity…

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Venous Leg Ulcer Management Strategies

Venous leg ulcers can be painful, cause distress, and affect quality of life, from the weekly wound center visits, multilayer wraps, debridements, compression hose, elevation of legs above the heart, to…

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Venous Leg Ulcer Chronicity and Recurrence: Breaking the Cycle

Chronic non-healing venous ulcer wounds are an economic burden to the health care system and are the most common type of leg ulcer, affecting around 1% of the population, with 3% of people aged over…

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Venous Leg Ulcer Management

Venous leg ulcers are one of the most prevalent and costly lower extremity wounds that clinicians face. With a high recurrence rate — 70% within 90 days of closure — health care professionals need to stay up to date on best practice methods for management and treatment of these difficult wounds.

Watch this brief overview video to learn more about managing venous leg ulcers and the educational resources made available in the February Practice Accelerator portal on Venous Leg Ulcers.

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