References

Charles H. Chronic oedema, compression therapy and static stiffness index. Wounds UK. 2013; 9:4-10

Guest JF, Ayoub N, McIlwraith T. Health economic burden that different wound types impose on the UK's National Health Service. Int Wound J. 2017; 14:(2)322-330 https://doi.org/10.1111/iwj.12603

Guidelines and Audit Implementation Network (GAIN). An investigation into lower leg ulceration in Northern Ireland. 2013. https://tinyurl.com/yyugr263 (accessed 22 October 2019)

Murdoch V. Patient concordance in the management of chronic oedema: role of the independent prescriber. Br J Community Nurs. 2019; 24:S6-S10 https://doi.org/10.12968/bjcn.2019.24.Sup4.S6

NHS England NHS RightCare scenario: the variation between suboptimal and optimal pathways. Betty's story: leg ulcer. https://tinyurl.com/yxw9bvt9 (accessed 22 October 2019)

Northern Ireland Statistics and Research Agency. Estimates of the population aged 85 and over, Northern Ireland, 2018 (and 2001 to 2017 revised) statistical bulletin charts. 2019. https://tinyurl.com/y44e2l44 (accessed 22 October 2019)

Salmon M. Differentiating between red legs and cellulitis and reviewing treatment options. Br J Community Nurs. 2015; 20:(10)474-480 https://doi.org/10.12968/bjcn.2015.20.10.474

Weiss J, Daniel T. Validation of the Lymphedema Life Impact Scale (LLIS): a condition-specific measurement tool for persons with lymphedema. Lymphology. 2015; 48:(3)128-138

BJN Awards 2019: chronic oedema nurse of the year runner up

14 November 2019
Volume 28 · Issue 20

My role as a chronic oedema liaison nurse (COLN) developed as part of a service development project, jointly funded by the South Eastern Health and Social Care Trust and the local commissioning group. My work in a multidisciplinary team alongside Pippa McCabe (lymphoedema clinical lead) and Susan Patterson (pharmacy adviser to the Health and Social Care Board) has proved that early identification and management of simple oedema and early venous disease is cost-effective and has quality-of-life benefits to individuals suffering from the symptoms.

The project aimed to explore new ways to improve the ongoing management and review of patients with simple leg oedema, developing a model of care that has been rolled out to GP practices within the South Eastern Trust in Northern Ireland since 2018. This exciting and innovative project has fundamental benefits, ultimately reducing the pressure on specialist tissue viability nurses (TVNs), lymphoedema services, and treatment room nurses. In doing so, this will prevent the development of complications secondary to chronic leg oedema, such as cellulitis and onward vascular referrals.

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