References

Use of TIME to improve community nurses' wound care knowledge and practice. 2009. https://tinyurl.com/yxffx6f6 (accessed 9 July 2019)

Franks PJ, Barker J, Collier M Management of patients with venous leg ulcer: challenges and current best practice. J Wound Care. 2016; 25:S1-S67 https://doi.org/10.12968/jowc.2016.25.Sup6.S1

Green J, Jester R, Mckinley R, Pooer A. The impact of chronic venous leg ulcers: a systematic review. J Wound Care. 2014; 23:(12)601-612 https://doi.org/10.12968/jowc.2014.23.12.601

Guest JF, Ayoub N, McIlwraith T Health economic burden that would impose on the National Health Service in the UK. Int Wound J. 2017; 14:(2)322-330 https://doi.org/10.1111/iwj.12603

Core outcome set for venous leg ulceration ‘CoreVen’. 2017. https://tinyurl.com/yy8dvaec (accessed 9 July 2019)

Hofman D. Management of ulceration caused by oedema. Wound Essentials. 2010; 5:80-86

International Wound Infection Institute. Wound infection in clinical practice. Principles of best practice. 2016. https://tinyurl.com/y2jzft6w (accessed 9 July 2019)

Miller C, Kapp S. Informal carers and wound management: an integrative literature review. J Wound Care. 2015; 24:(11)489-497 https://doi.org/10.12968/jowc.2015.24.11.489

Mortimer PJ, Levick R. Chronic peripheral oedema: the critical role of the lymphatic system. Clin Med. 2004; 4:(5)448-448 https://doi.org/10.7861/clinmedicine.4-5-448

Strategies to prevent the progression of venous and lymphovenous disease. 2012. https://tinyurl.com/y2f5oprn (accessed 9 July 2019)

Todd M, Lay-Flurrie K, Drake J. Managing ulceration and lymphorrhea in chronic oedema. Br J Community Nurs. 2017; 5:S34-S41 https://doi.org/10.12968/bjcn.2017.22.Sup5.S34

Todhunter J. Empowering patients to self-care with a Velcro wrap compression device. JCN. 2017; 31:(4)28-33

Yarwood-Ross L. Diagnosis of venous disease and use of Doppler assessment. Independent Nurse. 2013; https://doi.org/10.12968/indn.2013.15.4.98045

Outcomes of a new wrap compression system for patients with lower limb ulceration and oedema

14 November 2019
Volume 28 · Issue 20

Abstract

JOBST® FarrowWrap® is indicated in patients presenting with venous leg ulceration in combination with mild-to-moderate oedema. These symptoms result in significant physical and psychological problems and management can be costly in terms of duration of input and resources. This article will present four case studies demonstrating the benefits and outcomes for patients with lower limb issues and will consider how the product helps improve shape, reduce oedema, heal ulceration, improve quality of life in relation to the lower limb and encourage self-care.

Lower limb oedema can be classed as acute or chronic. It is normally classified as chronic, if present for 3 months or longer (Todd, 2012). Oedema can be seen in the lower limb when there is an excess of interstitial fluid caused by an imbalance between capillary filtration and lymph drainage (Mortimer and Levick, 2004). Chronic oedema often indicates venous insufficiency and, if left untreated, can result in chronic inflammation, skin changes and ulceration. There is also an increased risk of infection in the swollen area, especially if the skin is broken (International Wound Infection Institute, 2016). To help prevent complications of lower limb oedema, early diagnosis and management is crucial (Hofman, 2010). According to Guest et al (2017), a comprehensive, holistic assessment is required to ensure that an accurate diagnosis is reached and treatment is implemented promptly to reduce the burden of any complications.

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