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| This algorithm provides a general path of decision-making for assessment and topical management of arterial leg ulcers. Each area of the chart links to detailed information designed to assist healthcare providers. This tool should be used along with the consultative services of a wound care specialist, such as a Stomal Therapy Nurse, Physical Therapist, Clinical Nurse specialist with expertise in wound management, or a Physician when indicated. |
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| Click on an area of the chart below for more detailed information. |
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| Developed in collaboration with Bonnie Sue Rolstad, RN, BA, CWOCN Bryant Rolstad Consultants, LLC, St. Paul, MN Photography courtesy of Ms. Rolstad |
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| References |
| Ennis WJ, Meneses
P. Leg ulcers: A practical approach to the leg ulcer patient.
Ostomy/Wound Management 1995, 41(7A) Suppl 52S-63S. |
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| Fahey VA: Vascular
Nursing. Second Edition, Philadelphia, Pennsylvania: W.
B. Saunders Company. 1994. |
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| Harris A, et al:
Managing vascular leg ulcers: Part 1, assessment. American
Journal of Nursing: 1996, January 96(1):38-44. |
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| Holloway GA Arterial
Ulcers: Assessment, Classification and Management. In:
Krasner D, Kane D. Chronic Wound Care, Second Edition.
Wayne, PA: Health Management Publications, Inc., 1997,
pp158-164. |
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| Hess, Cathy Thomas.
Nurse's Clinical Guide to Wound Care. Springhouse, PA:
Springhouse Corporation, 1997. |
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| Krasner D, Kane
D (eds). Chronic Wound Care, A Clinical Source Book for
Healthcare Professionals, Second Edition, Wayne, Pennsylvania:
Health Management Publications, Inc. 1997. |
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| Maklebust J. Using
wound care products to promote a healing environment.
Critical Care Nursing Clinics of North America 1996 8(2)
141-158. |
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| Morison M, Moffatt
C. A Colour Guide to the Assessment and Management of
Leg Ulcers. Second Edition, London 1994. |
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| Rolstad, BS. Wound
dressings: Making the right match. Nursing97 June 32hn1-3. |
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| Sieggreen MY, Maklebust
J: Managing leg ulcers. Nursing96, December, 41-46. |
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| Wound, Ostomy and
Continence Nurses Society. Standards of Care, Patient
with Dermal Wounds: Lower Extremity Ulcers. Laguna Beach,
CA 1993. |
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| Wound, Ostomy and
Continence Nurses Society. Clinical Fact Sheet: Quick
Assessment of Leg Ulcers. Laguna Beach, CA 1996. |
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| Wound, Ostomy and
Continence Nurses Society. Clinical Fact Sheet: Arterial
Insufficiency. Laguna Beach, CA 1996. |
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