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| This algorithm provides a general path of decision-making for assessment, management, and treatment of neuropathic 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 an ET 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 |
| Alvarez OM, Gilson
G, Auletta MJ. Local Aspects of Diabetic Foot Ulcer Care:
Assessment, Dressings, and Topical Agents. In:Levin ME,
O'Neal LW, Bowker JH. The Diabetic Foot, Fifth Edition.
St Louis, MO: Mosby Year Book. 1993, 259-281. |
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| 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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| Steed DL: Diabetic
Wounds: Assessment, Classification and Management. In:
Krasner D, Kane D. Chronic Wound Care, Second Edition.
Wayne, PA Health Management Publications, Inc., 1997,
pp 172-177. |
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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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| 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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| Rolstad, BS. Wound
Dressings: Making the Right Match. Nursing 97 June 32hn1-3.. |
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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: Peripheral
Neuropathy. Laguna Beach, CA 1996. |
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