logo

Research Study - Need For Promoting Nursing Knowledge For Leg Ulcers

   

Added on  2020-02-03

17 Pages6678 Words48 Views
MAINTAININGPROFESSIONALHEALTHCARESTANDARDS1

TABLE OF CONTENTSIntroduction..........................................................................................................................................3Patient presentation and pathophysiology of condition.......................................................................3Classification....................................................................................................................................3Aetiology..........................................................................................................................................4Epidemiology...................................................................................................................................4Burden of the disease on economic facets........................................................................................5Signs and Symptoms of leg ulcers...................................................................................................6Diagnosis of venous leg ulcer..........................................................................................................6Pathophysiology...............................................................................................................................7Analysis of the underpinning knowledge and its application to the nursing process...........................7Types of assessment.........................................................................................................................9Methods of assessment data collection..........................................................................................10Range of prevention and therapeutic interventions........................................................................11Guidance from national and international bodies...........................................................................12Conclusion..........................................................................................................................................12References..........................................................................................................................................132

INTRODUCTIONLeg ulcer is a long lasting (chronic) sore that is usually developed on the inside of the leg orjust above the ankle. The symptoms generally include pain, itching and steeling in the affected leg.These are most common in older people and especially among women. They affect about 1 in every1000 people in the UK at some stages in their lives (González, 2016). Venous leg ulcer becomemore common in the age of 80s and without treatment it may become larger. The study is importantsince that could aware old people regarding the development of venous ulcer in leg. People withvaricose veins also have a higher risk of developing venous leg ulcers. The root of the problem is due to increased pressure of blood in the veins of the lower leg.This also causes fluid to ooze out of the veins beneath the skin. This also causes swelling,thickening and damage to the skin (Gould and et.al. 2016). The ulcer is dressed in a similar way toany other wound and along with this, compression bandaging is also required. The bandages arereapplied every week; thus extra efforts are required to put by the nurse. Understanding knowledgeuse in everyday nursing practice is important so as to improve the educational preparation andquality in health care.Information of the patients are required to be protected so that secrecy can bemaintained. In order to deliver specific care to the patients (who have venous leg ulcer), suitable timeperiod is required to be considered so that the root cause of the problem can be eradicated. Venousulcers are often recurrent and it can prevail from weeks to many years and severe complicationsinclude cellulitis, osteomyelitis and malignant change (Grover and et.al. 2016). The present researchstudy has been made with the purpose of analysing the need of promoting nursing knowledge forvenous leg ulcer. Regarding this, symptoms, causes and treatment of the ulcer is being discussed inthe current research report. Similarly, researcher has also discussed impact, pathophysiology andcomplications of venous ulcer on human beings. Discussion has also been made on appropriatenursing process that can be applied in the case of venous ulcer. PATIENTPRESENTATIONANDPATHOPHYSIOLOGYOFCONDITIONIn the present research study, discussion has been made on Mrs Mary Jones who is 54 yearsold and who works as a sales advisor. She has the issue of venous leg ulcer and she is gettingtreatment from the community sector which is managed by district nurses. Stating about hermedical history, it has been identified that she has hypertension; thus lisinopril 5mg tablets isprescribed for which she needs to take twice in a day. ClassificationMost of the ulcers are caused by artery disease or diabetes that occur on the foot rather thanon a leg. The categories of leg ulcer can be split into five categories which are mentioned in the3

below section. Arterial leg ulcers: It is caused by poor circulation of blood in the arteries. People who havethese ulcers have cardiac and cerebrovascular disease. Foot wounds are deep and sometimesit create deep wounds on the toes which exposes tendons. These are usually located on bonyprominences and creates wounds in toes (Jull and et.al. 2016). They rarely bleed; howeverthey are highly painful. Diabetic leg ulcer: Diabetic leg ulcer is caused by high blood sugar which has a direct linkwith diabetes. They usually occur on the foot and most commonly it creates pressure pointsthat are prone to blisters. It is typically caused by prolonged pressure on trauma to the footand regular diabetic foot exams could prevent the formation of neuropathic ulcers. Most ofthe health care entities recommend wound debridement so that ulcers can be permanentlyhealed (Kirsner and et.al. 2016). Vasculitic leg ulcer: Vasculitic leg ulcer is associated with chronic inflammatory disorderssuch as lupus and rheumatoid arthritis. Traumatic leg ulcer: This type of ulcer is usually developed when any injury happens to theleg. Malignant leg ulcer: This type of ulcer is caused by a tumour of the skin of the leg whichkeeps on increasing if the patient do not undertake prominent care for this ulcer (Pipe andet.al. 2005). For all the categories of ulcers, antibiotics can be used so to treat the infected area and alsoto heal the wounds. Despite of the complications, chronic wound healing occurs a lot in olderpeople; however that does not have any impact on quality of life. Several types of care services arerequired to be given to the patients so that they can overcome such problem. AetiologyIt has been identified that ulceration generates in human leg due to vascular causes and thatis also based on multiple factors which develops ulcer in the body. This is caused by both arterialand venous disease. Hypertension and atherosclerosis of the peripheral vessels also leads to arterialdisease which has a direct association with ischemic ulcers. Chronic venous insufficiency results invenous hypertension and that further causes venous ulcers. Vasculitis or Takayasu disease areassociated with ulceration. It initially develops in the body due to arterial or ischemic type ulcerswhich later on develops cutaneous disease (Ratliff and et.al. 2016). The other categories of suchdisease are pyoderma gangrenosum or erythema nodosum. When ulcer do not respond prominentlywith medical care, it potentially develops the need of malignancy. Cutaneous distortions mayinclude ulcerative basal cell carcinoma and it could also assist the health care practitioners todeliver prominent therapeutic intervention. According to the historic aspects, neoplasia, chronic4

End of preview

Want to access all the pages? Upload your documents or become a member.

Related Documents
Chronic Wound Dressing: A Gap in Nursing Knowledge
|5
|1131
|224

Case Study of Leg Ulcerated
|8
|2710
|300

THE REFLECTIVE ESSAY
|10
|3484
|37

ISBAR: Handover for Mrs. Zoya Solarian with Venous Leg Ulcer
|8
|1295
|41

Management of Elderly Patient With Leg Ulcer - Assignment
|3
|650
|76

Clinical Care Needs for a Patient with Chronic Venous Insufficiency
|8
|2659
|376