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Factors that influence the compliance with the compression treatment
Venous ulcer is a common disease that affects about 1-2% of the general population during their lifetime. Treatment of this condition is long-lasting and time consuming and many factors are influencing the effectiveness and the healing rates of compression bandage.
In this study we will critically analyze the effectiveness of compression bandage in the treatment of venous ulcers caused by venous insufficiency of the vein system of the lower leg. In order to do so we analyzed 4 studies that researches the different aspect of efficacy of compressive bandages. We analyzed the efficacy of different types of compressive bandages. We also analized the efficacy of compressive bandage compared to surgery and we found that compressive bandages are as effective as surgery in the treatment of venous ulcers on the lower extremities. At the end we also analyzed the factors that affect the compliance of the patients to the therapy and factors that influence the correct application of compression bandages by the medical professionals. We can conclude that compression bandages are the most effective treatment of venous ulcers and the efficacy as effective as any other new method of treatment. Additional research is needed in order to assure the usage of the appropriate type of compression systems by the medical professionals. ...
Overall prevalence of venous ulcers in the morbidity of the human population is estimated around 0.18% but it is found that 1-2 % of the population suffers from chronic venous leg ulcers (Graham et all 2003). Treatment of vein ulcers is long lasting and costly and the disease is prone to remissions and exacerbations. It is estimated that approximately 1% of the total health budget in European western countries is spend in treatment and care of patients with this condition. In United States the estimated costs for the treatment and care of about 6 million patients with venous leg ulcers is estimated on 2.5 billion dollars a year (Nelzen 2000) (Phillips et al. 1994). Venous ulcers are the most important cause of chronic wounds representing 70 to 90 percents of all chronic wounds which significantly influence the quality of life of the affected patients over prolonged periods of time. There are many theories about the etiology of this disease but the exact etiology is still not well understood. Veins in the calf are constituted of two different and interconnected systems - deep and superficial vein system which are divided between themselves by the muscle fascia in the calf. Veins that constitute the deep system eventually form the popliteal and femoral vein, are located beneath the muscle fascia and are responsible for collecting the blood from the deeper tissues and muscles of the calf. In this system within the muscles there are located veins with larger volume (sinuses), without valves that act as reservoirs of blood when the calf muscles are at rest. This system of deep veins can collect up to 150 ml of blood in normal individual, but they can storage much more if there are malformations in this system. The
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(“The Effectivity of Compressed Bandaging in Treating Venous Leg Ulcer Dissertation”, n.d.)
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“The Effectivity of Compressed Bandaging in Treating Venous Leg Ulcer Dissertation”, n.d. https://studentshare.org/nursing/1390567-the-effectivity-of-compressed-bandaging-in.
Management of Pressure Ulcers among Chronic Care Patients
Pressure ulcers are one of the most common issues among chronic care adult patients. These pressure ulcers mostly arise from the limited mobility of the patient, owing to a variety of medical conditions including stroke, fractures, spinal injury, and similar physically debilitating diseases.
Depending on the nature of the pressure ulcer, common treatments include relieving pressure, restoring circulation, and resolution or management of related disorders. However, prevention still remains as the most potent intervention which significantly reduces the chances of undergoing excruciating long-term therapy.
The purpose of this research is to investigate the following works: “Systemic review of compression treatment for venous leg ulcers” by Flectcher A., Cullum N., Sheldon T A.; “In search of optimal compression therapy for venous leg ulcers: a meta-analysis of studies comparing diverse bandages with specifically designed stockings”; “Oxpentifylline treatment of venous ulcers of the leg” and others.
The paper evaluates the role of nutritional diets for such patients who suffer from chronic wounds. The research takes into account the factors that either impede or foster wound healing during the various phases of wound management. The paper identifies the potential nutritional needs of the older population in U.K who are found to be extremely vulnerable towards chronic wounds.
In effect, 23 primary trials were looked at. Only a few of these studies reported statistically better improvements in time to wound healing as well as volume and size of wound for the participants treated with TNP, as compared to those managed with conventional dressing.
On the other hand, pressure ulcer refers to an area of unrelieved pressure on a specific area, which results in ischemia, cell death and tissue necrosis (National Institute for Health and Care Excellence, 2013). There are several reasons pressure ulcer is the topic of choice for this paper.
It can be easily diagnosed with noninvasive promcedures when clinical factors justify the possibility. Most patients presenting with signs and symptoms of VTE symptoms have well-known risk factors, such as a familial history of VTE, illness, malignancy, or immobilization, and of course, pregnancy.
Due to the original pathophysiology, curing of leg ulcers is disreputably dawdling, with average healing times ranging from 12 to 30 weeks. In accumulation, venous leg ulcers exhibit a 30% to 50% reoccurrence rate. The chronicity of the leg ulcer contributes to noteworthy lifestyle change including loss of a job or prolific hours, limitations on mobility, and social remoteness.
The study concluded that aggressive treatment used in Orsett Clinic showed a significant improvement in metabolic parameter results of the patients. Lowering of HbA1c, total cholesterol, blood pressure and grade ulcer level demonstrated a remarkable improvement among diabetic patients after discharge.
wer leg increases, it may cause fluid to seep out of the veins underneath the skin, causing swelling that damages the skin, which eventually breaks down forming and ulcer. The recurrence of an ulcer entails a break in the skin that persists for not less than six weeks and
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