The paper operates mainly based on research question which can be stated as follows: Is compresssion bandaging effective in healing venous leg ulcers? To manage with this several works of different writers will be discussed in the current paper…
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The paper tells that persistent and long duration ulcers that do not heal within six weeks are known as chronic ulcers. Most common causes of leg ulcers include venous disease or arterial disease or both. 81% of leg ulcers are due to venous diseases, as surveyed by Health department of Ireland. Venous ulcerations occur due to the venous hypertension. Normally when the leg is moved, calf muscles compress these veins which encourage the flow of blood along the vein. The valves ensure that the blood moves from capillaries towards heart. Thrombosis and varicosity injure the valves present in the veins of legs. These valves are supposed to stop the back flow or reflux of blood. If damaged, then blood can flow in any direction and can cause hypertension in veins. As a result capillaries loose there shape and become distorted. Afterwards, an inflammatory cascade occurs which vary, in both time and its severity, among different individuals. Swelling, a fluid discharging wound and damage to the skin with a uniformly distributed background of hyper pigmentation, dispersed purpuric macules, erythema, scaling, excoriations may also be present as an indicator of the severity of the condition. The common sites of ulceration are legs and other areas surrounding ankle. To heal long duration chronic leg ulcers various approaches have been embarked on after extensive research studies. Most of the patients have multiple co morbidities, which complicate there potential to heal. As well as patients have to visit doctors on regular basis for frequent change of dressings and for follow up on wound’s condition which increase financial burden. Recurrences are common in the case of venous leg ulcers and can become chronic very easily.(Tavernelli, Reifs&Larsent, 2010) Review: “SYSTEMIC REVIEW OF COMPRESSION TREATMENT FOR VENOUS LEG ULCERS” by Flectcher A., Cullum N., Sheldon T A.(1997). Introduction: The study is conducted to improve the outcomes of venous leg ulcer patients. The research article is fairly original as it is published in a peer reviewed journal (British Medical Journal). Academic journals acts as quality control and ensure that the subject is not only accurate and is properly presented and hence ensures its originality.(Bauer&Brazer, 2010). In this paper, systemic investigation is conducted using data sets from original researches (Primary sources). This work is frequently cited by other authors. The study is conducted by Professor Trevor A. Sheldon and his fellow researcher Alison Fletcher associated with NHS centre for Review and Dissemination, University of York, York. In the introduction, authors describe VLU (Venous leg ulcer) as the chronic condition which can easily recur. The main aim clearly states that the effectiveness of compression bandage as a healing agent for VLU will be determined along with its cost effectiveness. The paper describes compression bandaging as the first line treatment for venous leg ulcers when any arterial disease is absent to complicate the condition. However, determination of the most effective treatment for curing VLU is still under observation by the researchers and medical health practitioners. Therefore, NHS health technology assessment programme commissioned a systemic review to determine the extent of effectiveness of compression bandaging. Methodology The study was designed by selecting relevant data from specialized data basis including Medline, CINHAL, and EMBASE as well as manual search. Search was complemented by scrutiny of the citations, contact with various authors and original manufacturers. All the data was included, disregarding the publication date, status or language. However, complete data is not given in the paper and is referenced to Cochrane Library database. Using fixed effect (peto) method which weights each study and the relationship of dependent variable against its outcomes are
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The Effectivity of Compressed Bandaging in Treating Venous Leg Ulcer
The efficacy of compressive bandages.
Comparison between elstic and nonelastic bandages
Comparison between operative treatment and compression therapy
Some of the pharmacological and non-pharmacological interventions, such patients’ are subjected to, may be contradictory in nature and may require emergency treatment. Evidence based, judicious decisions therefore need to be taken at each instance, making the task onerous as well as difficult for the nursing practitioner.
This should be done with reference to the individual patient’s circumstance as part of decision-making process by clinicians. In that case, clinicians have to appraise and select scientific literature that is appropriate to the field, understand research finding implications for specific patients, obtain client’s preferences and establish a management plan that is appropriate.
Role of Nurses in Patient’s Concordance to Compression Therapy for Venous Leg Ulcer.
The healing of venous leg ulcers should be celebrated and is achieved through skill nurse input and significant patient effort. Keeping them healed, however, is a considerable challenge with one major cause of concern.
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.
And if the patient is cured nobody will guarantee that the disease won't return. Doctors say that the chances to become ill with ulcer once more are rather high. It is a matter of fact that leg ulcer is very serious disease, because it can leaf to such consequences as blood-poisoning.
Approximately, 1 in 50 people develop a venous leg ulcer at some stage in life. The clinical features of chronic leg ulcer include a sunken, asymmetrically shaped wound with clearly defined margins and commonly found on the lower leg and ankle. The skin surrounding the ulcer is intact, inflamed and may be pigmented, calloused, or hardened.
Analysis of the literature regarding wound care revealed that there are few quality studies regarding the efficacy of various wound care products, which are currently available. No dressing can be said to be more efficient when
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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