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Leg ulcer guidance for primary care nurses in Wales

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Best practice guide launched to help practice nurses in Wales to diagnose and manage venous leg ulcers.

Much of the new guide is based on the most recent European Wound Management Association statement guidelines, dating from 2016, which highlight best current practice, said Public Health Wales.

It covers limb examination, ulcer assessment, diagnosis, management, prevention and what to do when a venous leg ulcer fails to heal.

The authors note that it may of use to both practice nurses and district nurses, and also GPs. 

They noted that the prevalence of venous leg ulcers was increasing, coinciding with an ageing population, and affected between 0.1% and 0.3% of people in the UK.

In addition, they said that wound care was estimated to consume 25-65% of community nurses’ time and the treatment of venous leg ulcers cost £168-198m per year.

“In view of an ever-increasing elderly population and demands on services, more patients are being cared for within the primary care setting,” said the guide.

“This guide is aimed to help general practitioners and practice nurses diagnose and manage venous leg ulcers with reference to best practice guidance,” it added.

The guide also highlights the Lindsay Leg Club Foundation, which promotes and supports community based treatment, health promotion and education for people with leg ulcers.

The resource was compiled by Sian Cryer, a practice nurse at the Cwmbran Village Surgery, and Trudie Young, director of education and training at the Welsh Wound Innovation Centre.

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