Archive for the ‘Venous ulcer’ Category

Not Yo’ Grandma’s Stockings

Friday, May 27th, 2016

By Christopher Miles, OT, CLT, CWCA, medi USA

Compression garments aren’t what they used to be – and those of us in wound care couldn’t be happier.                                      Not Yo' Grandma's Stockings

Unfortunately, when patients think of compression garments they think of socks that are too tight and difficult to get on, or tend to roll and pinch. What they might not be thinking is that compression therapy is practically the only medical treatment likely to reduce the rate of recurrence of their nasty, painful and smelly venous leg ulcers.

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Venous, Arterial or Mixed Ulcer…How Do I Know For Sure?

Monday, December 15th, 2014

Proper assessment is essential for differentiating between venous and arterial ulcers.

Venous, Arterial or Mixed Ulcer...How Do I Know For Sure?

 

Your patient has a lower extremity wound. You aren’t sure what exactly you are dealing with. You know you need to do that ABI to be certain, but while you are waiting to have that done some of your wound assessment findings will help clue you in as well.

Characteristics of Venous Ulcers

Let’s start with the venous ulcer, typically found on the medial lower leg, medial malleolus and superior to the medial malleolus. Seldom will you see them on the foot or above the knee. They tend to be irregular in shape, are superficial, have a red wound bed, have moderate to heavy amount of exudate and the patient may have no pain or a moderate level of pain. Surrounding skin can be warm to the touch, edematous, scaly, weepy and you may see hemosiderin staining present. Your ABI will be the definitive answer and will come back at 0.9.
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