{"product_id":"lower-limb-and-leg-ulcer-assessment-and-management-1st-edition","title":"Lower Limb and Leg Ulcer Assessment and Management 1st Edition,","description":"\u003cdiv id=\"bookDescription_feature_div\" class=\"celwidget\" data-feature-name=\"bookDescription\" data-csa-c-type=\"widget\" data-csa-c-content-id=\"bookDescription\" data-csa-c-slot-id=\"bookDescription_feature_div\" data-csa-c-asin=\"0993745598\" data-csa-c-is-in-initial-active-row=\"false\" data-csa-c-id=\"7y9w7h-rgk3d4-2xixgp-6jetc1\" data-cel-widget=\"bookDescription_feature_div\"\u003e\n\u003cdiv data-a-expander-name=\"book_description_expander\" data-a-expander-collapsed-height=\"280\" class=\"a-expander-collapsed-height a-row a-expander-container a-spacing-base a-expander-partial-collapse-container\"\u003e\n\u003cdiv aria-expanded=\"false\" class=\"a-expander-content a-expander-partial-collapse-content\"\u003e\n\u003cdiv data-cel-widget=\"bookDescription_feature_div\" data-csa-c-id=\"3xu427-hdulpm-xey1d9-kajk0v\" data-csa-c-is-in-initial-active-row=\"false\" data-csa-c-asin=\"1975136373\" data-csa-c-slot-id=\"bookDescription_feature_div\" data-csa-c-content-id=\"bookDescription\" data-csa-c-type=\"widget\" data-feature-name=\"bookDescription\" class=\"celwidget\" id=\"bookDescription_feature_div\"\u003e\n\u003cdiv class=\"a-expander-collapsed-height a-row a-expander-container a-spacing-base a-expander-partial-collapse-container\" data-a-expander-collapsed-height=\"280\" data-a-expander-name=\"book_description_expander\"\u003e\n\u003cdiv class=\"a-expander-content a-expander-partial-collapse-content\" aria-expanded=\"false\"\u003e\n\u003cp\u003e\u003cspan class=\"a-text-bold a-text-italic\"\u003eLower Limb and Leg Ulcer Assessment and Management\u003c\/span\u003e\u003cspan class=\"a-text-bold\"\u003e\u003cspan\u003e \u003c\/span\u003eis an indispensable resource for practitioners in primary and secondary care, offering a practical and accessible guide to treating and managing leg ulcers.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eThis comprehensive text challenges the misconception that leg ulcers are invariably ‘chronic’. In practice, proactive management will prevent the harm associated with sub-optimal management. Insights are provided into lower limb assessment, early intervention for ulcer prevention, ulcer types and their causes, along with the influence that swelling and biomechanical changes have on the lower limb. The authors draw on international best practice guidance on lymphoedema, wound pain, wound bed preparation, compression therapy, psychological impact, and evidence-based care to enhance leg ulcer management.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eEach chapter aims to facilitate reader comprehension and promote productive patient discussions, empowering healthcare professionals to collaborate with patients and improve leg ulcer management rapidly and effectively.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eThis multi-disciplinary resource covers:\u003c\/span\u003e\u003c\/p\u003e\n\u003cul class=\"a-unordered-list a-vertical\"\u003e\n\u003cli\u003e\u003cspan class=\"a-list-item\"\u003e\u003cspan\u003eNormal venous, arterial, and lymphatic function in the lower leg\u003c\/span\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan class=\"a-list-item\"\u003e\u003cspan\u003eLeg ulceration due to venous hypertension, peripheral arterial disease, and lymphoedema\u003c\/span\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan class=\"a-list-item\"\u003e\u003cspan\u003eLeg ulcers of unusual aetiology, addressing autoimmune and inflammatory disorders such as pyoderma gangrenosum, rheumatoid arthritis, scleroderma, sickle cell, and more\u003c\/span\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan class=\"a-list-item\"\u003e\u003cspan\u003eMusculoskeletal changes in the lower limb, assessment, and management to enhance mobility and calf-muscle function\u003c\/span\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan class=\"a-list-item\"\u003e\u003cspan\u003eClinical management, with topics like wound management, stages of wound healing, exudate management, holistic assessment including vascular assessment, compression therapy, and Laplace’s law\u003c\/span\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan class=\"a-list-item\"\u003e\u003cspan\u003ePain management with an emphasis on understanding the complexities and features that exacerbate or diminish the pain response\u003c\/span\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan class=\"a-list-item\"\u003e\u003cspan\u003eThe personalisation of care, understanding of social determinants of health, and the role of supportive self-management in lifelong management\u003c\/span\u003e\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cspan\u003e\u003cbr\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eFor professionals seeking evidence-informed approaches to delivering exceptional care, \u003c\/span\u003e\u003cspan class=\"a-text-italic\"\u003eLower Limb and Leg Ulcer Assessment and Management\u003c\/span\u003e\u003cspan\u003e is an essential companion on the journey to understanding and managing leg ulcers effectively.\u003c\/span\u003e\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp\u003e \u003c\/p\u003e\n\u003cdiv id=\"aboutauthors-section\" class=\"aboutauthors-section\"\u003e\n\u003cdiv class=\"page-section\"\u003e\n\u003cdiv data-toggle=\"collapse\" class=\"section-title collapsed\"\u003e\u003cstrong\u003eAbout the Author\u003c\/strong\u003e\u003c\/div\u003e\n\u003cdiv class=\"section-content collapsed\"\u003e\n\u003cp\u003e\u003cb\u003eAby Mitchell,\u003cspan\u003e \u003c\/span\u003e\u003c\/b\u003eSenior Lecturer in Nurse Education, Adult Nursing Department, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King’s College London. Aby’s clinical experience spans across burns and plastics, primary care, and physical health in community mental health. Aby is a registered specialist practitioner in district nursing and has an MSc in Advanced Practice (healthcare education). Aby is committed to improving patient care through nurse education.\u003c\/p\u003e\n\u003cp\u003e\u003cb\u003eGeorgina Ritchie,\u003cspan\u003e \u003c\/span\u003e\u003c\/b\u003eExecutive Director and Director of Education at Accelerate. Georgina brings over two decades of experience in clinical practice and education. Her journey from military nursing in the British Army to leadership roles in the NHS and academia has honed her expertise in community and district nursing. Georgina is a registered community specialist practitioner and a V300 non-medical prescriber, holding an MEd, with a passion for empowering confident clinical practice through education.\u003c\/p\u003e\n\u003cp\u003e\u003cb\u003eAlison Hopkins MBE,\u003cspan\u003e \u003c\/span\u003e\u003c\/b\u003eExecutive Director and CEO at Accelerate. With over three decades of experience in wound care, Alison established the leg ulcer service at Tower Hamlet’s District Nursing Service in 1989, beginning a life-long passion for compression therapy and community transformation. In 2019 Alison was awarded an MBE for services to nursing and wound care and holds an MSc in Psychology and Health. In addition to overseeing Accelerate, she continues to contribute to academic journals, and speak at conferences, always seeking to challenge the status quo so that excellent wound and lymphoedema care becomes the norm.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv id=\"permissions-section\" class=\"permissions-section\"\u003e\n\u003cdiv class=\"page-section\"\u003e\n\u003cdiv class=\"section-content collapsed\"\u003e\n\u003cdiv class=\"permissions-content\"\u003e\u003cbr\u003e\u003c\/div\u003e\n\u003cdiv class=\"permissions-content\"\u003e\u003cbr\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv id=\"tableofcontents-section\" class=\"tableofcontents-section\"\u003e\n\u003cdiv class=\"page-section\"\u003e\n\u003cdiv data-toggle=\"collapse\" class=\"section-title collapsed\"\u003eTable of Contents\u003c\/div\u003e\n\u003cdiv class=\"section-content collapsed\"\u003e\n\u003cp\u003eList of Contributors xiii\u003c\/p\u003e\n\u003cp\u003eForeword xv\u003c\/p\u003e\n\u003cp\u003ePreface xvii\u003c\/p\u003e\n\u003cp\u003eAcknowledgements xx\u003c\/p\u003e\n\u003cp\u003e\u003cb\u003eIntroduction 1\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eAlison Hopkins and Joseph Montgomery\u003c\/i\u003e\u003c\/p\u003e\n\u003cp\u003eThe Wound Care Burden 1\u003c\/p\u003e\n\u003cp\u003eThe Cost of Sub-Optimal Wound Care 3\u003c\/p\u003e\n\u003cp\u003eClassification of Dressing Products 4\u003c\/p\u003e\n\u003cp\u003eDressing Product Analysis 6\u003c\/p\u003e\n\u003cp\u003eOnline Non Prescription Services 7\u003c\/p\u003e\n\u003cp\u003eConclusion 9\u003c\/p\u003e\n\u003cp\u003eReferences 9\u003c\/p\u003e\n\u003cp\u003e\u003cb\u003eChapter 1 Aetiology 11\u003c\/b\u003e\u003cbr\u003e\u003ci\u003eAby Mitchell\u003c\/i\u003e\u003c\/p\u003e\n\u003cp\u003eNormal Venous Function 11\u003c\/p\u003e\n\u003cp\u003eVeins in Action 16\u003c\/p\u003e\n\u003cp\u003eBlood Pressure in Veins and Capillaries 17\u003c\/p\u003e\n\u003cp\u003eVenous Disease 18\u003c\/p\u003e\n\u003cp\u003ePathophysiology of Chronic Venous Disease 19\u003c\/p\u003e\n\u003cp\u003eTheories of Tissue Damage 21\u003c\/p\u003e\n\u003cp\u003eChronic Venous Insufficiency 23\u003c\/p\u003e\n\u003cp\u003eRisk Factors for Venous Insufficiency 24\u003c\/p\u003e\n\u003cp\u003eArterial Disease 24\u003c\/p\u003e\n\u003cp\u003eThe Skin 33\u003c\/p\u003e\n\u003cp\u003eWound Healing 35\u003c\/p\u003e\n\u003cp\u003ePhases of Wound Healing 36\u003c\/p\u003e\n\u003cp\u003eConclusion 39\u003c\/p\u003e\n\u003cp\u003eReferences 39\u003c\/p\u003e\n\u003cp\u003e\u003cb\u003eChapter 2 Lymphoedema and Chronic Swelling 43\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eCaitriona O’Neill and Rhodri Harris\u003c\/i\u003e\u003c\/p\u003e\n\u003cp\u003eFunction of the Lymphatic System 43\u003c\/p\u003e\n\u003cp\u003ePrevalence and Key Facts 48\u003c\/p\u003e\n\u003cp\u003eCauses of and Risk Factors 52\u003c\/p\u003e\n\u003cp\u003eAssessment, Diagnosis and Staging 55\u003c\/p\u003e\n\u003cp\u003eManagement Challenges 66\u003c\/p\u003e\n\u003cp\u003eLymphovenous Disease 68\u003c\/p\u003e\n\u003cp\u003eTreatment 74\u003c\/p\u003e\n\u003cp\u003eCompression Therapy and Assessment Considerations 76\u003c\/p\u003e\n\u003cp\u003eAdjunct Treatment Modalities 79\u003c\/p\u003e\n\u003cp\u003eSurgery 82\u003c\/p\u003e\n\u003cp\u003ePalliative Care 83\u003c\/p\u003e\n\u003cp\u003eLipoedema 87\u003c\/p\u003e\n\u003cp\u003eSummary 97\u003c\/p\u003e\n\u003cp\u003eReferences 97\u003c\/p\u003e\n\u003cp\u003e\u003cb\u003eChapter 3 Atypical Causes of Leg Ulceration 106\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eSarah Bradbury and Kirsten Mahoney\u003c\/i\u003e\u003c\/p\u003e\n\u003cp\u003eInflammatory\/Autoimmune Disorders 107\u003c\/p\u003e\n\u003cp\u003eMetabolic Disorders 134\u003c\/p\u003e\n\u003cp\u003eMalignant\/Neoplastic Wounds 145\u003c\/p\u003e\n\u003cp\u003eDrug- Induced Leg Ulcers 155\u003c\/p\u003e\n\u003cp\u003eErosive Pustular Dermatosis 161\u003c\/p\u003e\n\u003cp\u003eInfective Conditions 172\u003c\/p\u003e\n\u003cp\u003eConclusion 176\u003c\/p\u003e\n\u003cp\u003eReferences 177\u003c\/p\u003e\n\u003cp\u003e\u003cb\u003eChapter 4 Musculoskeletal Factors in Leg Ulcers: Assessment and Management 188\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eRona Frances Campbell\u003c\/i\u003e\u003c\/p\u003e\n\u003cp\u003eRisk Factors 190\u003c\/p\u003e\n\u003cp\u003eLower Limb Veno-Muscular Pumps 192\u003c\/p\u003e\n\u003cp\u003eAnkle Joint Assessment 196\u003c\/p\u003e\n\u003cp\u003eHolistic History Taking Relating to Factors that Influence Biomechanical Lower Limb Function 198\u003c\/p\u003e\n\u003cp\u003eManagement 205\u003c\/p\u003e\n\u003cp\u003eReducing Falls Risk 216\u003c\/p\u003e\n\u003cp\u003eAllied Health Professionals as Part of the Multidisciplinary Team 218\u003c\/p\u003e\n\u003cp\u003eConclusion 218\u003c\/p\u003e\n\u003cp\u003eReferences 219\u003c\/p\u003e\n\u003cp\u003e\u003cb\u003eChapter 5 Assessment of Leg Ulceration 226\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eKaren Staines and Aby Mitchell\u003c\/i\u003e\u003c\/p\u003e\n\u003cp\u003eAssessment 227\u003c\/p\u003e\n\u003cp\u003eHistory Taking 227\u003c\/p\u003e\n\u003cp\u003eExamination 238\u003c\/p\u003e\n\u003cp\u003eArterial Disease 248\u003c\/p\u003e\n\u003cp\u003eWound Assessment 252\u003c\/p\u003e\n\u003cp\u003eSkin Assessment 263\u003c\/p\u003e\n\u003cp\u003eDiagnostic Assessment 265\u003c\/p\u003e\n\u003cp\u003eHow to Perform a Handheld Doppler 268\u003c\/p\u003e\n\u003cp\u003eRed Flags for the Urgent Treatment of Patients with Venous Leg Ulcers 276\u003c\/p\u003e\n\u003cp\u003eReassessment and Recurrence 276\u003c\/p\u003e\n\u003cp\u003eConclusion 276\u003c\/p\u003e\n\u003cp\u003eReferences 277\u003c\/p\u003e\n\u003cp\u003e\u003cb\u003eChapter 6 Holistic Management of Pain 285\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eFran Worboys and Alison Hopkins\u003c\/i\u003e\u003c\/p\u003e\n\u003cp\u003eThe Pain Experience 285\u003c\/p\u003e\n\u003cp\u003eTheories of Pain 287\u003c\/p\u003e\n\u003cp\u003eCauses of Pain 292\u003c\/p\u003e\n\u003cp\u003eTypes of Pain 293\u003c\/p\u003e\n\u003cp\u003ePain Cycles: Never- Ending Pain 295\u003c\/p\u003e\n\u003cp\u003eImpact of Pain on People’s Lives 296\u003c\/p\u003e\n\u003cp\u003eCauses of Pain 296\u003c\/p\u003e\n\u003cp\u003ePain Management Solutions: Assessment 298\u003c\/p\u003e\n\u003cp\u003eManaging Pain 303\u003c\/p\u003e\n\u003cp\u003eConclusion 312\u003c\/p\u003e\n\u003cp\u003eReferences 312\u003c\/p\u003e\n\u003cp\u003e\u003cb\u003eChapter 7 Personalised Care in Leg Ulceration 318\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eAlison Hopkins and Charlotte Smith\u003c\/i\u003e\u003c\/p\u003e\n\u003cp\u003eThe Wider or Social Determinants of Health 319\u003c\/p\u003e\n\u003cp\u003eWider Determinants of Engagement with Treatment 324\u003c\/p\u003e\n\u003cp\u003eMaking Effective Change 326\u003c\/p\u003e\n\u003cp\u003eWhat Influences Practitioners’ Decision-Making in Leg Ulcer Management? 329\u003c\/p\u003e\n\u003cp\u003eThe influence of Confidence, Courage and Competence 330\u003c\/p\u003e\n\u003cp\u003eA Problematic Culture Within Leg Ulcer Management 332\u003c\/p\u003e\n\u003cp\u003eChallenging Non- compliance 335\u003c\/p\u003e\n\u003cp\u003eUnderstanding the Lived Experience 338\u003c\/p\u003e\n\u003cp\u003eSupport Personal Health Management Through Patient Activation 339\u003c\/p\u003e\n\u003cp\u003ePatient Activation Measure 340\u003c\/p\u003e\n\u003cp\u003eShared Decision- Making 340\u003c\/p\u003e\n\u003cp\u003eSocial Prescribing 342\u003c\/p\u003e\n\u003cp\u003eMotivational Interviewing 342\u003c\/p\u003e\n\u003cp\u003eSupporting Self- Management 343\u003c\/p\u003e\n\u003cp\u003eLegs Matter Coalition: Raising Awareness of Lower Limb Conditions 345\u003c\/p\u003e\n\u003cp\u003ePeer Support Groups 345\u003c\/p\u003e\n\u003cp\u003eUsing Positive Language to Promote a Positive Culture 346\u003c\/p\u003e\n\u003cp\u003eConclusion 347\u003c\/p\u003e\n\u003cp\u003eReferences 348\u003c\/p\u003e\n\u003cp\u003e\u003cb\u003eChapter 8 Clinical Management of the Lower Limb 353\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eGeorgina Ritchie\u003c\/i\u003e\u003c\/p\u003e\n\u003cp\u003eThe Case for Early Intervention 360\u003c\/p\u003e\n\u003cp\u003eClinical Management 360\u003c\/p\u003e\n\u003cp\u003eWhat Is Compression Therapy and How Does it Work? 372\u003c\/p\u003e\n\u003cp\u003eAnti- inflammatory Action of Compression Therapy 381\u003c\/p\u003e\n\u003cp\u003eCautions and Contraindications 384\u003c\/p\u003e\n\u003cp\u003eConsidering and Commencing Treatment 386\u003c\/p\u003e\n\u003cp\u003eLocation of the Ulceration 396\u003c\/p\u003e\n\u003cp\u003eCompression of the Foot 396\u003c\/p\u003e\n\u003cp\u003eIntermittent Pneumatic Compression 397\u003c\/p\u003e\n\u003cp\u003eWound Bed Preparation and Clinical Management 398\u003c\/p\u003e\n\u003cp\u003eConclusion 400\u003c\/p\u003e\n\u003cp\u003eReferences 400\u003c\/p\u003e\n\u003cp\u003e\u003cb\u003eChapter 9 Lifelong Management 405\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eJane Harry\u003c\/i\u003e\u003c\/p\u003e\n\u003cp\u003eFactors Influencing Venous Ulcer Recurrence 407\u003c\/p\u003e\n\u003cp\u003eHolistic Reassessment Including Ankle Brachial Pressure Index 409\u003c\/p\u003e\n\u003cp\u003eEndovenous Ablation 411\u003c\/p\u003e\n\u003cp\u003eCompression Therapy Systems 411\u003c\/p\u003e\n\u003cp\u003eAssessing for Compression Hosiery 413\u003c\/p\u003e\n\u003cp\u003eChoosing and Prescribing Hosiery 415\u003c\/p\u003e\n\u003cp\u003eOther Considerations when Choosing a Compression Therapy System 423\u003c\/p\u003e\n\u003cp\u003eEmpowering Patients’ Self- Management for Leg Ulcer Prevention 434\u003c\/p\u003e\n\u003cp\u003eKnowledge, Staff and Training 439\u003c\/p\u003e\n\u003cp\u003ePublic Health 441\u003c\/p\u003e\n\u003cp\u003ePatient Satisfaction and Quality of Life 450\u003c\/p\u003e\n\u003cp\u003eLeg Ulcer Pathways 450\u003c\/p\u003e\n\u003cp\u003eConclusion 451\u003c\/p\u003e\n\u003cp\u003eReferences 452\u003c\/p\u003e\n\u003cp\u003eIndex 457\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp\u003e\u003cstrong style=\"font-size: 0.875rem;\"\u003e\u003cb\u003eBOOKREAD™ 5-STEP SATISFACTION GUARANTEE\u003c\/b\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003e\u003cstrong\u003e1. No Risk, 30-Day Money-Back Guarantee. \u003cbr\u003e2. instant download. No surprises or hidden fees.\u003cbr\u003e3. Safe Payments via Credit\/Debit Card or PayPal® \u003cbr\u003e4. McAfee™ and SSL secured shopping cart.\u003cbr\u003e5. lifetime customer support.\u003c\/strong\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e","brand":"My Store","offers":[{"title":"PDF","offer_id":56778120921419,"sku":null,"price":29.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1031\/1204\/8971\/files\/51D0MAFDOnL.jpg?v=1773316425","url":"https:\/\/bookread.io\/products\/lower-limb-and-leg-ulcer-assessment-and-management-1st-edition","provider":"bookread","version":"1.0","type":"link"}