An evaluation of a change in cleansing practice of venous leg ulcer patients in a community setting.
Venous leg ulceration is a chronic condition which places a huge financial burden on both health care budgets and resources. Quinn et al. (2013) estimate that approximately 60,000 of the Irish population have chronic leg ulcers. Skerritt & Moore (2014) reported that 61% of wounds recorded in a community setting in Ireland were identified as leg ulceration. The author following a prevalence study estimates that 40% of wounds treated within her community setting were identified as leg ulceration (Dermody 2015). These figures indicate that chronic wound management more specifically leg ulceration is and will continue to be a large component of the community nurses’ caseload.
Many authors have identified that an integral component of venous leg ulceration management is skin cleansing and maintenance of skin integrity (Fletcher & Ivnis 2015, Harding et al. 2015, White et al. 2016) with recent literature suggesting that it is time to appraise our current methods of skin cleansing in patients with Venous Leg Ulceration (Downe 2014, Hughes 2015, EWMA 2016). Downe (2014) suggests that nurses need access to wound care equipment/products that aid in the provision of safe, appropriate, effective care.