AN AUDIT OF THE USE OF COMPRESSION HOSIERY KITS AS FIRST LINE TREATMENT OF PATIENTS WITH LEG ULCERATION IN LEG ULCER CLINICS
The management of patients with leg ulceration is a
growing problem for the NHS, both in terms of cost
to the service and the impact on the patient Guest
et al (2017).
The complex nature of leg ulcers combined with
underlying disease processes has often meant that
treatment is not simple, can be time consuming and
many patients may take a long time to heal.
Compression bandaging has been the main
treatment option for patients with venous leg
ulceration, however, there is a growing body of
evidence to suggest that using compression hosiery
kits as first line therapy can help to heal leg ulcers
and reduce recurrence rates.
A study by Ashby et al (2014) demonstrated equal
healing rates when comparing compression hosiery
kits with four layer bandaging, in addition this study
showed reduce ulcer recurrence in the hosiery kit
The recent best practice statement for the
management of venous leg ulceration also
promotes the use of compression hosiery kits as
first line therapy for appropriate patients (Wounds
Wounds UK, Harrogate 2017. This e-poster was kindly produced by L&R.
In our clinics, hosiery kits were used only when ulcers were
healing as a step down and prior to commencing maintenance
hosiery. In an effort to reduce waiting times it was decided to
increase the number of patients using hosiery kits as first line
treatment for their leg ulcer.
A pre-audit of 20 patients was carried out to establish a baseline
prior to implementing the change in practice. Those patients
who were suitable were placed into hosiery kits.
A further group of 19 patients were included in the post
implementation audit, once the use of hosiery kits were
established for a larger number of patients.
Full holistic assessment of all patients was carried out, and
those deemed suitable for hosiery kits had these applied
instead of bandaging. Training for the local district nurse teams
and practice nurses was also undertaken to ensure continuity