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AN AUDIT OF THE USE OF COMPRESSION HOSIERY KITS AS FIRST LINE TREATMENT OF PATIENTS WITH LEG ULCERATION IN LEG ULCER CLINICS

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AN AUDIT OF THE USE OF COMPRESSION HOSIERY KITS AS FIRST LINE TREATMENT OF PATIENTS WITH LEG ULCERATION IN LEG ULCER CLINICS

Introduction

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

group.

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

UK 2016).

Wounds UK, Harrogate 2017. This e-poster was kindly produced by L&R.

Method

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

of care.

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