Defined as an open lesion between the ankle and knee that occurs in the presence of CVI and takes longer than 2 weeks to heal
What is a Venous Leg Ulcer (VLU)?
Lowers pressure in superficial veins, reduces edema, and promotes skin health
What are the benefits of compression therapy?
The first line approach to VLU treatment/prevention
What is compression therapy?
The bony prominence on the inside of the ankle
What is the medial malleolus?
These ulcers have been shown to recur in up to 70% of cases
What are VLUs?
Mild <20mmHg
Moderate 20-40mmHg
Strong 40-60mmHg
Very Strong >60mmHg
What are levels of compression therapy?
Irregular margins, shallow, fibrinous, highly exudating & painful
What are the characteristics of a VLU?
The area between the ankle and just below the knee
What is the gaiter area?
Compression therapy functions through 2 key pressure mechanisms
What is resting and working pressure?
Bandages, hosiery/stocking, & wraps
What are types of compression treatment?
Cleanse, debride, dress & compress
What are the steps in VLU management?
Improper function of these results in edema, congestion, and tissue ischemia leading to a VLU
What are valves?
This form of pressure mechanism supports veins at rest
What is resting pressure?
The classification system for chronic venous insufficiency
CEAP-(Clinical, etiology, anatomical & pathophysiology)
DVT, family history, prolonged sitting/standing, obesity, previous vascular ulcer & multiple pregnancies
What are risk factors for venous disease?
This is used to determine the underlying etiology and severity of disease
What is a vascular assessment?
This pressure mechanism amplifies blood flow during movement
What is working pressure?
An ABI <0.6
What is a contraindication for compression treatment?
Shame, embarrassment, pain, anxiety, frustration, social isolation and depression
What are the psychosocial impacts of a VLU?
Delivers deoxygenated blood to the heart
What are veins?