Managing and promoting change: implementing the Leg Club model.

Area of Science:

• Nursing
• Vascular Health
• Community Health

Background:

• Patient knowledge is crucial for adherence to compression therapy.
• Leg ulcers and related conditions require effective, long-term management strategies.
• Community-based nursing models can improve patient care and outcomes.

Purpose of the Study:

• To evaluate the impact of the Lindsay Leg Club model on clinical practice and patient concordance.
• To explore changes in compression therapy methods and the management of leg ulcers and lymphoedema.
• To assess the role development of nursing auxiliaries in leg ulcer care.

Main Methods:

• Implementation of the Lindsay Leg Club model in community nursing.
• Re-evaluation and changes in compression bandaging techniques (e.g., short stretch vs. long stretch).
• Introduction of two-piece graduated compression hosiery and toe bandaging.

Main Results:

• Increased patient concordance with compression therapy post-healing.
• Shift from long stretch bandages to short stretch bandages.
• Adoption of two-piece graduated compression hosiery and improved lymphoedema management.
• Enhanced role for nursing auxiliaries in leg ulcer care.

Conclusions:

• The Lindsay Leg Club model fosters better patient understanding and adherence to compression therapy.
• This model facilitates evidence-based practice changes in leg ulcer and lymphoedema management.
• Empowering community nursing teams improves the quality and accessibility of local leg care.