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Clinical management of non-healing wounds.

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Updated: Feb 6, 2026

Author Spotlight: Assessing the Reliability of Doppler Ultrasound in Measuring Leg Blood Flow
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Understanding venous leg ulcers.

Edwin Tapiwa Chamanga1

  • 1Senior Lecturer in Primary Care and Tissue Viability Nursing, Kingston University.

British Journal of Community Nursing
|August 30, 2018
PubMed
Summary

Venous leg ulcers stem from venous insufficiency, a condition causing high blood pressure in leg veins. Understanding this process and nursing assessment is key for managing these challenging wounds.

Area of Science:

  • Vascular Medicine
  • Dermatology
  • Nursing

Background:

  • Venous leg ulcers are chronic wounds occurring below the knee, linked to venous insufficiency.
  • Venous insufficiency can lead to venous hypertension, a primary cause of ulceration.
  • The presentation of venous hypertension varies, with some patients lacking overt signs besides the ulcer itself.

Purpose of the Study:

  • To discuss venous insufficiency as a disease process.
  • To explore the nursing assessment of venous leg ulcers.
  • To highlight the importance of a holistic approach in managing venous leg ulceration.

Main Methods:

  • Literature review on venous insufficiency and leg ulceration.
  • Discussion of pathophysiological mechanisms.
Keywords:
Venous hypertensionVenous insufficiencyVenous ulceration

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  • Exploration of nursing assessment strategies.

    • Main Results:

    • Venous insufficiency is a complex disease process with multiple contributing factors.
    • A thorough nursing assessment is crucial for effective venous leg ulcer management.
    • Risk factors for venous insufficiency necessitate a comprehensive patient evaluation.

    Conclusions:

    • Venous leg ulcers are a significant clinical challenge requiring a deep understanding of venous insufficiency.
    • Effective management relies on accurate nursing assessment and a holistic patient care approach.
    • Further research into the varied presentations of venous hypertension is warranted.