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Introducing the new Chronic Oedema Wet Leg Pathway
Melanie Thomas1, Karen Morgan2, Paula Lawrence3
1National Clinical Director Lymphoedema Network Wales.
British Journal of Community Nursing
|September 20, 2021
Summary
This study updates the Chronic Oedema Wet Leg Pathway for community nurses, improving management of chronic oedema and lymphorrhoea. The enhanced pathway includes level four compression for venous insufficiency and obesity, reducing complications.
Area of Science:
- Vascular Medicine
- Nursing Practice
- Wound Care
Background:
- Reticence in applying compression therapy is common due to lack of evidence-based guidelines.
- Delayed treatment for chronic oedema and lymphorrhoea leads to preventable complications.
- The existing Chronic Oedema Wet Leg Pathway (2017) requires updates based on new evidence.
Purpose of the Study:
- To present an updated, evidence-based pathway for managing chronic oedema and lymphorrhoea.
- To introduce enhanced compression strategies for complex cases.
- To support community nurses in effective patient management.
Main Methods:
- Literature review and synthesis of current evidence.
- Development of an enhanced clinical pathway incorporating new guidelines.
- Inclusion of a level four compression bandaging protocol.
Main Results:
- An updated Chronic Oedema Wet Leg Pathway is presented.
- A new level four compression section is introduced for specific patient groups.
- The enhanced pathway aims to improve patient outcomes and reduce complications.
Conclusions:
- The updated pathway provides an improved, evidence-based approach to managing chronic oedema and lymphorrhoea.
- Enhanced compression strategies address needs of patients with venous insufficiency or morbid obesity.
- This clinical focus article supports the dissemination of best practices in community nursing.
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