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Continuous Venous-Arterial Doppler Ultrasound During a Preload Challenge
Published on: January 20, 2023
The importance of Doppler assessment in treating chronic oedema
1Independent Tissue Viability Nurse Consultant Wound Care Consultancy Ltd, Consultant to Lindsay Leg Club and Home Wound Care, UK.
Insights
A 66-year-old woman experienced leg swelling and knee pain. Further vascular investigation was recommended, leading her to a community Leg Club for assessment.
Area of Science:
- Vascular Medicine
- Community Health Services
Background:
- Patient presented with bilateral leg swelling and knee pain.
- Initial investigations included X-rays.
- Referral for Doppler assessment to investigate potential arterial disease.
Purpose of the Study:
- To describe a patient's pathway to accessing vascular assessment.
- To highlight the role of community services in healthcare provision.
Main Methods:
- Case presentation of a 66-year-old female patient.
- Review of diagnostic pathway and service access.
- Referral to a local Leg Club for further assessment.
Main Results:
- Patient experienced delays in accessing vascular diagnostic services.
- Community Leg Club identified as an alternative access point.
- Successful referral facilitated further investigation.
Conclusions:
- Community Leg Clubs can provide essential access to vascular health services.
- Integrated healthcare pathways are crucial for timely patient assessment.
- Patient navigation to appropriate services is key for managing chronic leg conditions.
Abstract:
Mrs R is a 66-year-old lady with pain around the knees and swollen legs. She had undergone X-rays and other investigations and was advised to get a Doppler assessment to look for arterial disease. She discovered that her surgery did not offer this service and was given the number to the local Leg Club.
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