The importance of assessing patients with leg ulceration

The treatment of leg ulceration consumes a significant portion of NHS resources, in terms of both equipment and manpower. Recent developments in diagnosis and treatment of these wounds have led to improved healing rates. This article reviews the literature relating to the assessment of patients with leg ulceration. It stresses the importance of holistic assessment, including medical and social history, and explains the importance of each aspect of the assessment process. The factors involved in clinical assessment of the wound and details of how to undertake the Doppler procedure are also outlined. With this knowledge the nurse can determine the origin of the ulcer and tailor the care and treatment to the patient's individual needs.