The Holistic Management of Venous Leg Ulceration
Rhedir gan School of Medical and Health Sciences
20.000 Credyd neu 10.000 Credyd ECTS
Trefnydd: Mrs Jo Jones
This module will be of interest to those working in general practice, community settings and other areas where practitioners encounter patients with lower limb venous leg ulceration. Care of individuals with lower limb ulceration is often very complex involving knowledge and application of specialist clinical skill. This module aims to develop your understanding of your role and responsibilities in relation to leg ulcer prevention and the provision of a high quality evidence based service in their management. It is the aim of this module to encourage analytical thinking in relation to linking theory to practice. This module will develop registered practitioners ability to holistically assess, plan, implement and evaluate care utilising specialist clinical skill with a focus on the use of evidence based practice to enhance the care provided to patients with this condition. Practitioners will also develop competency in the skills area of holistic vascular assessment which in part includes handheld Doppler assessment. In addition practitioners will also develop their skills and knowledge relating to the application of compression therapy for the management of venous leg ulceration. In doing so this will enable the practitioner to identify and develop strategies to reform lower limb ulceration management and improve services and practice by focusing on leg health and prevention of lower leg ulceration. Content in Semester 2 may be delivered in a blended learning approach.
• Revision of anatomy and pathophysiology of the lower limb • Develop understanding of the aetiology of lower limb ulceration using a holistic vascular assessment approach • Understand the use of the most recent venous leg ulceration pathways and regimes • Develop awareness that Doppler is only one part of a holistic venous leg assessment to include interpretation of results and understand the limitations of this technology. • Develop understanding and competency in compression therapy management of the lower limb for venous lower leg ulceration • Understand and demonstrate the importance of leg health by increasing practitioner awareness of interventions and strategies they can use to engage patients within these strategies to increase leg health promotion.
Basic understanding of the facts and principles specific to the topics covered in the module. Basic understanding and demonstration of application and process of appropriate holistic venous leg assessment and management and with limited identification of leg health promotion. Written work does not contain a large number of computational errors. Demonstrate an attempt to present relevant links to theory and practice. Referencing in text and reference list in APA style will or may contain some errors. All elements must be passed to be successful in completion of this module.
Demonstrates some understanding of the facts and principles specific to the topics covered in the module. Demonstrates some understanding and demonstration of application and process of appropriate holistic venous leg assessment and management and with some identification of leg health promotion. Written work contains limited computational errors. Demonstrates some accurate arguments with some original interpretation and with some relevant links to theory and practice. Referencing in text and reference list in APA style will contain few errors.
Demonstrates comprehensive understanding of the facts and principles specific to the topics covered in the module. Demonstrates comprehensive understanding and demonstration of application and process of appropriate holistic venous leg assessment and management and with wide evidence of and identification of leg health promotion. Written work contains minor computational errors. Demonstrates accurate and original arguments with comprehensive interpretation and with highly relevant links to theory and practice. Referencing in text and reference list in APA style will not contain errors.
Demonstrate systematic knowledge and understanding of venous leg ulceration, its pathology and wound healing in patients with venous leg ulceration
Demonstrate the ability to perform a holistic assessment (including the use Ankle Brachial Pressure Index) of the patient with or at risk of leg ulceration.
Demonstrate analysis through reflection and evaluation of leg ulceration managements with the ability to justify the selection of chosen management modalities for individual patients with venous leg ulcers or at risk of further leg ulceration.
Recognise the psychosocial impact of venous leg ulceration on the individual.
Identify potential improvements to management and delivery of leg ulceration care in relation to their area/scope of practice.
|ARHOLIAD||Multiple Choice Questions relating to Venous Leg Ulceration and its Management||25.00|
|ASTUDIAETH ACHOS||Reflective account of the management of a patient with venous leg ulceration||50.00|
|LLYFR LOG NEU BORTFFOLIO||Clinical portfolio of competencies related to the management of venousl leg ulceration||25.00|
Strategaeth addysgu a dysgu
35 hours of lectures 5 x7 hours days may be delivered with a blended learning approach in Semester 2
Private Study with online accessible content via blackboard. Online formative reflective blog weekly
Clinical assessment in practice with mentor to develop and demonstrate competency in clinical components such a venous leg ulceration badaging, skin care, patient education and advice.
- Llythrennedd - Medrusrwydd mewn darllen ac ysgrifennu drwy amrywiaeth o gyfryngau
- Rhifedd - Medrusrwydd wrth ddefnyddio rhifau ar lefelau priodol o gywirdeb
- Hunanreolaeth - Gallu gweithio mewn ffordd effeithlon, prydlon a threfnus. Gallu edrych ar ganlyniadau tasgau a digwyddiadau, a barnu lefelau o ansawdd a phwysigrwydd
- Archwilio - Gallu ymchwilio ac ystyried dewisiadau eraill
- Adalw gwybodaeth - Gallu mynd at wahanol ac amrywiol ffynonellau gwybodaeth
- Sgiliau Rhyngbersonol - Gallu gofyn cwestiynau, gwrando'n astud ar atebion a'u harchwilio
- Dadansoddi Beirniadol & Datrys Problem - Gallu dadelfennu a dadansoddi problemau neu sefyllfaoedd cymhleth. Gallu canfod atebion i broblemau drwy ddadansoddiadau ac archwilio posibiliadau
- Ymwybyddiaeth o ddiogelwch - Bod yn ymwybodol o'ch amgylchedd a hyder o ran cadw at reoliadau iechyd a diogelwch
- Cyflwyniad - Gallu cyflwyno gwybodaeth ac esboniadau yn glir i gynulleidfa. Trwy gyfryngau ysgrifenedig neu ar lafar yn glir a hyderus.
- Gwaith Tîm - Gallu cydweithio'n adeiladol ag eraill ar dasg gyffredin, ac/neu fod yn rhan o dîm gweithio o ddydd i ddydd
- Gofalu - Dangos consyrn am eraill; gofalu am blant, pobl ag anableddau ac/neu'r henoed
- Rheloaeth - Gallu defnyddio, cydlynu a rheoli adnoddau (dynol, ffisegol ac/neu ariannol)
- Dadl - Gallu cyflwyno, trafod a chyfiawnhau barn neu lwybr gweithredu, naill ai gydag unigolyn neu mewn grwˆp ehangach
- Hunanymwybyddiaeth & Ystyried - Bod yn ymwybodol o'ch cryfderau, gwendidau, nodau ac amcanion eich hun. Gallu adolygu ,cloriannu a myfyrio'n rheolaidd ar eich perfformiad eich hun ac eraill.
- Arweinyddiaeth - Gallu arwain a rheoli, datblygu cynlluniau gweithredu ac amcanion, cynnig arweiniad a chyfarwyddyd i eraill, ac ymdopi â'r pwysau sy'n gysylltiedig ag awdurdod o'r fath
Goblygiadau o ran adnoddau ar gyfer myfyrwyr
Time to complete practice competencies Access to and utilisation of personal computer or lap top with the ability to be conversant in IT
Rhestrau Darllen Bangor (Talis)http://readinglists.bangor.ac.uk/modules/nhs-3135.html
References CHAMANGA E.T. ( 2014) Understanding the impact of leg ulcer bandaging on patient quality of life. Journal of community Nursing Vol 28, No 1 : 40 - 47
MADDOX, D (2012). Effects of venous leg ulceration on patients’ quality of life. Nursing Standard. 26, 38, 42-49.
SLONKOVA, V. AND VASKU, V., (2008). Quality of life in patients with chronic leg ulcers: a preliminary report. EWMA Journal 8 (3), 23
WILLIAMS, A.M., (2010). Issues affecting concordance with leg ulcer care and quality of life. Nursing Standard 24 (45), 51-56
DORRESTEIJN, JAN.; KRIEGSMAN, DMW and VALK, GD., (2010). Complex interventions for preventing diabetic foot ulceration. Cochrane Database of Systematic Reviews. Issue 1
DORRESTEIJN, JAN.; KRIEGSMAN, DMW ASSENDELFT WJJ and VALK, GD., (2010). Patient education for preventing diabetic foot ulceration. Cochrane Database of Systematic Reviews. Issue
EDWARDS, J. and STAPELY, S., (2010). Debridement of diabetic foot ulcers. Cochrane Database of Systematic Reviews. Issue 1
HAMPTON, S., (2010), Chronic oedema and lymphoedema of the lower limb. British Journal of Community Nursing 15 (10), S4-S12
HONNER, A. (2008), Classification, aetiology and nursing management of lymphoedema. British Journal of Nursing 17(9), 577- 586
LINNITT, N., and DAVIES,R., (2007). Fundamentals of compression in the management of lymphoedema British Journal of Nursing 16(10), 588 – 592
MOFFATT, C. (ed.), (2006). Best practice for the management of lymphoedema: international consensus. London: MEP
DOWSETT, C.( 2005). Assessment and management of patients with leg ulcers. Nursing Standard 19 (32), 65-70
MOFFATT, C, MARTIN, R. SMITHDALE R. (2009) Leg ulcer management OXFORD BLACKWELL PUBLISHING
Treatments BENBOW, M. and STEVENS, J., (2010). Exudate infection and patient quality of life. British Journal of Nursing 19 (20), S30-36
BRIGGS M. and NELSON E A.( 2010). Topical agents or dressings for pain in venous leg ulcers. Cochrane Database of Systematic Reviews. Issue 4.
FLANAGAN, M. (2013) Wound healing and skin integrity , Principles and Practice. Malaysia, Wiley- Blackwell
GARDENER, S. (2013) Using treatment pathways to improve healing of venous leg ulcers. Wound UK 9 (1), 67 – 75
HARDING, K, DOWSETT, C. FIAS, L., JELNES,R., MOSTI, G., ÖEIN,R., PARTSCH, h., REEDER, S., SENET, P., VERDU SORIANO, J. & VANSCHEIDT, W.(2015).Simplifying venous leg ulcer management .Consensus recommendations. Wounds International
JONES J E. and NELSON E A., (2010). Skin grafting for venous leg ulcers. Cochrane Database of Systematic Reviews Issue 1
JULL A B., WATERS J. and ARROLL B., (2011). Pentoxifylline for treating venous leg ulcers. Cochrane Database of Systematic Reviews Issue 1.
PRICE, P., GOTTRUP, F. & ABEL, B. (2014) Study recommendations for clinical investigations in leg ulcers and wound care. Journal of Wound Care ; 23: 5, S1–S36.
NICE (2012) Clinical knowledge summary. Management of venous leg ulceration http://cks.nice.org.uk/leg-ulcer-venous#!topicsummary
VOWDEN, P., (2010). Effective management of venous leg ulceration. Practice Nursing 21 (4), 194-200
SIGN ( 2010) Management of venous leg ulceration . Clinical guideline
YOUNG T. and RODEN A., (2008). Pains-taking care, everyday issues in wound management. In R. WHITE (ed.) Advances in wound care. Aberdeen: Wounds UK. pp166-86
VOWDEN ,P. (2010), Effective management of venous leg ulceration .Practice Nursing. 21 (4), 194 – 200
WHEATLEY C., (2007). Collaborative working to improve leg ulcer outcomes for injecting drug users. British Journal of Nursing 16 (8), 444-454
Internet List: Wound Care Alliance –UK http://www.wcauk.org/ World Wide Wounds – www.smtl.co.uk/world-wide-wounds European Wound Management Association – www.ewma.org Leg Ulcer Forum www.legulcerforum.org http://www.e-academy.wounds-uk.com/index.php