- Refer to a specialist (Dermatologist or Vascular physician) if there is a deterioration of the ulcer status, client status or if non-venous etiology is identified or suspected (e.g., rheumatoid disease; suspected malignancy; acute congestive heart failure (CHF); renal failure; diagnostic uncertainty; rapid deterioration of ulcers; new diagnosis of diabetes; lack of healing; recurrent ulceration; ischemic limb or foot infection; pain management; or for potential surgery).
- The active management of leg ulcers may be required over many months or years and may be carried out by several different healthcare professionals.
- It is important to reassess progress 12 weeks after the institution of treatment.
- When an ulcer recurs, a full assessment should be carried out even though the client may be well known to the nurse or doctor.
Assessment and Management of Venous Leg Ulcers
Point of Care Resources