Registered Nurses' Association of Ontario


  • 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.
Clinical Management
Assessment and Management of Venous Leg Ulcers
Point of Care Resources