Sussman G
Australian family physician. Date of publication 2014 Sep 1;volume 43(9):588-92.
1. Aust Fam Physician. 2014 Sep;43(9):588-92.
Ulcer dressings and management.
Sussman G(1).
Author information:
(1)Geoff Sussman OAM, JP, PhC, FACP, FAIPM, FPS, FAWMA, Associate Professor,
Medicine Nursing and Health Sciences, Monash University, Clayton, VIC.
BACKGROUND: Chronic leg ulcers caused by venous disease, arterial disease or a
combination of both need to be clearly identified before treatment can be
commenced. Their management will depend on the diagnosis, combining direct
management of the ulcer as well as management of patient factors. Other chronic
wounds commonly observed in practice include pressure wounds, skin tears,
atypical leg ulcers.
OBJECTIVE: This paper will outline a simple way to manage people with chronic
ulcers.
CONCLUSION: Conclusion The prevalence of chronic wounds is expected to rise given
that people are living longer and that the incidence of diabetes is increasing.
There is a need is to clearly identify the underlying cause of any wound,
including factors that may delay healing, and to treat appropriately. Treatment
should address the wound environment, tissue base, presence of bacteria and the
level of slough. If there is no improvement in wound healing after 4 weeks then
seek help from a wound specialist.
DISCUSSION: The prevalence of chronic ulcers in Australia has been estimated at
2-5%. Comprehensive assessment of the ulcer, the region and the whole person is
an important first step in treatment. The aim of management is to promote healing
and minimise the impact on the patient.
PMID: 25225641 [Indexed for MEDLINE]
