An ulcer on the leg or foot in an area that is affected by venous hypertension and chronic venous insufficiency1
Ulcer typically presents on the gaiter region of the leg (the area extending from just above the ankle to below the knee), with a shallow base, attached edges with an irregular border, and moderate to large amount of exudate1
Chronic venous hypertension eventually causes skin texture and colour changes.
Up to 40% of patients with venous disease and ulcerations also have significant peripheral arterial disease;2 therefore it is essential to assess for the vascular supply.
|Long stretch (Elastic)||
|Short stretch (Inelastic)||
Reused with permission from Wounds Canada, 2017.
Always provide instruction to patients to remove compression wrap if adverse reactions occur (signs of arterial compromise).
1. Evans, R., Kuhnke J.L., Burrows C., Kayssi A., Labrecque C., O’Sullivan-Drombolis D. & Houghton, P. (2019). Best practice recommendations for the prevention and management of venous leg ulcers. In: Foundations of Best Practice for Skin and Wound Management. A supplement of Wound Care Canada.
2. Treadwell T., Fowler E. & Bates-Jensen B.M. (2012). Management of edema. In C. Sussman & B. Bates-Jensen (Ed.), Wound Care A Collaborative Practice Manual for Health Professionals (pp. 477-502). Philadelphia, PA: Lippincott Williams & Wilkins.
3. Brogle, A.M. (2010). Conservative management of arterial ulceration. In J.M. Mcculloch & L.C. Kloth (Ed.), Wound Healing Evidenced-Based Management (pp. 256-275). Philadelphia, Pa: F.A. Davis Company.
4. Wounds Canada Institute Faculty. (2019). How to assess blood flowing using an ankle-brachial pressure index (ABPI) assessment. Wound Care Canada 17(1). Pp. 22-24.
5. British Columbia Provincial Nursing Skin and Wound Committee. (2014). Guideline: Assessment & treatment of lower leg ulcers (arterial, venous and mixed) in adults. Retrieved from: https://www.clwk.ca/buddydrive/file/guideline-lower-limb-venous-arterial/
6. Botros, M., Kuhnke, J., Embil, J., Goettl, K., Morin, C., Parsons, L., Scharfstein, B., Somayaji, R., Evans, R. (2017). Best practice recommendations for the prevention and management of diabetic foot ulcers. In: Foundations of Best Practice for Skin and Wound Management. A supplement of Wound Care Canada.