A forever healing: The lived experience of venous ulcer disease

Chase, Susan K.; Melloni, Mary; Savage, Amanda

doi:10.1016/s1062-0303(97)90004-2

Cited by 158 publications

(137 citation statements)

References 8 publications

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“…45,47,48 The leakage and odour resulted in limitations to social contacts, self-consciousness and a feeling that matters that should remain private had somehow become public with efforts to improve symptoms most often proving to be inadequate. 13,47 Mobility and daily living.…”

Section: Exudate and Odourmentioning

confidence: 99%

“…13,44,47,48,50,51 Mobility was restricted by ulcer pain, wound leakage or the 'restrictions' of the dressings applied. 10,13,47,48,50 Many were housebound due to their CVLU; 47 unable to work or to socialise. These issues were exacerbated by the fear of sustaining further injuries.…”

Section: Exudate and Odourmentioning

confidence: 99%

“…6 Research into the impact of CVLU to date demonstrates that quality of life (QoL) for the patient is limited; 7,8 a factor that is potentially intensified by this 'wound care' focus to DN consultations. 5,9 Previous reviews have demonstrated that CVLU impacts on the life both patients and carers, 3,[10][11][12][13] however these good quality reviews are now somewhat dated and, in the main, have focussed on a single methodology 7 or patient group. 10 The qualitative research provides a rich patient reflection on life with CVLU, providing insight into the feelings underpinning participant responses.…”

Section: Introductionmentioning

confidence: 99%

“…10 The qualitative research provides a rich patient reflection on life with CVLU, providing insight into the feelings underpinning participant responses. 7,11,13,14 The quantitative studies, in contrast, enumerate the impact using instruments to assess patient QoL. 15,16 Evidence from both qualitative and quantitative studies, innovatively synthesised in this review, provides a more 'complete' picture of the impact of CVLU.…”

Section: Introductionmentioning

confidence: 99%

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The impact of chronic venous leg ulcers: a systematic review

et al. 2014

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Section: Exudate and Odourmentioning

confidence: 99%

Section: Exudate and Odourmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The impact of chronic venous leg ulcers: a systematic review

et al. 2014

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“…[12][13][14] Living with chronic pain is a theme that consistently emerges from these studies and yet venous leg ulcers were traditionally not regarded as painful. 12,14,15 Other themes which recur are the restrictions on social, leisure and work activities, [12][13][14] the hope and despair experienced throughout the long healing trajectory 13,14 and the restrictions that ulceration places on clothing and footwear that can be worn.…”

Section: Qualitative Studiesmentioning

confidence: 99%

VenUS I: a randomised controlled trial of two types of bandage for treating venous leg ulcers

Iglesias¹,

Nelson²,

Cullum

et al. 2004

Health Technol Assess

116

105

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Prescribed Exercise With Compression vs Compression Alone in Treating Patients With Venous Leg Ulcers

2018

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IMPORTANCEExercise is recommended as an adjuvant treatment for venous leg ulceration (VLU) to improve calf muscle pump function. However, the association of exercise with VLU healing has not been properly aggregated, and the effectiveness of different exercise interventions has not been characterized. OBJECTIVETo summarize the association of different exercise interventions with VLU healing when used as an adjuvant to any form of compression.DATA SOURCES The Cochrane Controlled Trials Register, MEDLINE, Embase, CINAHL, PsycInfo, and SCOPUS databases were searched through October 9, 2017.STUDY SELECTION Randomized clinical trials (RCTs) of any exercise compared with no exercise in participants with VLU were included, where compression was used as standard therapy and a healing outcome was reported. Independent title screening and full text review by 2 authors (A.J., J.S.) with appeal to a third author (J.P.) if disagreement was unresolved. Of the 519 articles screened, a total of 6 (1.2%) studies met the inclusion criteria for systematic review, including 5 for meta-analysis.DATA EXTRACTION AND SYNTHESIS Independent quality assessment for Cochrane risk of bias and data extraction by 2 authors with appeal to third author if disagreement unresolved (PRISMA). Data pooled using fixed effects model. MAIN OUTCOMES AND MEASURESThe a priori primary outcome was any healing outcome (proportion healed, time to healing, or change in ulcer area). Secondary outcomes (adverse events, costs, and health-related quality of life) were only collected if a primary outcome was reported.RESULTS Six RCTs were identified and 5 (190 participants) met inclusion criteria for meta-analysis. The exercise interventions were progressive resistance exercise alone (2 RCTs, 53 participants) or combined with prescribed physical activity (2 RCTs, 102 participants), walking only (1 RCT, 35 participants), or ankle exercises (1 RCT, 40 participants). Overall, exercise was associated with increased VLU healing at 12 weeks although the effect was imprecise (additional 14 cases healed per 100 patients; 95% CI, 1-27 cases per 100; P = .04). The combination of progressive resistance exercise plus prescribed physical activity appeared to be most effective, again with imprecision (additional 27 cases healed per 100 patients; 95% CI, 9-45 cases per 100; P = .004). CONCLUSIONS AND RELEVANCEThe evidence base may now be sufficiently suggestive for clinicians to consider recommending simple progressive resistance and aerobic activity to suitable patients with VLU while further research is produced.

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A forever healing: The lived experience of venous ulcer disease

Cited by 158 publications

References 8 publications

The impact of chronic venous leg ulcers: a systematic review

The impact of chronic venous leg ulcers: a systematic review

VenUS I: a randomised controlled trial of two types of bandage for treating venous leg ulcers

Prescribed Exercise With Compression vs Compression Alone in Treating Patients With Venous Leg Ulcers

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