How living with a leg ulcer affects people's daily life: a nurse-led study

Rich, Anna; McLachlan, Laurel A.

doi:10.12968/jowc.2003.12.2.26469

Cited by 75 publications

(63 citation statements)

References 22 publications

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“…Eight of the eleven studies referred to issues due to leakage from the wound and the associated malodour 10,11,45,[47][48][49][50][51] Exudate was unbearable and devastating, 11 with the unpredictability of dressing leakage causing distress and shame. 51 There were reports of wet shoes, wet bedding and concerns of what people might think.…”

Section: Exudate and Odourmentioning

confidence: 99%

“…45,47 These symptoms were of particular concern and had an even greater impact when the patient was working. 11 Participants felt that mechanisms to manage exudate and odour were consistently inadequate, with the odour being described as the worst thing associated with ulceration. 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.…”

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%

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The impact of chronic venous leg ulcers: a systematic review

et al. 2014

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“…Those hard to heal wounds can be both costly to healthcare providers and impact greatly on health related quality of life outcomes for patients. The psychological stress that can be associated with malodorous wounds and negative effect on wound healing has been identified [3,4], with some tentative links established between exudate, and associated odour with depression and anxiety [5]. Malodorous leg ulcers have been reported to have a negative effect on patients' social lives [6,7] leading to higher anxiety and depression scores, lower life satisfaction and altered body image [8].…”

Section: Introductionmentioning

confidence: 99%

Exploring nurses' and patients' feelings of disgust associated with malodorous wounds: a rapid review

Ousey

Roberts

2016

J Wound Care

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ObjectiveTo identify primary empirical research related specifically to feelings of disgust associated with malodorous chronic cutaneous wounds. MethodsA rapid review of the literature using the key words disgust; wounds; malodour and psychosocial. ResultsA total of 163 papers were retrieved with 7 papers being included for the final review. Themes emanating from the review were malodour, healthcare professionals coping with malodour and disgust. Malodour is a concern to patients which can sometimes go unreported by nursing staff; although the reasons for this remain unclear. The coping mechanisms developed by nurses in response to 'disgusting' wounds requires further exploration in order for a fuller understanding of these mechanisms to be achieved. This review has identified that both healthcare professionals and patients can become distressed at wound odours yet there is little evidence that is available to guide people as to how to manage these feelings. ConclusionsHard to heal or chronic cutaneous wounds such as leg ulcers and diabetic foot ulcers are an increasing global healthcare issue. Whilst some research has been undertaken to explore the psychological impact of living with a fungating carcinomas; much less has been written about the management and mitigation of feelings of disgust for patients and families living with a malodorous wound or how healthcare professionals can effectively provide psychosocial care.

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Debridement for venous leg ulcers

Gethin

Cowman

Kolbach³

2015

Cochrane Database of Systematic Reviews

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Background Venous ulcers (also known as varicose or venous stasis ulcers) are a chronic, recurring and debilitating condition that affects up to 1% of the population. Best practice documents and expert opinion suggests that the removal of devitalised tissue from venous ulcers (debridement) by any one of six methods helps to promote healing. However, to date there has been no review of the evidence from randomised controlled trials (RCTs) to support this. Objectives To determine the effects of different debriding methods or debridement versus no debridement, on the rate of debridement and wound healing in venous leg ulcers. Search methods In February 2015 we searched: The Cochrane Wounds Group Specialised Register; The Cochrane Central Register of Controlled Trials (CENTRAL); Ovid MEDLINE; Ovid MEDLINE (In-Process & Other Non-Indexed Citations); Ovid EMBASE and EBSCO CINAHL. There were no restrictions with respect to language, date of publication or study setting. In addition we handsearched conference proceedings, journals not cited in MEDLINE, and the bibliographies of all retrieved publications to identify potential studies. We made contact with the pharmaceutical industry to enquire about any completed studies. Selection criteria We included RCTs, either published or unpublished, which compared two methods of debridement or compared debridement with no debridement. We presented study results in a narrative form, as meta-analysis was not possible. Data collection and analysis Independently, two review authors completed all study selection, data extraction and assessment of trial quality; resolution of disagreements was completed by a third review author. Main results We identified 10 RCTs involving 715 participants. Eight RCTs evaluated autolytic debridement and included the following agents or dressings: biocellulose wound dressing (BWD), non-adherent dressing, honey gel, hydrogel (gel formula), hydrofibre dressing, hydrocolloid dressings, dextranomer beads, Edinburgh University Solution of Lime (EUSOL) and paraffin gauze. Two RCTs evaluated 1 Debridement for venous leg ulcers (Review)

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How living with a leg ulcer affects people's daily life: a nurse-led study

Cited by 75 publications

References 22 publications

The impact of chronic venous leg ulcers: a systematic review

The impact of chronic venous leg ulcers: a systematic review

Exploring nurses' and patients' feelings of disgust associated with malodorous wounds: a rapid review

Debridement for venous leg ulcers

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