Leg Ulcers

Section 1: INTRODUCTION1. What is problem-based learning?2. Sources of knowledge, evidence-based practice and the development and effective use of reflective portfolios to enhance professional practice3. How to make the most of this bookSection 2: CASE STUDIESA simple venous ulcerNon-healing venous ulcerationComplex venous/lymphatic ulcerationAn arterial ulcer progressing to below-kneeMixed venous/arterial ulcerArterial ulceration in a patient with rheumatoid arthritisA neuropathic diabetic foot ulcerAn ischaemic diabetic footAn ulcer due to Waldenström’s cryoglobulinaemiaMalignancy in a long-standing venous ulcerAn ulcer associated with pyoderma gangrenosumAn ulcer associated with tuberculosisAn ulcer associated with sickle cell diseaseA tropical ulcer (yaws)A self-inflicted ulcerSection 3: LEG ULCER MANAGEMENT: PRINCIPLES AND RESOURCES4. Epidemiology5. Health economics6. Models of service provision7. A framework for patient assessment and care planning8. Causation of venous leg ulcers9. Venous ulcers: patient assessment10. Compression therapy in leg ulcer management 11. Surgery and sclerotherapy in the management of venous ulcers12. Surgical treatment to cover skin defects, including skin grafting and tissue extension13. An overview of pharmacological treatment options for venous leg ulcers14. Lymphoedema of the lower limb: causation, assessment and management15. Arterial ulcers: theories of causation16. Ischaemic ulceration: investigation of arterial disease17. Leg ulcers associated with arterial insufficiency: treatment18. The diabetic foot19. Malignancy, including surgical management20. Inflammatory ulcers21. Tropical ulcers22. Leg ulcers in sickle cell disorders23. Wound bed preparation for venous leg ulcers24. Skin substitutes25. Wound infection26. Adjuvant therapies: ultrasound, laser therapy, electrical stimulation, hyperbaric oxygen and vacuum-assisted closure therapy27. Dermatological aspects of leg ulcers28. Nutritional assessment and support29. Principles of best practice minimizing pain at wound-dressing-related procedures: a consensus document30. Health-related quality of life with chronic leg ulceration31. Psychological aspects of wound healing32. Health promotion and patient education