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Optimising the assessment and management of lower limb wounds in general practice

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Abstract

Patients who present to general practice with a complex lower limb wound or vascular concerns are often referred to other services for review, which may cause delays to their assessment and treatment. To provide prompt assessment and management for patients with lower leg wounds or vascular concerns, a service improvement project was developed to provide a pathway for these patients. Automated ankle-brachial pressure index (ABPI) devices were supplied to 19 GP surgeries and one community vascular clinic in the project region, with training, protocols and project leadership also provided. General practice nurses undertook automated ABPI readings for patients with a wound or vascular concern and provided appropriate care. Patients with complex wounds and those with vascular concerns were referred to other services where appropriate. This article describes the results of the service improvement project and its effect on patient care.

Acceptance Date Jun 4, 2020
Publication Date Nov 25, 2020
Journal Primary Health Care
Print ISSN 0264-5033
Publisher RCN Publishing (RCNi)
DOI https://doi.org/10.7748/phc.2020.e1673
Keywords cardiorespiratory - cardiovascular diseases - leg ulcers - peripheral arterial disease - skin - vascular diseases - wound care
Publisher URL https://journals.rcni.com/primary-health-care/evidence-and-practice/optimising-the-assessment-and-management-of-lower-limb-wounds-in-general-practice-phc.2020.e1673/full

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