Leg Ulceration Case Study

Decent Essays
Within the United Kingdom (UK) circa 200,000 people have a chronic wound. Financially, this has a major impact on the National Health Service (NHS) as it is estimated to cost £2.3-3.1 billion per year to care for these patient’s (Posnett and Franks, 2008). Chronic venous leg ulceration (CVLU) is defined as damage to the skin below the knee that remains unhealed for >4 weeks (Scottish Intercollegiate Guidelines Network, (SIGN), (2010). This is commonly caused by chronic venous insufficiency, whereby the valves in the veins of the legs become damaged and allow the blood to flow backwards. The increased pressure in the veins causes the vein walls to stretch which pushes the valves apart and damages the skin (Anderson, 2009). Other risk factors…show more content…
Furthermore, patient’s who fail to comply or try to exert some control over their treatment are often labelled negatively by HCPs (Morgan & Moffatt, 2008). The negative connotation associated with compliance has resulted in the move towards concordance. Concordance links to the principles of person-centred care as it considers the patient’s biopsychosocial needs; facilitates shared decision making; promotes patient autonomy and engagement in therapeutic relationship between the HCP and patient thus resulting in increased concordance (McCormack & McCance 2010). As a student nurse that has been involved in caring for patient’s with CVLU in the community developed a personal interest in concordance. Within clinical practice witnessed that HCPs focus on wound healing which supports primary research finding (Morgan & Moffatt, 2008). This has highlighted to me that understanding issues that enhance or prevent patient concordance in their leg ulcer care are equally as important. Furthermore, as an aspiring community nurse this knowledge will better equip me to advocate the patient’s care needs holistically throughout the care planning process. Therefore, the aim of this literature review is to explore issues in relation to patient concordance in their leg ulcer care in the
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