Compose a 1750 words assignment on nursing and managing a venous leg ulcer. Needs to be plagiarism free! Between 2004 and 2010, the management of venous leg ulcerations cost the UK’s National Health Service (NHS) an estimated £400 million per year, most of which was spent on community nursing services (Milic, Bogdanovic & Jovanovic 2010, p. 797). Basing on the budget, the disease calls for evidence-based practice (EBP) in its management and this paper will discuss the effectiveness of compression systems for preventing its recurrence and treatment using three sources of evidence.
This article was chosen because the Cochrane Collaboration is a reputable body in the field of organization of systematic medical researches that facilitates proven and evidence-based medical and nursing practice. The cost-effectiveness of stockings and bandaging in compression treatment of venous leg ulcers has been covered by a Cochrane review basing on randomized controlled trials (RCTs) with definitive results. Medical literature in the regularly updated Cochrane database opines that most cases of venous leg ulcers are brought about by the improper functioning of the venous valves, although other known contributing factors include obesity, diabetes, immobility, arterial disease, and trauma. There is also evidence that persons wearing high-compression hosiery are less likely to have ulcer recurrences than those wearing moderate-compression ones. Venous ulcers can be prevented by using compression stockings on long-term alongside regular exercising, elevating legs when possible, and losing weight (Gohel, Barwell & Taylor 2007, p. 83). Venous leg ulcers usually recur after healing and this can be prevented by regularly wearing compression stockings for at least five years after healing. Following the systematic reviews and meta-analyses conducted on 22 trials identified in the Cochrane review, it was consistently shown that the healing of venous leg ulcers is encouraged by compression. It was .shown that most healed within 15 weeks when high and medium compression systems, classified as class 3 and 2 respectively, were used as opposed to low compression systems, classified as class 1, that took longer (Harper, Nelson & Ruckley 2006, p. 104).