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Journals and Conferences
Venous leg ulcers are a frequent source of chronic ill-health and a considerable cost to health-care systems. This paper reports pilot study results from a randomized controlled trial to determine the effectiveness of a community-based 'Leg Club' environment on improving healing rates of venous leg ulcers. Leg Clubs offer a setting where people with similar… (More)
AIM To conduct a cost-effectiveness analysis based on data from a randomised controlled trial comparing traditional community home nursing with a community Leg Club model for chronic venous leg ulcer management in the south-east metropolitan area of Queensland, Australia. METHOD Participants were randomised to the Leg Club (n=28) or home visits (n=28).… (More)
As a district nurse providing leg ulcer management in a rural community, the author was aware that the effectiveness of compression therapy was, in many cases, compromised by poor compliance to treatment. Once the author had researched the underlying causes of non-compliance, she addressed the issues by developing innovative leg ulcer clinics ('Leg Clubs')… (More)
AIMS AND OBJECTIVE The negative impact of chronic leg ulcers on quality of life is well documented. The aim of this study was to determine the effectiveness of a new community nursing model of care on quality of life, morale, depression, self-esteem, social support, healing, pain and functional ability of clients with chronic venous leg ulcers. BACKGROUND… (More)
Leg Club is a unique model of community-based leg ulcer care. By providing nursing care in a non-medical, social environment, the model has several benefits: it removes the stigma associated with leg ulcers and helps isolated older people reintegrate into their communities, which in turn improves concordance and has a positive impact on healing and… (More)
AIM To investigate the effectiveness of a new community nursing model of care for clients with chronic leg ulcers in terms of levels of pain and ulcer healing. METHOD A randomised controlled trial comparing the new model of care with standard community nursing care was conducted with a sample of 56 clients with chronic venous leg ulcers, 28 clients in the… (More)
The empowerment of patients can be considered an important part of the nurses' role in the management of chronic venous leg ulcers. This article describes how one individual's healing rate improved when she was given greater control over her own care by a partnership formed with her nursing team. The negative impact of a subsequent change to a more… (More)
Practitioners are generally advised not to use short-stretch bandages on patients who are immobile. But this appears to reflect confusion about calf muscle function, which research indicates still occurs during periods of limited mobility.
Leg Clubs have been established to empower patients to become stakeholders in their own treatment. This case report describes how attendance at a Leg Club resulted in healing in a patient who previously was non-concordant with treatment.
Patient empowerment is a frequently promoted aim for patients but is rarely put in to clinical practice. This paper describes the basic principles behind a club enabling treatment and prevention of leg ulceration in the community. These principles include patient ownership of the club, community involvement and a non-medical environment. The practical… (More)