Cook, Leanne

English

University of Huddersfield Repository

University of Huddersfield RepositoryCook, LeanneUse of Actilite on a venous leg ulcer - a case studyOriginal CitationCook, Leanne (2008) Use of Actilite on a venous leg ulcer - a case study. In: Wounds UK 2008, 10-11 November 2008, Harrogate, UK. (Unpublished) This version is available at http://eprints.hud.ac.uk/12556/The University Repository is a digital collection of the research output of theUniversity, available on Open Access. Copyright and Moral Rights for the itemson this site are retained by the individual author and/or other copyright owners.Users may access full items free of charge; copies of full text items generallycan be reproduced, displayed or performed and given to third parties in anyformat or medium for personal research or study, educational or not-for-profitpurposes without prior permission or charge, provided:• The authors, title and full bibliographic details is credited in any copy;• A hyperlink and/or URL is included for the original metadata page; and• The content is not changed in any way.For more information, including our policy and submission procedure, pleasecontact the Repository Team at: E.mailbox@hud.ac.uk.http://eprints.hud.ac.uk/Mid Yorkshire NHS TrustThe use of Actilite dressing and four layer bandages in the management of venous leg ulceration.Mrs. T is a 41 year old lady who was referred to the vascular clinic by her district nurse services due to non healing ulceration. She presented with a ulcer to her right medial which had been present for 10 weeks. In community she was being dressed with non adherent dressing and four layer bandage, with little signs of improvement. Mrs. T gave a history of previous ulceration over the same area 2 years ago, which successfully healed within 12 weeks with four layer compression bandaging. Other past medical history to note included DVT for which she continued to take Warfarin. She complained of constant moderate pain from the peri-ulcer area. On examination all peripheral pulses were palpable and her ABPI = 1.1 with triphasic tones.  The ulcer bed measured 5cm x 6 cm with supericial slough at the base; there was also evidence of maceration. Her limb was slightly oedematous with no evidence of cellulitis.  The aetiology of the ulcer was conirmed as venous.  Actilite (Advancis Medical) was applied to the ulcer bed to provide a moist environment with the added beneit of providing antimicrobial protection, four layer compression was continued. Mrs. T was given lifestyle advice, she was also commenced on regular paracetamol with codeine phosphate for breakthrough and a venous duplex scan was requested.  Six WeeksSix weeks later Mrs T returned to clinic the ulcer bed had substantially reduced in size to 2cm x 1.5 cm with a healthy granulating wound bed, the maceration had reduced and also had her pain, now only needed the paracetamol occasionally. Her venous duplex showed deep venous insuficiency but no supericial insuficiency.  Actilite dressing in combination with four layer bandage promotes healing and provides signiicant improvement in patients live with venous ulceration.Medica l  Manuka HoneyA c tivonFor more information, please contact customer services: +44 (0) 1623 751500  www.advancis.co.uk   info@advancis.co.uk   www.medicalhoney.comLeanne Cook - Vascular Nurse Specialist Pinderields General Hospital

Use of Actilite on a venous leg ulcer - a case study

Abstract

Similar works

Full text

Available Versions

University of Huddersfield Repository