Margi Moncrieff Nurse Practitioner FMC. Dressings and moisture balance. Hydrogels. Hydrocolloids. Foams. Alginates Aquacel. dry. moderately exuding. heavily exuding. moist (optimal healing). Venous ulcers and assessment.
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Although the ulcer may appear venous, the assessment process is aimed at eliminating an arterial component, so that safe and effective treatment can be offered.
If an arterial pathology is detected, then a referral to the vascular surgeon is required.
1 – 1.2….Normal
0.9……….Mild arterial effect (safe to compress)
< 0.7 …..Significant arterial disease
< 0.6…….Severe PVD
>1.3………Refer to vascular specialist