Clinical evidence

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Conference poster

Title An audit of leg ulcer care and adoption of an alternative pathway using hosiery Download File
Author Joy Tickle
Publication Harrogate Wounds UK Poster
Date 1 November 2015
Key Points Supported by the VenUS IV trial, Activa Hosiery Kits are now used first line for venous leg ulcers as a result of clinical, cost and patient benefits.
Author Jenny Williamson,Lol Pidcock,
Publication Harrogate Poster
Date 1 November 2014
Key Points Bandages may not be what the patient prefers, using bandages until the limb and wound are suitable for a hosiery kit suited this tennis playing patient.
Title A multidisciplinary management of lower limb lymphoedema with quality of life as an outcome measure Download File
Author Kate Bennett
Publication Harrogate Wounds UK 2011
Date 1 November 2011
Key Points Improved quality of life may be the patient's and carer's goal rather than full healing.
Title The management of Lymphorroea with Flivasorb and Actico Download File
Author Rebecca Billingham
Publication Poster presentation at Wounds UK Conference, Harrogate - November 2009
Date 1 November 2009
Key Points 73 year old lady with co-morbidities and housebound. Suffering with bilateral oedema and lymphorrhoea and one leg also ulcerated. Flivasorb applied with Actico. After first day no strike through onto bandages and the Flivasorb had locked away all the fluid.
Title A well leg model "Prevention is better than cure" Download File
Author Lisa Rice and Jane McFarlane LU Specialists
Publication Wounds UK Conference, Harrogate, November 2008
Date 1 November 2008
Key Points An audit of leg ulcer management indicating high recurrence rates. Activa BS hosiery is suitable for patients without oedema, and Actilymph for those with oedema. The ranges resulted in recurrence dropping from 65.9% to 4.5%.
Title The advantages of using Actico bandaging to reduce oedema Download File
Author Alison Nelson, Healing Solutions Judith Patton - TVN
Publication Poster Presentation: Wounds UK Conference, Harrogate - November 2007
Date 1 November 2007
Key Points Obese patient,non compliant. Wife learnt to bandage with Actico. After 6 weeks both legs healed and in Actilymph hosiery.
Title Lymphoedema - a gap in local services Download File
Author Angela Wilson, Leg ulcer specialist nurse
Publication Poster presentation, Wounds-UK conference, Harrogate, November 2006
Date 1 November 2006
Key Points Best practice for chronic oedema is inelastic bandages. Innapropriate use of 4L causes deterioration.Actico and Actilymph on FP10 accessible treatment


Title Clinical and cost-effective leg ulcer care: capturing current practice and future solutions Download File
Author Wounds UK
Publication Wounds UK
Date 1 June 2016
Key Points A meeting report on nurses views on leg ulcer care and the use of leg ulcer hosiery kits to reduce costs, time and increase patient happiness.
Title A new pathway for lower limb ulceration Download File
Author Atkins and Tickle
Publication Wounds UK
Date 1 June 2016
Key Points This paper provides a simple algorithm that is underpinned by clinical evidence and international consensus to assist in compression therapy selection.
Title What is the patient perspective of healing in a hosiery kit? Download File
Author Karen Hutchinson
Publication JCN
Date 1 March 2016
Key Points Ian Payne was surprised at how painful his ulcers were and the impact on his life. He enjoyed feeling "normal" again in hosiery kits.
Title Managing venous leg ulcers and oedema uisng compression hosiery Download File
Author Joy Tickle
Publication Nursing Standard
Date 1 November 2015
Key Points • The findings of the VenUS lV trial support the use of first-line use of hosiery kits for those with venous leg ulceration; to assist in overcoming some of the drawbacks associated with 4-layer compression bandaging.
Title Adopting a new model for leg ulcer care Download File
Author Leanne Atkin, Joy Tickle
Publication Wounds UK
Date 1 October 2015
Key Points Hosiery kits are suggested as the first line treatment for leg ulcers. Based on the VenUS IV trial findings hosiery kits have associated economical, clinical and patient benefits.
Title Compression hosiery kits for the treatment of venous leg ulceration Download File
Author Journal of General Practice Nursing
Publication Journal of General Practice Nursing
Date 1 May 2015
Key Points A CPD article on hosiery kits, answering what they are, which patients they suit and the supporting clinical evidence.
Title The assessment, selection and benefits of made-to-measure hosiery Download File
Author Journal of Community Nursing
Publication Journal of Community Nursing
Date 1 March 2015
Key Points This article looks at when MTM hosiery is appropriate, selecting British or European hosiery and the difference between flat and circular knit garments
Title Best Practice Statement Compression hosiery Download File
Author Jackie Stephen-Haynes et al
Publication Wounds UK
Date 1 March 2015
Key Points To guide practice and encourage a consistent and cohesive approach to care, this best practice statement covers the following areas of concern to HCPs who work with patients who use compression hosiery
Title How can I improve leg ulcer care when faced with increasing service demands? Download File
Author Joy Tickle, Tissue Viability Nurse Specialist
Publication Journal of Community Nursing
Date 1 February 2015
Key Points The question discussed by by Joy is:How can I improve leg ulcer care when faced with increasing service demands?
Title How to select the best compression hosiery for your patient Download File
Author JCN Learning Zone
Publication Journal of Community Nursing
Date 1 October 2014
Key Points This article looks at how compression hosiery can manage and prevent venous leg problems, the difference between British and European standard hosiery and concordance.
Title Development and evaluation of a hosiery selection algorithm in an acute and community healthcare NHS Trust Download File
Author Jackie Stephen-Haynes, Rachael Sykes
Publication Wounds UK 2013
Date 1 November 2013
Key Points Selecting compression hosiery can be confusing, especially now with European classifications. This algorithm has been successfully used to help clinicians choose the most appropriate hosiery.
Title Hydrogel sheet dressings and short-stretch cohesive bandaging: case study Download File
Author Gail Powell Clinical Nurse Specialist
Publication British Journal of Community Nursing 15(3 Supp): S42 - S46 (Mar 2010)
Date 1 March 2010
Key Points Case study of an 88 year old lady with 10 month history of a traumatic leg ulcer measuring 9cm x 6cm, 100% slough,VAS pain score 9/10. Terrible night pain reduced to 0/10 with Actico and Actiformcool. Leg ulcer healed.
Title Selecting & fitting Activa hosiery Download File
Author Sylvie Hampton TVS
Publication Nursing and Residential Care. August 2002 Vol:4 No:8 396-398
Date 1 August 2002
Key Points Confusion exists between European and British Standard hosiery. General lack of training for nurses.



Harrogate Poster

Anita Heron,Georgina Maginn

Key points
Bob was very distressed by ineffective treatment for his actinic keratosis, which was sore and looked and smelt unpleasant. Debrisoft removed 90% of the scales on first use. Bob can self manage and NHS costs greatly reduced.


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