Case Studies & Papers
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Case study
| Title |
Minimalism: Actico cohesive short stretch bandage case studies: |
Download File |
| Author |
Marion Moody |
| Publication |
Poster presentation UWMEF Cardiff 2001 |
| Key Points |
Case Study 1: Less active patient. 4lb too bulky ls too tight 12 year ulcer- daily dressings at times. Case Study 2: Active patient. Poor hygiene and compliance. Wanted to wear footwear |
| Title |
Lifestyle considerations |
Download File |
| Author |
Amanda Gillet, Ruth Smith |
| Publication |
Poster Presentation EWMEF conference Cardiff June 2003 |
| Key Points |
Self care to fit treatment with patients lifestyle |
| Title |
Implementation of Actico for patients with mixed aetiology ulceration |
Download File |
| Author |
Jan Prytherch, Jane Pike, Jill Tongue |
| Publication |
Poster presentation Wounds 2003 UK conference Harrogate November 2003 |
| Key Points |
Need for constant review and change in treatment provision inline with national guidelines. Training issue Trust wide policies. |
| Title |
The patient journey:evidence into clinical practice |
Download File |
| Author |
Margaret Armitage |
| Publication |
Poster Presentation, EWMA Conference, Glasgow - May 2007 |
| Key Points |
Case Study 1: Independent, self caring man awaiting knee surgery. AFC for wound bed preparation. Actico initially for compression, then Activa 2 layer hosiery kit Case Study 2: AFC used to manage heavy exudate & slough. 2 Actico bandages applied as indicated for larger limb |
| Title |
Cohesive Short Stretch bandages in the treatment of venous leg ulceration |
Download File |
| Author |
Hildegarde Charles, Christine Moore, Sarah Varrow |
| Publication |
Woundcare March 2003 |
| Key Points |
Obesity, champagne bottle shaped legs, bad rapid reduction in leg diameter can present problems with bandage slippage. |
| Title |
Short Stretch bandaging-Devising a tool for measuring immobility |
Download File |
| Author |
Ellie Lindsay, Jeanette Muldoon, Sylvie Hampton |
| Publication |
Harrogate Poster |
| Key Points |
Definition of immobility, review of studies examining effectiveness of SSB compared with elastic bandages, including 4LB and the lack of evidence to support the theory that SSB can only be used with good ankle mobility and mobile patients. |
| Title |
A complex case study reviewing care of a patient with cellulitis caused by lymphoedema |
Download File |
| Author |
Jane Cadogan, TVN J Waldron, Vascular Nurse |
| Publication |
Poster presentation. TVS Conference, Torquay, April 2004 |
| Key Points |
SSB choice for lymphoedema, cotton bandages slipped. Layers of Actico reduced circumference. |
| Title |
The Use of Actico Cohesive SSB (Inelastic) bandages in the management of lymphoedema |
Download File |
| Author |
Anne Williams |
| Publication |
Poster |
| Key Points |
Comparison of Actico Cohesive v non cohesive SSB. Sub bandage pressure measurements, limb volume reduction, staying in place, rebandaging frequency , patient comfort, nurse satisfaction, 3 case studies. |
| Title |
The introduction of a Cohesive SSB into a specialist Leg Ulcer Clinics |
Download File |
| Author |
Jasmine Wilson |
| Publication |
Poster |
| Key Points |
10 Patients over 16 weeks- traumatic, diabetic, post DVT, lymphoedema, lympho-venous disease, very painful, drug compromised, immobile patients, 5 case studies |
| Title |
Not a stretch too far' |
Download File |
| Author |
Jan Prytherch |
| Publication |
Poster presentation at Wounds UK Conference, Harrogate, Nov.2005 |
| Key Points |
2 years ago Actico bandages introduced for treatment of late ABPI and rest pain at night. New audit revealed gradual change in practice to reflect increased use of Actico. Only 35 / 88 patients were true mixed aetiology. |
| Title |
Development and experiences of wound/leg ulcer management within Rochdale Harm Reduction Services |
Download File |
| Author |
White M |
| Publication |
Poster presentation at Wounds UK Conference, Harrogate, Nov.2005 |
| Key Points |
Clients are reluctant to access main stream services due to past negative experiences. 2 case studies discussed showing early healing with Actico bandages. |
| Title |
Management of a Patient with Lymphoedema |
Download File |
| Author |
Caroline Graham, L Johnston, M Burke |
| Publication |
Poster presentation at Wounds UK Conference, Harrogate, Nov.2005 |
| Key Points |
56yr old man diagnosed 7 years ago and treated by Consultant Vascular Surgeon. Treated at acute hospital with long stretch bandage. |
| Title |
Facilitating-an-effective-change-to-short-stretch-bandaging-in-an-integrated-acute-and-Primary-Care-Trust |
Download File |
| Author |
Lilian Bradley, Judith Patton |
| Publication |
Poster Presentation, EWMA conference, Prague, May 2006 |
| Key Points |
Four layer bandaging was not always acceptable to patients because of the bulk. Research shows no significant difference in healing between short stretch and 4L |
| Title |
Cohesive short stretch vs four-layer bandages for venous leg ulcers |
Download File |
| Author |
Lisa Martin, Nick Puffett, Jenny Meng Kiew Chow |
| Publication |
Poster presentation, Wounds-UK conference, Harrogate, November 2006 |
| Key Points |
In this clinic patients found 4L could be painful and better concordance with Actico |
| Title |
Wound healing in the aged after a pre-tibial laceration |
Download File |
| Author |
Roisin Mackle, TVN; Paul Cupples, District Charge Nurse |
| Publication |
Poster presentation at Wounds-UK conference, Harrogate, November 2006 |
| Key Points |
Pre-tibial tears hard to heal in elderly,100 year old lady, haematoma, concordance issues, healed 15 weeks |
| Title |
Use of compression bandages for a patient with a lower leg blister |
Download File |
| Author |
Catherine Moohan, Link TVN |
| Publication |
Poster presentation, Wounds UK conference, Harrogate, November 2006 |
| Key Points |
47 year old with 6 weeks of recurrent blisters, healed in 5 weeks. Actico reduced venous hypertension and oedema |
| Title |
The lymphoedema practitioner's role in provision of care: a case study |
Download File |
| Author |
Andrea Stignant, Clinical Lymphoedema Specialist |
| Publication |
Journal of Community Nursing, November 2006, 20 (11): 29-34 |
| Key Points |
Whilst lymphoedema is not curable appropriate treatment controls the symptoms and prevents infection. |
| 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 |
| Key Points |
Best practice for chronic oedema is inelastic bandages. Innapropriate use of 4L causes deterioration.Actico and Actilymph on FP10 accessible treatment |
| Title |
Observational study on compression bandaging systems - effects on healing, patient comfort, nurse benefits & costs |
Download File |
| Author |
MacDougall K.M., Community Nursing Siste |
| Publication |
Poster Presentation, EWMA Conference, Glasgow - May 2007 |
| Key Points |
28 patient study on using Actico instead of 4L.Nurse and patients preferred Actico for comfort, ease of use and price |
| Title |
Using knowledge and experience to overcome the clinical challenges in the management of significant arterial disease |
Download File |
| Author |
Stewart G, Vascular Consultant-Ayr Hospital; Kathleen Turnbull and Kim Kiernan |
| Publication |
Poster Presentation, EWMA Conference, Glasgow - May 2007 |
| Key Points |
Significant arterial disease patients were healed with Actico and low compression liners post healing |
| Title |
Lymphoedema Management. Involving the patient in treatment choice and implementation of care. |
Download File |
| Author |
Denise Renshaw, Lymphoedema Therapist |
| Publication |
Poster Presentation, EWMA Conference, Glasgow - May 2007 |
| Key Points |
Patient had lymphoedema of the arm following a mastectomy, Actico enabled her to wear her wedding ring again. |
| Title |
Case study of a patient with lymphoedema of the arm secondary to multicentric Castleman's disease, showing the cost effective use of cohesive short stretch bandaging, compared with using a cotton ssb |
Download File |
| Author |
Andrea Stigant Clinical Lymphoedema Specialist |
| Publication |
Poster Presentation: BLS Conference Oct 2007 |
| Key Points |
Actico is more cost effective than cotton short stretch in price and requires less frequent re bandaging |
| Title |
Care of a client with chronic oedema within a community setting |
Download File |
| Author |
Jill Stanton District Nursing Sister |
| Publication |
Poster Presentation: Wounds UK Conference, Harrogate - November 2007 |
| Key Points |
Uncontrolled lymphoedema, osteoarthritis and obese patient with fear of hospitals. Full leg Actico improve Q of L.Patient able to sleep in bed again |
| Title |
Lymphoedema: A case study using the available resources - bandages, hosiery, nurse skills and patient/carer |
Download File |
| Author |
Anne Clements Independent Lymphoedema Practitioner |
| Publication |
Poster Presentation: Wounds UK Conference, Harrogate - November 2007 |
| Key Points |
4 layer elastic bandages are unsuitable for lymphoedema. They can cause gravitational swelling of toes. Actico gives rapid limb reduction without slippage |
| 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 |
| Key Points |
Obese patient,non compliant. Wife learnt to bandage with Actico. After 6 weeks both legs healed and in Actilymph hosiery. |
| Title |
Implementation of a structured approach to leg ulcer care |
Download File |
| Author |
Rachael Smithdale and Ruth Martin Tissue Viability Nurse Specialists |
| Publication |
Poster Presentation: Tissue Viability Society Conference, Peterborough - April 2008 |
| Key Points |
Variations in referral rates for specialist leg ulcer intervention can lead to inequalities in pt care |
| Title |
A multi disciplinary approach to the management of Chronic Dependent Oedema in a patient with Spina Bifida |
Download File |
| Author |
Declan Campbell, Tissue Viability Podiatrist and Margaret Coulter, TVN |
| Publication |
Poster Presentation: Tissue Viability Society Conference, Peterborough - April 2008 |
| Key Points |
Poster to demonstrate multidisciplinary management of bilateral pitting dependency lower limb oedema in young Spina Bifida patient. |
| Title |
Chronic Oedema: A new perspective |
Download File |
| Author |
Marion Finn Tissue Viability Senior Nurse |
| Publication |
Poster Presentation: Tissue Viability Society Conference, Peterborough - April 2008 |
| Key Points |
Management of bilateral leg oedema requiring full leg bandaging. Patient much happier, now wearing hosiery |
| Title |
Navigating the Health Care System |
Download File |
| Author |
Gudrun Collins Lymphoedema Specialist |
| Publication |
Poster Presentation: Tissue Viability Society Conference, Peterborough - April 2008 |
| Key Points |
Patient with lymphoedema, disfigured by debulking surgery. Now treated with full leg Actico bandages applied by husband |
| Title |
How quality of life can be altered in 24hours: the treatment of a lady with unrecognised lymphovenous disease |
Download File |
| Author |
Sylvia Hampton, Andy Kerr, Cathie Bree-Aslan - Tissue Viability Consultancy Services Ltd |
| Publication |
Poster Presentation: EWMA Conference, Lisbon - May 2008 |
| Key Points |
Young female patient ashamed of swollen legs and having to wear large men's shoes so barely went out. After 3 weeks of Actico was able to wear hosiery and normal shoes |
| Title |
The management of chronic oedema associated with venous disease using the patient and carer as a resource |
Download File |
| Author |
Alison Nelson Director of Tissue Viability |
| Publication |
Poster Presentation: EWMA Conference, Lisbon - May 2008 |
| Key Points |
Patient with poorly managed venous disease and Lymphoedema. Bilateral, very oedematous, extremely painful, weeping legs. |
| Title |
Tackling obesity as part of the management plan for complex decongestive therapy in the treatment of lymphoedema |
Download File |
| Author |
Andrea Stigant Clinical Lymphoedema Specialist |
| Publication |
Poster Presentation: EWMA Conference, Lisbon - May 2008 |
| Key Points |
Case study of young patient morbidly obese, BMI 91 with non healing leg ulcers and Lymphoedema. Patient had limited mobility and low self esteem. |
| Title |
The management of chronic oedema |
Download File |
| Author |
Irene Spedding Tissue Viability Nurse Specialist |
| Publication |
Journal of Community Nursing, June 2008, Vol.22, Issue 6, 26 & 28 |
| Key Points |
Case study in young patient with chronic oedema in both lower limbs and recurrent leg ulcer. History of recurrent cellulitis and DVT. Full leg Actico, could wear normal shoes and mobilise |
| Title |
Comparison of sub-bandage pressure measurements of 4 compression systems from initial application to 24hrs |
Download File |
| Author |
Jeanette Muldoon,PHD Student, Kings College & Dr Hildegard Charles |
| Publication |
Poster Presentation: EWMA Conference, Helsinki - May 2009 |
| Key Points |
Study to show initial pressure and pressure losses after 24 hours in four different compression bandage systems on 15 healthy people.Actico found to be most comfortable. |
| Title |
Multi-treatment approach to complex wound management of a circumferential leg wound caused by cellulitis |
Download File |
| Author |
Jane Barker Community Matron, Leg Ulcer Specialist |
| Publication |
Poster Presentation: EWMA Conference, Helsinki - May 2009 |
| Key Points |
Case study Case study of Leukaemia patient with extensive tissue loss due to episode of cellulitis. Patient had a lowered immune system, VAS pain score 10/10. |
| Title |
Worried about dignity - Genital Oedema. |
Download File |
| Author |
Gudrun Collins Lymphoedema Specialist |
| Publication |
Poster Presentation: Wounds UK Conference, Harrogate - November 2009 |
| Key Points |
Reduced mobility and poor quality of life, both improved by Actico and Actilymph hosiery |
| Title |
The management of Lymphorrhoea with Flivasorb and Actico |
Download File |
| Author |
Rebecca Billingham Macmillan Lymphoedema Nurse Specialist |
| Publication |
Poster Presentation: Wounds UK Conference, Harrogate - November 2009 |
| Key Points |
73 year old lady with co-morbidities and housebound. Suffering with bilateral oedema and Lymphorrhoea and one leg also ulcerated. Her dream was to wear her �70 slippers. After weeks she could. |
| Title |
From despair to elation |
Download File |
| Author |
Gudrun Collins, Lymphoedema Specialist and Mary O'Connor, Lymphoedema Nurse |
| Publication |
Poster Presentation: Wounds UK Conference, Harrogate - November 2009 |
| Key Points |
Gentleman with history of leg ulceration for over 25 years. Previous 3 years had also suffered from Lymphoedema and several episodes of cellulitis.Actico with MLD healed ucler and reduced oedema. |
| Title |
Chronic oedema - a patient's perpetual journey for treatment |
Download File |
| Author |
Melanie Lewis NHS University Health Board, Swansea |
| Publication |
Poster Presentation, EWMA Conference, Geneva - May 2010 |
| Key Points |
A 58 year old man with 18 years of lymphoedema. Clothes and slippers smelt offensive from lymphorrhea. Sleeping in a chair and not worn outdoor shoes for 3 years. Happy ending after Flivasorb and Actico , he was sleeping in his bed after 4 weeks and wearing normal shoes and clothes. |
| Title |
Compression therapy for mixed venous arterial disease |
Download File |
| Author |
J Prytherch Clinical Nurse Specialist |
| Publication |
Poster Presentation, EWMA Conference, Geneva - May 2010 |
| Key Points |
Actico can be used on mixed venous arterial ulcers. |
| Title |
Can you solve a problem like Maria? The management & challenges of leg ulceration in an IV drug user |
Download File |
| Author |
Lindsay J Hunter |
| Publication |
Poster Presentation, TVS Conference, 2010 |
| Key Points |
29 year old drug abuser with leg ulcer, highly exuding, sloughy and painful. |
| Title |
Use of superabsorbent and antimicrobial dressings under compression |
Download File |
| Author |
Agnes Collarte & Zoe Lear St Charles Hospital, TV Department |
| Publication |
Poster Presentation, Wounds UK Conference, Harrogate - November 2010 |
| Key Points |
All three patients had severe pain and were suffering from maceration damage from high levels of exudate.Pain reduction and healing was achieved. |
| Title |
Lymphoedema management - A multidisciplinary approach |
Download File |
| Author |
Lisa Rice, LU Specialist, Eastleigh and Louise Piper, Community Sister |
| Publication |
Poster Presentation, Wounds UK Conference, Harrogate - November 2010 |
| Key Points |
The management of a 72 year old lady with lymphoedema, lymphorrhoea, hyperkeratosis and reduced mobility |
| Title |
Improving QOL for patients with chronic oedema and lymphoedema - partnership with industry |
Download File |
| Author |
Edwin Chamanga TVN |
| Publication |
Poster Presentation, EWMA Conference, Brussels - May 2011 |
| Key Points |
Patient with mismanaged lymphoedema and disfiguring de bulking surgery. Close work between industry and Tissue Viability service greatly improved patient's quality of life.
quality of life for a patient with chronic oedema and lymphoedema post de bulking
surgery. |
| Title |
Managing lymphoedema of the lower limb in the acute setting: case studies that represent diverse patient groups in the UK |
Download File |
| Author |
Jemell Geraghty Clinical Nurse Specialist |
| Publication |
Poster Presentation, EWMA Conference, Brussels - May 2011 |
| Key Points |
Case study showing the conservative management of two patients with leg ulceration from chronic venous hypertension. |
| Title |
Lymphovenous disease: A condition for life... not suffering for life |
Download File |
| Author |
Lol Pidcock Specialist Lymphoedema Nurse |
| Publication |
Poster Presentation, EWMA Conference, Brussels - May 2011 |
| Key Points |
Mrs T is 52 years old, she suffers from lymphovenous disease, having bilateral leg ulcers and lymphorrhoea, very worried she could not attend daughter's wedding. |
| Title |
Wound healing in the aged after a pre-tibial laceration |
Download File |
| Author |
Roisin Mackle TVN, Paul Cupples District Charge Nurse |
| Publication |
Poster presentation at Wounds-UK conference, Harrogate, November 2006 |
| Key Points |
Concordance issues, 100 year old with pre-tibial laceration and haematoma. Healed in 15 weeks with Actiformcool and compression bandaging. |
| Title |
Multi-treatment approach to complex wound management of a circumferential leg wound caused by cellulitis |
Download File |
| Author |
Jane Barker Leg Ulcer Specialist |
| Publication |
Poster Presentation: EWMA Conference, Helsinki - May 2009 |
| Key Points |
Leukaemia patient with extensive tissue from cellulitis. Patient had a lowered immune system. |
| 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 |
| Key Points |
No specialist lymphoedema service in area.Unless correct inelastic bandages used to treat swelling the condition will deteriorate.This TVS uses Actico as easy to use and Activa provide support. Actilymph on drug tariff. |
| Title |
Management of a Patient with Lymphoedema |
Download File |
| Author |
Caroline Graham (TVNS), Johston L (Physio Clin.Spec), Burke M (LTVN) |
| Publication |
Poster presentation at Wounds UK Conference, Harrogate, Nov.2005 |
| Key Points |
56yr old man diagnosed 7 years ago and treated by Consultant Vascular Surgeon. Treated at acute hospital with long stretch bandage. Now TVS using Actico and MLD.Marked improvement. |
| Title |
Evaluation of new lymphoedema drug tariff garments for lower limbs |
Download File |
| Author |
Sue Lawrance, Lymphoedema Specialist Nurse |
| Publication |
Poster presentation at Wounds UK Conference, Harrogate, Nov.2005 |
| Key Points |
High level of lower limb lymphoedema in leg ulcer patients, and patients are often first seen by the community, need to receive correct treatment to prevent deterioration. |
| Title |
The lymphoedema practitioner's role in provision of care: a case study |
Download File |
| Author |
Andrea Stignant, Clinical Lymphoedema Specialist |
| Publication |
Journal of Community Nursing, November 2006, 20 (11): 29-34 |
| Key Points |
Because there is only 1 person at specialist level, education for community nurses for the daily care of these patients is essential. |
| Title |
A complex case study reviewing care of patient with cellulitis caused by lymphoedema |
Download File |
| Author |
Jane Cadogan TVN Swindon , J Waldron Vascular Nurse |
| Publication |
Poster presentation. TVS Conference, Torquay, April 2004 |
| Key Points |
SSB choice for lymphoedema, cotton bandages slipped. Layers of Actico reduced cirumference. |
| Title |
The Use of Actico Cohesive SSB (Inelastic) bandages in the management of lymphoedema |
Download File |
| Author |
Anne Williams, Lymphoedema Specialist Practitioner Dalkeith |
| Publication |
Poster at EWMA conference, Stuttgart in September 2005 |
| Key Points |
3 case studies, patients found Actico comfortable, did not slip and allowed mobility. |
| Title |
Lymphoedema: A case study using the available resources - bandages, hosiery, nurse skills and patient/carer |
Download File |
| Author |
Anne Clements |
| Publication |
Poster Presentation: Wounds UK Conference, Harrogate - November 2007 |
| Key Points |
Uncontrolled lymphoedema of four years. Actico applied three times a week. Noted reduction and better shape,significant reduction in 4 wks.Maintenance class 3 Actilymph |
| 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 |
| Key Points |
Improved quality of life may be the patient's and carer's goal rather than full healing. |
| Title |
Sharing Leg Ulcer Care at Galanos House |
Download File |
| Author |
Lindsay J Hunter |
| Publication |
Harrogate Wounds UK 2011 |
| Key Points |
Enthusiastic care home staff have worked successfully with Tissue Viability and Industry to provide holistic care for their residents. |
| Title |
The development of a compression selection chart |
Download File |
| Author |
Nicci Kimpton |
| Publication |
Wounds UK Conference, Harrogate November 2011 |
| Key Points |
Implementing guidelines for clinicians has increased their confidence in selecting the best compression regime for patients with a range of venous, lymphatic and arterial conditions. |
| Title |
Bringing Q I P P to life in lymphoedema care |
Download File |
| Author |
Jane Barker |
| Publication |
Poster presentation EWMA 2012 |
| Key Points |
A patient's viewpoint on their lymphoedema care |
