Kimberly Walters Simms

Major: Nursing

Honors in Nursing

Supervisor: Dr. Kathleen A. Ennen

LOWER EXTREMITY ULCER MANAGEMENT: BEST

PRACTICE ALGORITHM AND COLLABORATIVE CARE

According to the CDC, the number of people with diabetes has risen from 20.8 million in 2005 to over 23.6 million in 2007. Research has identified best practice algorithms for care of the diabetic foot, yet none for the ulcerations on the limb from the knee to the ankle. Twenty-nine articles were identified for use in evaluation of best practice of lower limb ulcerations. Control of hyperglycemia, infection control, ulcer debridement, use of dressings, and compression therapy to relieve venous congestion were all identified as important factors in treatment of lower limb ulcerations. This systematic literature review has resulted in a "best practice algorithm" for the stabilization and care of lower limb ulcerations regardless of underlying cause. This care algorithm could be used in collaboration with other health care providers to promote stabilization of lower limb ulcers and improve the overall quality of life of for patient cohort.