Arterial leg ulcers are commonly associated with poor blood circulation to the lower leg and foot and are most often due to atherosclerosis 7 with atherosclerosis the arteries become narrowed from deposits of fatty substances often due to high levels of circulating cholesterol and aggravated by smoking and hypertension as a result the arteries fail to deliver oxygen and nutrients to the . Venous leg ulcers have a high recurrence rate and many clinicians consider compression therapy to be the gold standard in the management of venous ulcerations while there are a myriad of compression alternatives available on the market there is not a one size fits all answer when choosing the type of product to use. Developed as a guide to support nursing practice in british columbia however it is not a substitute for education experience and the use of clinical judgment august 2014 1 developed by the bc provincial nursing skin and wound committee in collaboration with the wound clinicians from title guideline assessment and treatment of lower leg ulcers arterial venous mixed in adults . By the woundsource editors the most common type of chronic lower extremity wound is the venous ulcer affecting 1 to 3 of the us population 12 chronic venous ulcers significantly impact quality of life and are a financial burden for both the patient and the health care system in the united states 10 to 35 of adults have chronic venous insufficiency and 4 of adults 65 years old or . Venous leg ulcers are caused by inflammatory processes that lead to endothelial damage platelet aggregation and intracellular edema by taking steps to identify at risk patients and regularly assessing them for signs of ulcers health care professionals can reduce the incidence of the disease older adults obese patients those with mobility issues and those who have previously had a
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