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This assignment is concerned with developing skills in the ability to relate theoretical knowledge and evidence obtained from nursing literature to a patient for whom caring for This particular study aims to evaluate the care given to a patient diagnosed with leg ulceration It will focus on the wound management and bandaging system used however one important aspect of the successful care regime is the nurse patient relationship House 1996 This will be assessed to establish if the interaction between the patient and nursing team bore any influence in the care given The patient will be called Geraldine this is to act in accordance with the code of professional conduct set by the Nursing and Midwifery council NMC 2002 section 51 not to breach confidentiality of the patient Geraldine is a 78year old lady who lives alone She enjoys walking reading and gardening She has a daughter who lives near by and visits every day to help with her mothers general care Gerldines daughter works part-time but always fits her in each day Geraldine fell in her house and cut her leg causing a wound to occur around the outer gaiter area of her right leg She thought this would heal however 6 weeks later there were no signs of the lesion closing over She contacted her GP who sent a referral form to the leg ulcer clinic asking for an assessment to be completed It was established from the lesion that this was a small leg ulcer Dale et al 1983 identifies a leg ulcer as a lesion of the skin below the knee which has not healed within six weeks According to Williams 1999 there are several types of leg ulcers Some are named here as arterial venous diabetic rheumatoid or necrotic Before treatment can commence assessments are required It is essential to identify which factors predispose patients to ulceration to determine the underlying causes
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