Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines

Guiding Principles in Leg Ulcer Care
  1. Venous leg ulcers can significantly compromise quality of life.
  2. Interdisciplinary, collaborative assessment, and treatment planning with the client is essential.
  3. Early prevention strategies decrease the potential for ulcer development.
  4. Therapy involves client acceptance and participation.
  5. Clinicians must be knowledgeable of the features and management of venous disease.
  6. Venous leg ulcers are managed with effective compression and wound management therapy.
  7. An Ankle Brachial Pressure Index (ABPI) measurement must be done prior to commencement of compression therapy.
  8. Clinicians must have sound practical knowledge and experience in the use of Ankle Brachial Pressure Index (ABPI).
  9. Clinicians must have sound practical knowledge and expertise in the use of therapeutic compression.
  10. Maintaining therapeutic measures reduces the risk of re-occurrence.
  11. Proactive care supports rehabilitation and return of client independence.