Multidisciplinary team working Resources

This article explores why we should adapt assessment of leg ulceration to be more mindful of the presence of lymphoedema. If clinicians can change the assessment process and begin to treat leg ucleration with a lymphatic component differently to venous oedema, this, in turn, can potentially reduce complications such as toe, foot and knee oedema. The introduction of simple changes in documentation and additional training can lead to improved outcomes for patients as well as potential cost savings for healthcare providers.  

Edwin Tapiwa Chamanga critically analyses the needs of hard to reach groups in TB management and discusses a model of care that can be adopted

Edwin Tapiwa Chamanga RGN, BSc (Hons), Specialist Community Practice (District Nursing), currently reading for an MSc Skin integrity skills and treatments is a Tissue Viability Nurse Specialist, City and Hackney Primary Care Trust, London

Article accepted for publication: September 2009