Date

7-4-2023

Department

School of Nursing

Degree

Doctor of Nursing Practice (DNP)

Chair

Cynthia Goodrich

Keywords

Dermatologic difficulties, venous insufficiency, adverse events, skin barrier preparation, peri-ulcer skin, compression therapy complications

Disciplines

Nursing

Abstract

Skin maceration, pressure injury, skin-stripping, as well as less common dermatological problems, are frequently noted in patients treated for venous ulcers with compression bandages. Ongoing issues with infection can lead to unwanted effects, including hospitalization and unexpected expenses. This integrative review was synthesized using Whittemore and Knafl’s five-stage methodological framework. A systematic search was conducted through the following online databases: CINAHL, MEDLINE, PubMed, and ScienceDirect for articles available in English and available in full text. This integrative review aims to review, synthesize, and critique the current literature to determine what strategies have been implemented to prevent or manage dermatological problems of compression therapy in patients treated for venous ulcers with compression bandages at the wound care clinic. Compression therapy is the primary treatment for venous leg ulcers, but management will require a multidisciplinary approach. Intervention varies in reports but acknowledges several skin reactions occurring in venous insufficiency. The integrative review suggests there are implications for future research; new research should focus on recommendations for policy initiatives and the development of standardized assessment forms. Keywords: Dermatologic difficulties, venous insufficiency, adverse events, skin barrier preparation, peri-ulcer skin, compression therapy complications.

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