Predicting the likelihood of delayed healing in General Practice: A venous leg ulcer risk assessment tool

Background: A risk assessment tool (RAT) for delayed healing in venous leg ulcers (VLUs) has previously been developed that is evidence based, valid and reliable both in Australia1 and internationally. In the General Practice (GP) and community health settings, wound care is the most frequently performed activity2 and a RAT could provide a practical approach for detection of delayed healing in people with VLUs. Aim/Objective: To evaluate the acceptability of this RAT on early detection and management of people with VLUs at risk of failure to heal in GP. Methods: Effectiveness of the RAT was evaluated through descriptive analysis of healthcare professionals who were instructed in how to use the RAT. Findings: Following use of the RAT, surveys were completed by nurses (n=14) and 50% had >10 years’ healthcare professional experience. Most (71%) were confident with wound management with only 21% very confident. The majority of healthcare professionals were able to complete the tool in less than five minutes, 93% indicated that it was easy to use and 79% indicated that they would continue to use the RAT once the study had completed. Implications: The incorporation of a RAT will facilitate care by healthcare professionals in daily practice. Early identification of people at high risk of delayed healing would enable prompt referral of this group to specialist wound providers. 1. Edwards et al (2018) Predicting delayed healing: The diagnostic accuracy of a venous leg ulcer risk assessment tool. 2. Australian Medicare Local Alliance. General Practice Nurse National Survey Report. 2012.