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VENOUS LEG ULCERS: WHY SHOULD CLINICIANS USE THE CORE PROTOCOL?
Windy Cole, DPM
July 11, 2023
Keywords
Venous Insufficiency
Venous Ulcers
Venous Ulcer
Categories
Venous Ulcers
Compression
Editor's Note: Windy Cole, DPM discusses why the CORE protocol is essential for
venous leg ulcer (VLU) treatment and how to prevent VLU recurrence.
Venous Leg Ulcers: Why Should Clinicians Use the CORE Protocol? from HMP on
Vimeo.
TRANSCRIPT
Hi, I'm Dr. Windy Cole, I'm the Director of Wound Care Research at Kent State
University College of Podiatric Medicine and I'm also the Global Medical Affairs
Director for Natrox Wound Care.
Could you discuss how useful the CORE protocol is for VLU management?
I think the core algorithm is key. Again, keeping things simple and keeping
things evidence-based, you know, we were having a discussion recently with some
colleagues, standard of care unfortunately is really not standard.
And my standard of care versus, you know, someone out in rural America, their
standard of care might be completely different. I think we need to work to
standardize wound care in general. So, sticking by algorithms, again, that are
evidence-based or important, I think the CORE algorithm is very simple, easy to
adhere to, be it your first day at wound care clinic or you've been in practice
20 years, I think it's something that's easy for clinicians to really implement
into their clinical routine.
When faced with a recurring VLU, what are your first steps?
Well, recurrent VLUs are very, very common.
Again, recidivism in that patient population is about 70%. You know, you always
have to do a complete patient assessment and a complete wound assessment and
understand what is not being controlled with the patient to cause that re-injury
or that re-ulceration from occurring. And again, a lot goes back to educating
the patient on the importance of compression. I personally wouldn't want to wear
compression garments every single day, especially if I'm living in a very warm
and humid environment, right?
But you have to educate the patient on how important that is because
unfortunately, if they don't establish a maintenance plan and stick with that
maintenance plan, they will have a recurrent wound. So, sitting down, educating
the patient, discussing it with the patient, understanding what obstacles is the
patient having? Are they having difficulty wearing that compression garment?
Maybe there's an alternative compression garment. Meeting the patient where they
are is really important.
Author Disclosures: Dr. Windy Cole, DPM, is on the Speaker Bureau for
Organogenesis & Medical Affairs for NATROX
The views and opinions expressed in this blog are solely those of the author,
and do not represent the views of WoundSource, HMP Global, its affiliates, or
subsidiary companies.
MORE FROM THIS AUTHOR
TOPICAL OXYGEN THERAPY: WHAT WOUND CARE PROFESSIONALS SHOULD KNOW
Windy Cole
FREQUENTLY ASKED QUESTIONS: DIABETIC FOOT ULCERS
Windy Cole
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FROM THE BLOG
Common Peristomal Skin Complications: How to Prevent and Manage
Wound Dressings: What’s New?
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NPWT: Key Strategies for Success
Case Study: Is it a Venous Leg Ulcer or Carcinoma?
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