Chronic ischemic, venous, and neuropathic ulcers in long-term care

Ischemic, venous, and neuropathic lower-extremity wounds in long-term care are challenging and unique medical problems with specific methods of care. Certain ulcers will not heal, and a frank discussion of amputation is often warranted. Some residents will elect to forgo invasive treatment or amputation, and are often treated in a palliative mode without the goal of wound healing. The functional status of the resident and staffing limitations at the facility should factor strongly into all wound treatment plans for residents. This review will discuss appropriate wound-specific care and adequate pain control for chronic ulcers in LTC residents.