Leg ulcer management presents a number of challenges for global health in terms of nursing resources, wound care dressings and high recurrence rates. Lower limb and foot related problems are more prevalent in older adults who may already be experiencing multiple co-morbidities, but this field is often overlooked in health service innovations. A collaborative process is needed to bring organisations from across the sector together to implement new ideas.
Leg ulcers can be unsightly and individuals living with a heavily exuding wound often experience chronic pain, poor quality of life and social isolation that may not be best addressed in a purely clinical environment. With the Lindsay Leg Club model, individuals receive lower limb care in a social setting, empowering them to make informed choices while interacting with others in a similar situation. It is easy to overlook the focus on a social model of care as an effective way to provide good outcomes. In recent years the Lindsay Leg Club Foundation has initiated a number of studies intended to assess the overall effectiveness of this kind of care.
The methods used in these studies have ranged from member satisfaction surveys to a detailed interview-based wellbeing study, nursing cost analyses and most recently the implementation of a comprehensive database analysing costs and outcomes for up to 14,000 of our members.
Results from the studies demonstrate cost effectiveness, particularly with regard to nursing time, good healing rates taking into account our patient demographic, high levels of satisfaction and improved wellbeing. The Leg Club model unites the aims of clinical effectiveness, social wellbeing, and cost benefits ensuring that members can remain part of their communities, bringing meaning and quality to their lives.
Initial results from our database concerning the overall effectiveness of the Leg Club model will be demonstrated in detail.
Objectives of the session:
- To disseminate a psychosocial model of leg lower management that embraces the ideals of social prescribing.
- Present a rationale for the model and experiences of its implementation.
Intended learning outcomes
At the end of this session, participants should be able to:
- Understand the relevance of a psychosocial approach in lower limb management
- Know how psychosocial aspects can be addressed in a non-medical community clinic setting
- Appreciate the practical considerations of introducing an innovative cost effective model of lower limb/foot management