قرحة الساق وخلع الضمادات الضاغطة

Nurse: Hello Mrs Hutchins, it's the community nurse. Thank you for letting me in. How have you been since I last saw you?

Patient: Hello, dear. Come in. I've been alright, I suppose, but my leg's been a nuisance.

Nurse: I see the bandages are off. Some people find them hard to live with. What has it been like for you?

Patient: Yes, I took them off. I hope you're not cross with me. They were hard to live with.

Nurse: What made you decide to take the bandages off?

Patient: They felt too tight and I couldn't stand them any longer. My toes felt cold as well.

Nurse: You mentioned cold toes. When did you notice them, and how do your feet feel now?

Patient: I noticed it after the bandages went on. They still feel a bit cold now.

Nurse: Was there anything about the bandages, such as comfort, shoes or fit, that you found difficult?

Patient: They felt tight and heavy. I found it hard with my shoes too.

Nurse: What does a usual day look like for you, with the leg?

Patient: Mostly I just get on with things around the house. The leg's swollen and it gets in the way.

Nurse: I am not here to tell you off. I want to find something that works for you, and I'm glad you're telling me.

Patient: Oh, thank you. I thought you'd tell me off. I just couldn't stand the bandages any more.

Nurse: Let's look at what made them hard to live with, and I'll check your foot circulation today before we decide on any bandage.

Patient: That's kind of you. Yes, please check my feet. I'd like something I can actually put up with.

Nurse: Compression helps the ulcer heal and eases the swelling. Without it, the ulcer may heal more slowly or not at all, and the leg may stay swollen. Does that fit with what you've seen?

Patient: I see. I do want it to heal, it's been four months. I didn't think about the swelling staying. Yes, that makes sense.

Nurse: Before I put any compression back on, I'll check the circulation in your foot, because of the cold toes. Your earlier circulation test was normal, but I'd like to check how it is now.

Patient: Yes, that seems sensible with my cold toes. Go ahead and check them. I'm glad my earlier test was normal.

Nurse: So we'll choose the most comfortable option. Raise your leg when sitting, walk, do ankle exercises and look after your skin. I'll arrange visits at times that suit you.

Patient: That sounds better. I'll try raising my leg, walking, the exercises and looking after my skin. Visits at times that suit me will help.

Nurse: Can you tell me what we've agreed so I know I explained it clearly? And is there anything else you'd like to ask?

Patient: We'll find the most comfortable option. I'll raise my leg, walk, do my ankle exercises and care for my skin, and you'll check my feet. Nothing more, thank you, dear.