Wound Care Management

Venous Stasis & Arterial Ulcer Comparison

 

Type of Wound

Characteristics

Risk Factors

Venous Ulcer

Venous Ulcer

Arterial Ulcer

Arterial Ulcer

  • Full thickness wound
  • Punched out appearance
  • Wound edges are smooth
  • Individual may complain of pain nocturnally; pain can be relieved by lowering the leg below heart level (i.e. dangling leg over the edge of the bed).
  • Individuals prefer to sleep in a chair which impacts negatively on healing potential
  • Located mainly on the lateral foot, but can occur anywhere on the lower leg or foot
  • Lower extremities cool to touch
  • Skin is pale, shiny, taut, and thin
  • Periwound skin pale
  • Minimal to no hair
  • growth on lower limbs
  • Minimal drainage
  • Wound bed contains bright red granulation tissue
  • May be secondary to peripheral arterial disease
  • Vascular insufficiency
  • Uncontrolled Diabetes Mellitus with poor glycemic control
  • Limited joint mobility
  • Inadequate footwear
  • Structural foot abnormality, ie. Charcot foot
  • Retinopathy (poor eye sight)
  • renal disease
  • History of ulcers
  • Increased age