Do we care?Karin Timm – van Ruitenburg

Nursing SpecialistIJsselland Hospital, dermatology

Capelle aan den IJssel

“He jests at scars that never felt a wound”

(“Wie nooit een wonde voelde, lacht om pijn”)

(William Shakespeare)

Master Advanced Nursing Practice

Influence on pain in venous leg ulcer

Pain• 15% recorded in patient files (Lorimer et al.

2003)• Feature of arterial disease or infection

(Walshe 1995; Charles 2002)• VAS between 3.9 (Noonan et al. 1998) and 4.4

(Charles 2002)

VAS

WCS classification model

WHO ladder

“Practice what you preach”

“The numbers tell the tale”

“Preaching to the choir”

Yes, We Care!