Lindsay Leg Club Research Articles

The link between underactive thyroid and leg oedema.

There is an established link between hypothyroidism and leg oedema. This article presents a case study of a female known to have an underactive thyroid gland who developed symptoms and was referred to a local Lindsay Leg Club.

The Lindsay Leg Club® Well Leg Regime: an evidence review.

This article aims to review the scarce available evidence on the effectiveness of the Well Leg Programme within the Lindsay Leg Clubs in terms of preventing wound recurrence and improving members' wellbeing. It collates the numerical data on members' wounds and healing rates from the Lindsay Leg Club relational database and members' narratives from a qualitative service evaluation of the Lindsay Leg Clubs. Findings of the review suggest that remaining within the Well Leg regime for several months (or longer) after having had a healed ulcer seems to provide further opportunity to prevent recurrence, and may also provide non-clinical benefits, such as improved wellbeing. Based on the review of available published evidence into the effectiveness of the Well Leg regime, we conclude that there is scope for further studies, including a comparison with other existing treatment and prevention protocols.

Social prescribing and the Lindsay Leg Club.

Social prescribing and the Lindsay Leg Club.

Dermatitis vs infection: how can clinical care in a Lindsay Leg Club help?

British Journal of Community NursingVol. 27, No. Sup12 Society UpdateDermatitis vs infection: how can clinical care in a Lindsay Leg Club help?Sylvie HamptonSylvie HamptonE-mail Address: [email protected]Tissue Viability Consultant Nurse; Director of Wound Care Consultancy LtdSearch for more papers by this authorSylvie HamptonPublished Online:15 Dec 2022https://doi.org/10.12968/bjcn.2022.27.Sup12.S40AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Batra V, Baras A. Bilateral cellulitis. BMJ Case Rep. 2015;2015:bcr2015211117. https://doi.org/10.1136/bcr-2015-211117 Crossref, Medline, Google ScholarHirschmann JV, Raugi GJ. Lower limb cellulitis and its mimics: part II. Conditions that simulate lower limb cellulitis. J Am Acad Dermatol. 2012;67(2). https://doi.org/10.1016/j.jaad.2012.03.023 Crossref, Google ScholarKeller EC, Tomecki KJ, Alraies MC. Distinguishing cellulitis from its mimics. Cleve Clin J Med. 2012;79(8):547-552. https://doi.org/10.3949/ccjm.79a.11121 Crossref, Medline, Google Scholar FiguresReferencesRelatedDetails 1 December 2022Volume 27Issue Sup12ISSN (print): 1462-4753ISSN (online): 2052-2215 Metrics History Published online 15 December 2022 Published in print 1 December 2022 Information© MA Healthcare LimitedPDF download

Realist evaluation of social outcomes in community care: the application of affordance theory to the Lindsay Leg Clubs

ABSTRACT This study uses a scientific realist methodology to explain how social outcomes of community care interventions are produced, sustained and contextually dependent. We evaluate an organization dedicated to wound care and leg health known as the Lindsay Leg Club network, so far studied mostly from a phenomenological perspective, to demonstrate the generative role of places where Leg Clubs are located, with objects in their environment, and people who organize and run Leg Clubs, with their agency and intentionality. We theorize the explanatory role of these contextual features with the concept of affordances. Our approach shows that the phenomenological findings from community care evaluation are not unequivocal. Instead, researchers should recognize the nuanced nature of causality in social programmes, which requires a consideration of the links between community care interventions, how people respond to them and the conditions under which these responses are enacted.

A positive case in the Lindsay Leg Club.

A positive case in the Lindsay Leg Club.

A relational database within the Leg Club Network: an audit.

The growing prevalence of venous leg ulcers in an ageing population presents challenges for wound care and management. The Lindsay Leg Club model is an alternative approach to the management of leg health that can improve patient outcomes. This article reports on an audit of a relational database located within the Leg Club Network, containing records of more than 17 000 patients (known as members) who attended a Leg Club in a 5‐year period (2014‐2019). Overall, over 266 000 member leg assessments and treatments were entered into the database. The average nurse‐member attendance time was 28 min, with a skill mix of 23% senior nurses, 70% qualified and associate nurses, and 7% nurses in supervisory roles. Healing rates averaged 62% after 12 weeks. Recurrence rates were 20% after 12 weeks. Annual clinical and volunteer hours averaged 821 and 800 h, respectively. Staffing costs were £28 per wound treatment or leg assessment with a typical duration of 27 min; 71% of members were aged 70 to 94 years old, which indicates the need for a service that caters to the specific requirements of this age group. However, no data on psychosocial and well‐being outcomes were recorded. Their inclusion in further developments of this database is recommended.

Evidence of social value in the Lindsay Leg Club® network: an evaluation

Evidence of social value in the Lindsay Leg Club^® network: an evaluation

The Nailsea District Leg Club: the importance of a volunteer team

British Journal of Community NursingVol. 25, No. Sup6 Society UpdateThe Nailsea District Leg Club: the importance of a volunteer teamCarole BrookeCarole BrookeE-mail Address: [email protected]Chair, Nailsea District Leg ClubSearch for more papers by this authorCarole BrookePublished Online:5 Jun 2020https://doi.org/10.12968/bjcn.2020.25.Sup6.S40AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Lindsay E. Monitoring service quality: Lindsay Leg Club member satisfaction survey. Br J Community Nurs. 2018; 23(12): S24–S28. https://doi.org/10.12968/bjcn.2018.23.Sup12.S24 Link, Google Scholar FiguresReferencesRelatedDetails 2 June 2020Volume 25Issue Sup6ISSN (print): 1462-4753ISSN (online): 2052-2215 Metrics History Published online 5 June 2020 Published in print 2 June 2020 Information© MA Healthcare LimitedPDF download

Patient education for preventing recurrence of venous leg ulcers: a systematic review.

To investigate the impact of patient education interventions on preventing the recurrence of venous leg ulcers (VLU). A systematic review was undertaken using the following databases: Cochrane Wounds Specialised Register; the Cochrane Central Register of Controlled Trials (CENTRAL; The Cochrane Library); Ovid; Ovid (In-process and Other Non-Indexed Citations); Ovid Embase and EBSCO CINAHL. Trial registries and reference lists of relevant publications for published and ongoing trials were also searched. There were no language or publication date restrictions. Randomised controlled trials (RCTs) and cluster RCTs of patient educational interventions for preventing VLU recurrence were included. Review authors working independently assessed trials for their appropriateness for inclusion and for their risk of bias, using pre-determined inclusion and quality criteria. A total of four studies met the inclusion criteria (274 participants). Each trial explored different interventions as follows: the Lively legs programme; education delivered via a video compared with education delivered via a pamphlet; the Leg Ulcer Prevention Programme and the Lindsay Leg Club. Only one study reported the primary outcome of incidence of VLU recurrence. All studies reported at least one of the secondary outcomes: patient behaviours, patient knowledge and patient quality of life (QoL). It is uncertain whether patient education programmes make any difference to VLU recurrence at 18 months (risk ratio [RR]: 0.82; 95% confidence interval: [CI] 0.59 to 1.14) or to patient behaviours (walked at least 10 minutes/five days a week RR: 1.48; 95%CI: 0.99 to 2.21; walked at least 30 minutes/five days a week: RR 1.14; 95%CI: 0.66 to 1.98; performed leg exercises: RR: 1.47; 95%CI: 1.04 to 2.09); to knowledge scores (MD (mean difference) 5.12, 95% CI -1.54 to 11.78); or to QoL (MD: 0.85, 95% CI -0.13 to 1.83), as the certainty of evidence has been assessed as very low. It is also uncertain whether different types of education delivery make any difference to knowledge scores (MD: 12.40; 95%CI: -5.68 to 30.48). Overall, GRADE assessments of the evidence resulted predominantly in judgments of very low certainty. The studies were at high risk of bias and outcome measures were imprecise due to wide CIs and small sample sizes. It is uncertain whether education makes any difference to the prevention of VLU recurrence. Therefore, further well-designed trials, addressing important clinical, QoL and economic outcomes are justified, based on the incidence of the problem and the high costs associated with VLU management.

Valued impact of seniors working alongside clinicians in the Lindsay Leg Club network.

British Journal of Community NursingVol. 24, No. Sup12 Society UpdateValued impact of seniors working alongside clinicians in the Lindsay Leg Club networkEllie LindsayEllie LindsayE-mail Address: [email protected]Queen's Nursing Institute Fellow Life President, Lindsay Leg Club FoundationSearch for more papers by this authorEllie LindsayPublished Online:5 Dec 2019https://doi.org/10.12968/bjcn.2019.24.Sup12.S34AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article FiguresReferencesRelatedDetails 1 December 2019Volume 24Issue Sup12ISSN (print): 1462-4753ISSN (online): 2052-2215 Metrics History Published online 5 December 2019 Published in print 1 December 2019 Information© MA Healthcare LimitedPDF download

My experience with Leg Clubs and the Lindsay Leg Club Foundation.

My experience with Leg Clubs and the Lindsay Leg Club Foundation.

The Lindsay Leg Club Foundation gives members the opportunity to make choices.

The Lindsay Leg Club Foundation gives members the opportunity to make choices.

Monitoring service quality: Lindsay Leg Club member satisfaction survey.

The Lindsay Leg Club network is a research-based initiative that provides treatment, health guidance, education and ongoing care for people of all age groups who are experiencing lower limb-related problems. Leg Club clinicians work in a unique partnership with patients (known as 'members') and the local community. Working to current best-practice guidelines, they provide a high standard of care in a social and friendly setting that promotes understanding, peer support and informed choice. This article presents the findings of a member satisfaction survey, through which we aimed to identify additional services we could provide or areas of improvement.

Social prescribing and the Lindsay Leg Club model of care.

Social prescribing and the Lindsay Leg Club model of care.

The Lindsay Leg Club Foundation: reflections as Outgoing Chair.

The Lindsay Leg Club Foundation: reflections as Outgoing Chair.

A critical year for the Lindsay Leg Club model.

A critical year for the Lindsay Leg Club model.

The Lindsey Leg Club receives national recognition.

The Lindsey Leg Club receives national recognition.

Founder of Leg Club model awarded Order of the British Empire in recent Queen's Birthday Honours.

In the recent Queen's Birthday Honours, Ellie Lyndsay (Founder of Leg Club) was awarded an Order of the British Empire (OBE) for services to nursing. The honour recognises her years of hard work and commitment to the Leg Club model, which is now recognised as a viable, replicable and cost-effective way to treat people with lower limb problems. The International Wound Journal family salutes Ellie in both the achievement of this honour and also her dedication to the Leg Club cause. Commencing employment with the NHS in 1977, her nursing experience within the hospital environment included medical, surgical and coronary care. Following several years within a specialist cardiac unit (coronary care unit), she undertook a career change to community nursing in 1988. Ellie was appointed District Nursing Sister in 1994 and obtained her specialist practitioner qualification in 1997, commencing as a Community Practice Teacher in 1998. Ellie conceived and introduced an innovative, social Leg Club model for wound management in the community in 1995, and has since disseminated the concept worldwide. She left the NHS to become an independent specialist practitioner and clinical consultant in December 2002. Ellie established the Lindsay Leg Club Foundation, a registered charity, in September 2005. She has published more than 60 articles, predominantly concerning the Leg Club model and patient empowerment and is regularly invited to speak at UK and international conferences. Ellie has received multiple awards for her Leg Club model, including the 2001 British Journal of Nursing Award for Clinical Practice, the Nursing Standard Nurse 2003 (Wound Care) Award, the 2007 British Journal of Nursing Award for Health Promotion and the 2007 Wounds UK Award for Innovation in Patient Care. In 2011 she received national recognition for her contribution to nursing when she was awarded one of the professions highest distinctions – The British Journal of Nursing Lifetime Achievement Award. She continues to facilitate the introduction of Leg Clubs in the UK, Australia and Europe. Happily, this was further recognised by the award of the OBE, demonstrating national recognition outside of the medical community. Once again we the IWJ family offer our congratulations and gratitude for your life's work in the wound care arena.

Lindsay leg club foundation.

Lindsay leg club foundation.