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  • Nursing
  • Advanced Practice Nursing
Hours: 3 Contact Hours
Author(s): Linda J. Stricker, MSN, RN, CWOCN
Peer Reviewer(s): Yvonne L. Weideman, DNP, RN, CNE, CWON, CFCN
Item#: N1805
Contents: 1 Course Book (42 pages)
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Arterial and Venous Insufficiency Ulcers

Price $22.95
Item # N1805
When available, the Online Course format is included with the hard copy, eBook, or audio book formats!

Release Date: April 24, 2017

Expiration Date: January 31, 2020

There are two primary types of vascular ulcers: those related to the arterial system, or arterial insufficiency (AI), and those related to the venous system, or venous insufficiency. The two types involve different pathological processes that can lead to chronic wounds.

Skin ulcerations can occur spontaneously; however, most result from a minor traumatic event leading to a chronic wound with full-thickness tissue damage. AI, peripheral arterial disease (PAD), and arterial disease are the terms used to represent the disease process causing the chronic wounds or ulcers of lower extremity arterial ulcers.

Chronic venous insufficiency encompasses a variety of anomalies in the venous vascular system of the lower leg. These deviations from normal can range from asymptomatic telangiectasis (spider veins) and varicose veins to more complex conditions involving venous insufficiency ulceration and, in some cases, mixed arterial and venous disease.

The nurse’s understanding and use of  accurate terminology is an important part of describing and documenting lower extremity ulcers. Using correct terminology provides important information when formulating an appropriate plan of care, and for billing and coding purposes to ensure reimbursement for care  and services is provided.  

Quality of life is negatively affected for individuals suffering from long-term CVI and ulceration, causing loss of workdays, pain, mobility issues, and body image concerns. Nurses are able to make a positive impact for this patient population through evidence-based care. This course will provide the nurse with information related to the underlying pathophysiology, nursing assessment and care, surgical interventions including debridement, and key education points in caring for the person with arterial, venous, and mixed etiology ulcers.

This course is an extract of, and should not be taken in conjunction with N1737 - Wound Management: A Comprehensive Guide for Nurses.

Course Objectives

  • Assess the lower extremity ulcer for pathological findings associated with arterial disease.
  • Assess the lower leg for characteristics of venous insufficiency ulcers and plan for short-term and long-term interventions.


Linda Stricker, MSN, RN, CWOCN, has over 25 years of experience in wound, ostomy, and continence WOC) nursing. She earned her Bachelor of Science degree in nursing from the University of Akron and a Master of Science degree with a minor in education from the University of Phoenix. She is the current program director of the R.B. Turnbull, Jr. MD School of WOC Nursing Education at Cleveland Clinic. Linda also serves the Wound Ostomy Continence Nurses Society™ in a variety of roles and is the current President-elect of the WOCN® Mideast Region. She has authored or coauthored publications on stoma construction, fistula management, nd WOC nursing subjects, and presented on a variety of wound management topics.


Yvonne L. Weideman, DNP, RN, CNE, CWON, CFCN, has more than 30 years of diverse nursing experience in home care, home infusion, nursing administration, and nursing education. Currently, Dr. Weideman is a full-time Assistant Clinical Professor at Duquesne University. Her primary area of clinical focus is wound and ostomy nursing, and she is board certified as a wound, ostomy, continence, and foot care nurse. Dr. Weideman earned her BSN from Duquesne University, her MBA from Robert Morris University, and her DNP from Duquesne University.

  • Courses must be completed on or before the expiration date noted in the course description above.
  • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
  • Through our review processes, Western Schools ensures that this course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
  • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.