Date of Award


Document Type

Independent Study

Degree Name

Master of Science (MS)


It is well known venous insufficiency and venous ulcers affect long term health outcomes. People with recurrent leg ulcers frequently suffer years or decades of decreased quality of life and costly treatments. Current research findings emphasize the importance of compression therapy in healing and preventing venous ulcerations. The purpose of this project is to gain expert knowledge related to the barriers to adherence of compression garments in patients with recurrent venous ulcers and to investigate substantive ways to promote usage. This project identified reasons why patients stop using compression garments once a venous ulcer is healed, leading to a recurrent ulceration and the need for future research

The theoretical framework used in this project was Dorthea Orem 's theory of selfcare. This theory examines the practice of activities individuals begin and perform on their own behalf in maintaining life, health, and well being. If individuals are not capable of self-care, the theory accommodates that through total compensation, partial compensation, and educative/supportive actions

A comprehensive review of the literature and current practice guidelines from a variety of sources helped the author gain expert knowledge in the field of compression therapy in venous insufficiency management. After gaining this knowledge, Poster presentation was presented at the University of North Dakota Graduate Forum. Content of the presentation included review of current practice guidelines, identified barriers to compression therapy in patients with previous healed ulcers, and implications for healthcare practice

Several nursing implications were identified to advance awareness and health promotion. Broadening healthcare provider's knowledge base in regards to barriers to venous compression has the potential to affect patient education, healthcare policy, practice and research. It also will strengthen the role nurse practitioners play in the healthcare team