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Nursing Science Quarterly
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*Family Issues
*Leg Injuries and Disorders
*Talking With Your Doctor
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Developing a Nurse-Led Education Program to Enhance Self-Care Agency in Leg Ulcer Patients

Oliver R. Herber, RN; BScN

Institute of General Practice and Family Medicine, University of Witten/Herdecke, Witten, North-Rhine Westphalia, Germany

Wilfried Schnepp, RN; PhD

Department for Family-Oriented and Community-Based Nursing, Institute of Nursing Science, University of Witten/Herdecke, Witten, North-Rhine Westphalia, Germany

Monika A. Rieger, MD; PhD

Research Department, Institute of General Practice and Family Medicine, Faculty of Medicine, University of Witten/Herdecke, Witten, North-Rhine Westphalia, Germany

Patients with leg ulceration face changing self-care demands associated with the consequences of the disease and treatment. Often patients can manage their self-care for some time, but new therapeutic self-care demands may emerge that require more complex self-care actions. The purpose of this article is to describe the development of a nurse-led education program in North-Rhine Westphalia, Germany, that aims to help patients with leg ulcers to meet their therapeutic self-care demands. Orem's self-care deficit nursing theory is used as a framework to provide the conceptual context for this supportive—educative nursing system that is being tested in a multi-site clinical trial.

Key Words: education • leg ulcer • Orem's theory • self-care agency

Nursing Science Quarterly, Vol. 21, No. 2, 150-155 (2008)
DOI: 10.1177/0894318408314694
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