Keywords

ankle brachial index (ABI), lower extremity arterial disease, noninvasive vascular assessment

 

Authors

  1. Bonham, Phyllis A. PhD, MSN, RN, CWOCN
  2. Kelechi, Teresa PhD, APRN-BC, CWCN

Abstract

Lower extremity arterial disease (LEAD) affects millions of Americans, causing impaired function and a high risk of nonhealing wounds, infection, and limb loss. This chronic, progressive condition is often silent until a life- or limb-threatening complication occurs and impacts the quality of life of individuals and their families and results in high healthcare costs. Assessment forms the cornerstone of effective nursing care, yet despite several national guidelines, LEAD remains unrecognized in half of persons with the condition. This article presents an overview of assessment of LEAD, including descriptions of the risks, pathogenesis, and common characteristics of arterial disease.