title: Impact of exudate and odour from chronic venous leg ulceration.
abstract: OBJECTIVE
  To explore depression in people treated for chronic venous leg ulceration, and to assess the impact of excessive exudate, leading to leakage and odour, on their daily lives, overall health and quality of life.
  
  
  METHODS
  Completion of a questionnaire and Hospital Anxiety and Depression Scale to determine the prevalence of anxiety and depression in people with chronic leg ulceration (n = 196), and interviews with 20 people living with chronic leg ulceration.
  
  
  RESULTS
  Odour and excessive exudate leading to leakage had an adverse effect on patients' psychological state, leading to feelings of disgust, self-loathing and low self-esteem.
  
  
  CONCLUSIONS
  Chronic leg ulcers disrupt patients' lives and restrict their social lives, leading to social isolation and depression. Healthcare professionals should better understand the impact of symptoms such as odour and exudate leakage on patients' mental health, physical health and healing.
authors.affiliation: Sefton Primary Care Trust (PCT), Lancashire. june.jones2@seftonpct.nhs.uk
authors.forename: J E
authors.initials: JE
authors.lastname: Jones
authors.forename: Jude
authors.initials: J
authors.lastname: Robinson
authors.forename: Wally
authors.initials: W
authors.lastname: Barr
authors.forename: Caroline
authors.initials: C
authors.lastname: Carlisle
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000368:Aged; D001007:Anxiety / Q000453:epidemiology / Q000209:etiology / Q000523:psychology*; D001294:Attitude to Health; D001828:Body Image; D016009:Chi-Square Distribution; D002908:Chronic Disease; D017281:Cost of Illness; D003863:Depression / Q000453:epidemiology / Q000209:etiology / Q000523:psychology*; D004739:England / Q000453:epidemiology; D005122:Exudates and Transudates; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015404:Nursing Methodology Research; D009812:Odorants / Q000517:prevention & control; D015995:Prevalence; D036301:Qualitative Research; D011788:Quality of Life / Q000523:psychology; D012649:Self Concept; D012752:Shame; D012934:Social Isolation; D013240:Stereotyping; D011795:Surveys and Questionnaires; D014647:Varicose Ulcer / Q000150:complications / Q000523:psychology*