Interventions for Patients with LEVD and Ulcers 20.Recommend patients with LEVD and ulcers seek care guided by a clinical wound expert. Level of Evidence = C
21.Cleanse the ulcer at each dressing change while minimizing trauma to the ulcer and surrounding skin. No specific studies demonstrate the benefit of using one cleanser over another, thus, ulcers should be cleansed with non-cytotoxic cleansers, saline, or water. Level of Evidence = C