7.Monitor/measure the percentage change in ulcer area to assess healing. An ulcer that does not heal or show significant healing within 4 weeks should prompt the health care provider to consider adjunctive therapies. Level of Evidence = B
8.Assess for factors that impede healing such as co-morbid conditions, lack of adherence to prevention and treatment programs, especially compression therapy, and medications such as steroids.
9.Consider referral for further evaluation of patients with cellulitis, VTE, variceal bleeds, and ulcers that are atypical in appearance or unresponsive to 2-4 weeks of appropriate therapies.
10.Consider adjunctive therapies for slow to heal ulcers. Level of Evidence = A