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Tue, 07/11/2017 - 13:34 fatima.almeda

NICE Lower Limb Peripheral Arterial Disease

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Health and care professionals* working in primary and secondary care responsible for the care of people:

*including general clinicians who assess the lower limbs (GPs, podiatrists, nurses and physiotherapists and practice nurses doing annual diabetic foot checks).


For health and care professionals to apply the knowledge gained from the NICE guidance recommendations of: the information requirements, secondary prevention of cardiovascular disease diagnosis, imaging and management recommendations in patients with, or suspected of, PAD.


NICE clinical guideline 147 Lower limb peripheral arterial disease: diagnosis and management was published in August 2012. Lower limb peripheral arterial disease (PAD) is a marker for increased risk of cardiovascular events. The treatment of PAD aims to relieve any symptoms and to address the secondary prevention of cardiovascular disease to reduce the chance of future cardiovascular events. As developments in diagnosis and management have led to uncertainty and variation in practice, this guideline aims to resolve that uncertainty and variation and provide best practice advice on the care of adults with PAD.

This e-learning tool has a number of learning activities to help you implement the guideline and improve patient outcomes by focusing on early identification and optimal treatment of PAD. It is aimed at generalists in any healthcare or allied professionals who may come into contact with people with asymptomatic or symptomatic lower limb PAD, people in whom PAD should be suspected and groups of people where the incidence of PAD is high.

On completion of this tool learners should be able to:

  • identify people where the incidence of PAD is high and apply this knowledge to the assessment of patients in your care
  • recognise people in whom PAD is suspected and therefore should be assessed for the presence of PAD
  • assess people with suspected PAD using appropriate referral, diagnostic and treatment pathways
  • negotiate a referral/clinical management plan for people with PAD, appropriate to your role
  • advise people with PAD about the key modifiable risk factors and how they can reduce their risk of cardiovascular disease
  • compare your current practice against the guidance and apply the key recommendations that are appropriate to your role
  • produce a personal action plan to address any barriers or areas for development.
Publication Date
Tuesday, July 11, 2017 - 00:00
National Institute for Health and Care Excellence