Nurse-practitioner-led mobile wound care for venous leg ulcer patients in Creve Coeur — at home, in assisted living, or in skilled nursing. No clinic trip, no transportation burden.
Creve Coeur's older long-settled population and its proximity to the region's largest vascular surgery practices make it a natural fit for home-based venous leg ulcer care. A venous ulcer needs a specific combination of interventions — therapeutic multi-layer compression applied weekly by a trained clinician, ongoing wound bed preparation, skin protection, and coordination with vascular surgery for the underlying venous disease. In a traditional model, that means a weekly clinic visit that many Creve Coeur patients cannot realistically sustain for the 12 to 20+ weeks these wounds typically take to close. Gateway's nurse practitioners deliver the compression and wound care in the patient's home — typically within 24 to 48 business hours of a referral.
Our Creve Coeur VLU patient panel is concentrated in the Conway, Ladue Crossing, and Old Creve Coeur single-family neighborhoods, with additional referrals from residents of The Gatesworth, Brooking Park on S. Woods Mill Rd, and Parc Provence. Barnes-Jewish West County Hospital at the N. Ballas Rd campus is our most common source of post-discharge VLU referrals, along with BJC WashU vascular surgery and the primary care practices clustered along Olive Blvd. Many of our Creve Coeur patients are already under the care of a vascular surgeon for an underlying venous disease and need between-visit compression and wound care that the clinic does not provide.
Our NPs perform ABI review before compression initiation, apply multi-layer short-stretch or four-layer compression systems, manage periwound hyperkeratosis and wound bed tissue, and coordinate referral for venous ablation or sclerotherapy when the ulcer recurs or fails to respond. For qualifying large or heavily exudating wounds we initiate NPWT. We fax or HIPAA-email documentation to the physician of record every visit. Benefits verification is complete before your first Creve Coeur visit.
Venous leg ulcers account for roughly 70 to 80 percent of all lower-extremity wounds and develop when chronic venous insufficiency causes sustained venous hypertension in the legs. Most appear on the medial lower leg between the ankle and the calf, often with surrounding hemosiderin staining, edema, and weepy exudate. The CEAP classification (Clinical, Etiological, Anatomical, Pathophysiological) is the standard framework for staging the underlying venous disease; the ulcer itself (C6 active ulceration) is only the visible tip. Evidence-based treatment hinges on sustained therapeutic compression — typically multi-layer short-stretch or four-layer systems — combined with wound bed preparation, edema control, and skin protection. Gateway's NPs apply, monitor, and adjust compression systems in the patient's home, which markedly improves adherence compared to twice-weekly clinic visits.
Multi-layer short-stretch or four-layer compression applied, monitored, and reapplied weekly. Ankle-Brachial Index review before initiation to rule out arterial compromise.
Gentle debridement of slough and periwound hyperkeratosis, exudate management, and skin protection with appropriate barriers. See our debridement service.
Referral to vascular surgery for intervention (ablation, sclerotherapy) when indicated. NPWT for qualifying large or heavily exudating wounds.
Creve Coeur sits in the heart of West County's medical corridor, with Barnes-Jewish West County Hospital on N. Ballas Rd, Mercy Hospital St. Louis campuses along I-270, and an extensive concentration of physician offices clustered around Olive Blvd and Ballas. Many of our Creve Coeur referrals come directly from BJC WashU specialty clinics.
Creve Coeur is a dense medical-office corridor with a long-established senior population — including a large share of residents aging in place in single-family homes along Conway Rd, Ladue Rd, and Olive Blvd, plus several upscale assisted living communities.
We also serve patients recovering at home in Creve Coeur's neighborhoods — including Conway, Ladue Crossing, Bellerive Country Club area, Old Creve Coeur, Westwood Farms.
“Real patient and family testimonials from our Creve Coeur service area will be published here once we complete HIPAA-compliant testimonial collection with written patient authorization.”— Gateway Wound Care, Creve Coeur
Serving every address in Creve Coeur, MO — ZIP codes 63141, 63146 — and throughout our 50-mile Greater St. Louis service area. View full service area.