Nursing Care In Pacie

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• Age
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• Burn
• Care
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Nursing care in Pacie

Introduction

Chronic venous insufficiency (IVC) is associated with the most severe aspects of chronic venous disease (EVC), causing from edema, either moderate or severe, to skin lesions or venous ulcers, being able to correspond within the CEAP classification (clinic- Etiological-anatomical-phisiopathological) from class C3 to C6, inclusive.

The treatment of chronic venous disease is an important socioeconomic expense, between 600 and 900 million euros in western countries, deteriorating the lives of these patients due to their progressive condition, causing many complications, the most frequent ulcers being the most frequent.two

Developing

Between 1 and 2% of the world population suffers from chronic ulcers, the most frequent ones of venous origin being, presenting a high recurrence that varies from 37% in 3 years to 48% in 5 years, followed by arterials and neuropathic. With respect to the ulcers of the first group, they are treated daily in primary care consult 9.000 euros per ulcer.

Focusing on venous ulcers, central theme of our case, we can mention that they appear in both lower and internal regions of the lower limbs, being the most considerable and severe way of the EVC, generated by the venous hypertension of these limbs, which, which In turn, it may be the result of a malfunction of venous valves due or not to a venous flow obstruction.

Among the risk factors that predispose to suffer from venous ulcer is, for example, suffer from venous insufficiency or family history of EVC, being pregnant or having alterations of coagulation factors, increases the risk with age, (presenting the superior female gender to the masculine in terms of suffering the pathology, with differences that range between 1’5: 1 to 10: 1) 1, present a history of deep vein thrombosis (TVP), some risk intervention, or burn and trauma that will involve the vascular system , to be large periods of time either in standing or sedestiation, obesity, constipation, pulmonary cardio diseases or osteoarticular problems that complicate the march, as well as edemas or lymphatic drain disorders.6

To address the solution of this type of ulcers, it is widely agreed that compressive therapy is the ideal measure that avoids both recurrences and improves the evolution of venous ulcers, presenting the most effective multicapa bandage, in addition to the use of different topical products that help the wound resolution. 

We must also highlight the preventive measures that avoid the high percentage of recurrences, as well as decrease the health expenditure destined for this type of wounds, among which are as elementary measures as avoiding prolonged standing, crossing the legs, reducing the amount of meal sodium, exercise daily, as well as avoid trauma in the lower limbs. Simple measures, easy to apply on a day -to -day basis, with the goal of not suffering again this type of wounds, but with the high percentage of recurrences, it is important to influence the prevention and health education of this type of population in order to reduce the high social and economic expense.

conclusion

Next, we will comment on the case of a woman carrier of venous ulcers in both internal malleoli. For information collection, assessment by Marjory Gordon functional patterns was used. After obtaining the data corresponding to each pattern, we proceeded to prepare an individualized care plan aimed at solving the problems encountered in our patient, using the nursing taxonomy Nanda, Noc, IAS7 IAS7.