Nursing diagnoses and interventions for the person with venous ulcer Venous ulcers typically have an irregular shape and well-defined borders.3 Reported symptoms often include limb heaviness, pruritus, pain, and edema that worsens throughout the day and improves with elevation.5 During physical examination, signs of venous disease, such as varicose veins, edema, or venous dermatitis, may be present. Leg ulcer may be of a mixed arteriovenous origin. He or she also performs a physical exam to look for swelling, skin changes, varicose veins, or ulcers on the leg. Surgical management may be considered for ulcers that are large in size, of prolonged duration, or refractory to conservative measures. Its essential to keep the impacted areas clean by washing them with the recommended cleanser. A recent meta-analysis showed that elastic compression therapy is more effective than inelastic therapy.46 In addition, high compression has been proven more effective than low compression, and multilayer bandages are more effective than single layer.23,45,47 The disadvantage of multilayer compression bandages is that they require skilled application in the physician's office one or two times per week, depending on drainage. Pt 1.pdf - Part #1 INTERMITTENT CLAUDICATION Nursing care plans: Diagnoses, interventions, & outcomes. This information is intended to be nursing education and should not be used as a substitute for professional diagnosis and treatment. Nursing Interventions in Prevention and Healing of Leg Ulcers By. Surgical options for treatment of venous insufficiency include ablation of the saphenous vein; interruption of the perforating veins with subfascial endoscopic surgery; treatment of iliac vein obstruction with stenting; and removal of incompetent superficial veins with phlebectomy, stripping, sclerotherapy, or laser therapy.19,35,40, In one study, ablative superficial venous surgery reduced the rate of venous ulcer recurrence at 12 months by more than one half, compared with compression therapy alone.42 In another study, surgical management led to an ulcer healing rate of 88 percent, with only a 13 percent recurrence rate over 10 months.43 There is no evidence demonstrating the superiority of surgery over medical management; however, evaluation for possible surgical intervention should occur early.44. Leg elevation. Goals and Outcomes Treatment options for venous ulcers include conservative management, mechanical treatment, medications, and surgical options (Table 2).1,2,7,10,19,2244 In general, the goals of treatment are to reduce edema, improve ulcer healing, and prevent recurrence. Buy on Amazon, Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2020). Care Plan-Nursing Diagnosis Template.docx - Care See permissionsforcopyrightquestions and/or permission requests. Desired Outcome: The patients skin integrity will be at its best by adhering to the decubitus ulcer treatment plan, Nursing Diagnosis: Risk for Ineffective Health Maintenance related to impaired functional status, need for long-term pressure management, and the possible need for special equipment secondary to venous stasis ulcers.