Varicose Veins - 5 Nursing Diagnosis and Interventions

Varicose Veins Care Plan

1. Acute Pain related to tissue ischemia secondary

Goal: Pain is lost or controlled

Intervention:
1) Assess the degree of pain. Note the behavior of protecting the extremities.
R / Degree of pain is directly related to the extent of the circulation shortfall, the inflammatory process.
2) Maintain bed rest during the acute phase.
R / Decrease discomfort in relation to muscle contraction and movement.
3) Elevate the affected extremity.
R / Pushing to facilitate venous return circulation, reduce static formation.
4) Encourage the patient to change positions frequently.
R / Reduce / prevent muscle weakness, helps minimize muscle spasm.
5) Collaboration of drugs as indicated.
R / Reduce pain and reduce muscle tension.

2. Impaired skin integrity related to vascular insufficiency.

Goal: Maintain the integrity of the skin.

Intervention:
1. Assess skin integrity, record changes in turgor, color noise, local warm, erythema, excoriation.
R / Skin condition is influenced by circulation, nutrition, and immobilization. Tissue can become brittle and prone to infection and damage.
2. Assess the extremities for venous obvious protrusion.
R / Superficial venous distension may occur in TVD because backflow through the veins branching.
3. Change position often, and avoid massaging the affected limb.
R / Improve circulation, massage the potential to solve / deploy thrombus causing embolus.
4. Range of motion exercises help to passive or active.
R / Improves circulation of body tissue, prevents stasis.
5. Perform warm compresses, moist heat to the extremities or the hospital if indicated.
R / Increase vasodilation and venous return and repair of local edema.

3. Impaired physical mobility related to activity limitations due to pain.

Goal: Demonstrate techniques / behaviors enabling activities.

Intervention:
1) Maintain proper body position.
R / Improving tissue stability (reducing the risk of injury), the functional position of the extremities.
2) Note the circulation, movement and sensation are frequent.
R / Edema can affect circulation to the extremities so that the potential occurrence of tissue necrosis.
3) Assist with range of motion active / passive.
R / Improve maintenance of tissue function.
4) Schedule of activities and treatments to provide uninterrupted rest period.
R / Prevent fatigue, maintain strength and patient tolerance of the activity.
5) Encourage the support and help of family / significant other on range of motion exercises.
R / Enabling a family / significant other to be active in patient care and provide more consistent treatment.

4. Imbalanced Nutrition, Less Than Body Requirements related to increased metabolic needs.

Goal: Demonstrate an increase in food intake, maintain / gain weight.

Intervention:
1) Perform a thorough nutritional assessment.
R / Identify deficiencies / needs to help choose interventions.
2) Provide eat small portions and often include dry food and interesting food for patients.
R / This could increase the input and requires less energy.
3) Provide a diet high in calories / protein with additional vitamins.
R / Help meet metabolic demands, maintain weight and tissue regeneration.
4) Encourage activity restrictions during the acute phase.
R / Lowering metabolic requirements to prevent degradation of calories and energy savings.
5) Consult with a dietitian.
R / Help assess the patient's nutritional needs change in digestion and bowel function.

5. Disturbed Body Image relateed to varicose veins.

Goal: Improved confidence in ability to cope with illness.

Intervention:
1) Encourage disclosure of concerns about the disease process, hope for the future.
R / Give a chance to identify the fear / guilt concept and deal with them directly.
2) Discuss the patient's perception of how the people closest to accept limitations.
R / Verbal cues / nonverbal people nearby could have a major effect on how patients view themselves.
3) Recognize and accept feelings of grief, resentment, dependence.
R / Constant pain would be tiresome, and feelings of anger and hostility are common.
4) Consider withdrawing behavior, or deny the use of too much attention to the body / changes.
R / Can indicate emotional or maladaptive coping methods, requiring further intervention / psychological support.
5) Arrange limits on maladaptive behavior. Help patients to identify the positive behaviors that can help coping.
R / Assisting patients to maintain self-control, which can increase feelings of self-worth.
6) Involve the patient in the treatment plan and schedule activities.
R / Increase feelings of competence / self-esteem, encourages independence and participation in therapy.

2 komentar:

Brettina Mendoza said...

Interesting! This is worth reading you know! Keep blogging and keep informing.

spider vein removal center

Sona said...

Thanks for sharing this article. By using comprezon stockings also we can get away from varicose veins. I tried already and now I am free from this problem.

Post a Comment