Mrs Morrow is an obese, 80-year-old white female who developed a venous stasis ulcer Mrs Morrow is an obese, 80-year-old white female who developed a venous stasis ulcer Location: Skilled Nursing Home Care Facility 0800 Patient Introduction Location: Skilled Nursing Home Care Facility 0800 Report from charge nurse: Situation: Mrs. Morrow is an obese, 80-year-old white female who developed a venous stasis ulcer on her right medial malleolus while still living at home. She moved into our skilled nursing home care facility 3 days ago. The current plan of care is focused on promoting wound healing, improving venous return, and preventing skin breakdown. Background: Mrs. Morrow has a past medical history of chronic obstructive pulmonary disease (COPD), chronic venous insufficiency, and deep vein thrombosis (DVT). Peripheral arterial disease is ruled out by duplex ultrasound. Her daughter had her admitted to this skilled nursing home care facility due to concern for her safety with impaired mobility, an unhealthy diet, and inability to adequately care for herself at home Assessment: Mrs. Morrow is alert and oriented, but sometimes forgetful of recent events. Vital signs have been within normal limits and are performed weekly. Results from yesterdays labs are in the chart. She is on a regular diet with nutritional supplement and has been eating the majority of her meals since admission. She requires assistance with positioning in bed and assistance times 1 to get out of bed to the chair or ambulate. Her gait is unsteady, and she is easily fatigued. Her Braden Scale score is 16, and her skin is intact except for the venous stasis ulcer on the right medial malleolus. She has brown hyperpigmentation on both lower legs with +2 edema. The venous stasis ulcer is covered with a hydrocolloid dressing, which is due to be changed. In preparation for her dressing change, she was medicated for pain half an hour ago. ORDER YOUR PROFESSIONAL PAPER HERE Recommendation: You should complete a basic assessment, review the labs, perform a wound assessment and dressing change, and then reposition the patient to optimize venous return. Please provide patient education on improving venous return to prevent further stasis ulcers, and continue compression therapy with the use of elastic bandage and an antiembolism stocking. Josephine Morrow Guided Reflection Questions Opening Questions How did the simulated experience of Josephine Morrows case make you feel? Talk about what went well in the scenario. Reflecting on Josephine Morrows case, were there any actions you would do differently if you were to repeat this scenario? If so, how would your patient care change? Scenario Analysis Questions* S What priority problem(s) did you identify for Josephine Morrow? PCC Identify in Josephine Morrows health history any factors that predisposed her to having chronic venous insufficiency. PCC/S Discuss the assessment findings and diagnostic studies that correlate with chronic venous insufficiency and venous stasis ulceration. Provide the reasons behind these findings. S What is the rationale for the daily dose of ASA? EBP/I What is the rationale for compression therapy? EBP/I What is the rationale for performing a Braden scale assessment on Josephine Morrow? T&C What other interprofessional team members should be involved in Josephine Morrows care? Concluding Questions Describe how you would apply the knowledge and skills that you acquired in Josephine Morrows case to an actual patient care situation Solution A 1.I feel if she gets better medical attention ,something can be done to relieve her from her present condition. 2 The best part of the scenario is she has been shifted to a nursing care home ,before her condition worsened. 3 Since she has a history? Order Now

ADDITIONAL INFORMATION 

Venous stasis ulcer

Introduction

Venous stasis ulcers (VSU) are a painful condition that can occur in your legs. People with VSU may have pain and swelling in the leg. They may also experience other symptoms such as tiredness, chills and fever, or shortness of breath. If you have these symptoms and they persist for more than 2 weeks, call your doctor right away because you could be having something more serious than venous stasis ulcers!

What are venous stasis ulcers?

Venous stasis ulcers are a type of wound that occurs in the leg veins. They form when blood calcium builds up and forms crystals, which gets trapped inside the vein walls. Over time, these crystals can cause tissue damage and inflammation (swelling).

This condition is also called varicose or venous leg ulcers, or venous insufficiency. In some cases, it’s caused by chronic prolonged standing on your feet for long periods of time (like working at a desk). You may also have this condition if you’ve had surgery on your legs such as:

• Surgery to treat varicose veins

• Ankle fusion surgery

Who develops venous stasis ulcers?

People with varicose veins, or those who have diabetes and are obese, are at a higher risk of developing venous stasis ulcers.

People who have had major surgeries (including abdominal surgeries) may also be more likely to develop venous stasis ulcers because of the stress on their veins during surgery.

Symptoms of venous stasis ulcers

• Swelling and redness

• Pain

• Skin breakdown (eczema)

• Blisters

Factors that increase your risk of developing venous stasis ulcers

• Obesity: Obese people are more likely to develop venous stasis ulcers.

• Sitting or standing for long periods of time: Sitting or standing for long periods of time can also increase your risk of developing venous stasis ulcers.

• Inactivity: Inactivity can also cause venous stasis ulcers, as it reduces blood flow to your legs and ankles, which leads to low oxygen levels in the body. This is why people with diabetes sometimes experience leg pain when they take insulin injections and may need a break from their daily activities so that the blood will flow back into their feet again.

• Smoking: Smoking has been linked with increased incidents of DVTs (deep vein thrombosis) and pulmonary embolism – two conditions that could lead directly back up into your legs through an injury at a lower point on them like an ankle fracture or small cut on top lip near mouth area; both conditions require immediate medical attention due to possible life-threatening consequences if left untreated!

How are venous stasis ulcers diagnosed?

Diagnosis is made by a doctor who will conduct blood tests and other investigations to determine if you have venous insufficiency. If the diagnosis is confirmed, your doctor may recommend that you wear compression stockings to help promote blood flow in the leg.

If there are no signs of infection or injury present on imaging tests, ultrasound scans may be used to investigate any fluid within the leg veins (vein thromboses) or varicose veins as well as any blockages in these vessels (venous stasis). MRI scans can also be used for this purpose but are more expensive than ultrasound imaging and therefore more difficult to obtain on an outpatient basis in most cases where venous stasis ulcers are suspected.

How are venous stasis ulcers treated?

Treatment for venous stasis ulcers depends on the severity of the condition and whether it’s localized or systemic.

• Localized venous stasis ulcers are treated with surgery, which involves removing or cutting away any damaged tissue that has formed a wound around a vein. The goal is to give the area time to heal before trying another treatment for venous stasis ulcers.

• Systemic venous stasis ulcers require intravenous antibiotics in addition to compression therapy. This treatment helps prevent new infections from developing because it makes certain bacteria unable to multiply and spread throughout your body as they normally would when you’re healthy and well-nourished.

Venous stasis ulcers are a serious, but treatable condition.

Venous stasis ulcers are a serious condition that can lead to amputation if left untreated. Treating venous stasis ulcers is not easy, but there are several treatment options available that can make a big difference in your health and quality of life.

• Compression bandages: These bandages wrap around your lower legs to help keep blood flow moving through the veins, which helps prevent swelling (which triggers pain) and helps reduce the risk of infection. They’re usually worn 24 hours per day for at least two weeks until they become effective enough that you don’t need them anymore—but many people find them useful long-term as well! The pressure from these bands is thought by some experts like Dr David Wartinger MD – who specializes in treating venous problems – “to improve circulation,” which could help prevent further damage caused by blood pooling inside veins due to lack of oxygenation.”

Conclusion

Venous stasis ulcers are a common condition, but luckily they’re often easy to treat. The first step is usually to remove any blockage that may be causing your ulcer, followed by the use of medications such as ibuprofen or other pain relievers for any discomfort you experience. After this, your doctor might recommend wearing compression stockings and physical therapy sessions so that you can continue to work around your home or office environment without experiencing symptoms again.

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