Chronic venous ulcer's therapeutic approach by specialist nurse: Experience report
The chronic venous failure of lower limbs causes disability and represents an important problem of social-economic nature; it may lead to invalidity, worsening the life quality. Report a clinical case of chronic venous ulcer's household treatment. Clinical case description with initial assessme...
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| Format: | Online |
| Language: | Portuguese |
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Universidade Estadual de Campinas (UNICAMP)
2016
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| Online Access: | https://econtents.sbu.unicamp.br/eventos/index.php/simtec/article/view/9813 |
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| author | Kiyohara, Su Yan Ling Piovesana, Paula de Moura Volpi, Maura Antonio Dias Corrêa Pivetti, Eloysa Marques Fernandes |
| author_facet | Kiyohara, Su Yan Ling Piovesana, Paula de Moura Volpi, Maura Antonio Dias Corrêa Pivetti, Eloysa Marques Fernandes |
| author_sort | Kiyohara, Su Yan Ling |
| collection | Portal de Eventos Científicos da UNICAMP |
| container_reference | Resumo dos trabalhos do SIMTEC Simpósio dos Profissionais da UNICAMP; v. 6 (2016): Temática: UNICAMP 50 ANOS - Memórias, Experiências e Trajetórias profissionais; 162-162 |
| description | The chronic venous failure of lower limbs causes disability and represents an important problem of social-economic nature; it may lead to invalidity, worsening the life quality. Report a clinical case of chronic venous ulcer's household treatment. Clinical case description with initial assessment, therapeutic behavior and evolution, documented with photographic record and planimetry with ImageTool® software. Customer E.B., 91 years old, ambulatory with help, presenting injury in lower left limb for 50 years. In the initial assessment, presented two venous ulcers: on the left foot's back with 16.36 cm2, and on the left leg's lateral medial side region with 50.27 cm2. Chronic injuries and granulation tissue with necrosis points and slough. Bleeding aspect, with biofilm. Exudate with seropurulent, yellow aspect, moderate amount, absence of smell. Complains about intense pain. The treatment was focused on the colonization control and exudate reduction, opting by compression tape and bandage with nano crystallized silver and instrumental debridement, according to the need. After exudate control, hydrogel was used with calcium alginate and 3% papain. In eight months, there was 47% decrease in ulcer size on the left leg's lateral and medial side region and 85% on the foot's back and decrease of pain. The specialist nurse is essential in the wound's assessment process, to develop a therapeutic plan containing adequacy of the topical care, use of compressive therapy and guidance to patient and their caregivers. |
| first_indexed | 2025-10-08T14:05:14Z |
| format | Online |
| id | ojs-article-9813 |
| institution | Universidade Estadual de Campinas |
| issn | 2525-5398 |
| language | por |
| last_indexed | 2026-09-21T21:02:02Z |
| publishDate | 2016 |
| publisher | Universidade Estadual de Campinas (UNICAMP) |
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| spelling | ojs-article-98132026-09-21T14:32:49Z Chronic venous ulcer's therapeutic approach by specialist nurse: Experience report Abordagem terapêutica de úlcera venosa crônica por enfermeiro especialista: relato de experiência Kiyohara, Su Yan Ling Piovesana, Paula de Moura Volpi, Maura Antonio Dias Corrêa Pivetti, Eloysa Marques Fernandes Insuficiência venosa. Ferida. Enfermagem. The chronic venous failure of lower limbs causes disability and represents an important problem of social-economic nature; it may lead to invalidity, worsening the life quality. Report a clinical case of chronic venous ulcer's household treatment. Clinical case description with initial assessment, therapeutic behavior and evolution, documented with photographic record and planimetry with ImageTool® software. Customer E.B., 91 years old, ambulatory with help, presenting injury in lower left limb for 50 years. In the initial assessment, presented two venous ulcers: on the left foot's back with 16.36 cm2, and on the left leg's lateral medial side region with 50.27 cm2. Chronic injuries and granulation tissue with necrosis points and slough. Bleeding aspect, with biofilm. Exudate with seropurulent, yellow aspect, moderate amount, absence of smell. Complains about intense pain. The treatment was focused on the colonization control and exudate reduction, opting by compression tape and bandage with nano crystallized silver and instrumental debridement, according to the need. After exudate control, hydrogel was used with calcium alginate and 3% papain. In eight months, there was 47% decrease in ulcer size on the left leg's lateral and medial side region and 85% on the foot's back and decrease of pain. The specialist nurse is essential in the wound's assessment process, to develop a therapeutic plan containing adequacy of the topical care, use of compressive therapy and guidance to patient and their caregivers. A insuficiência venosa crônica dos membros inferiores causa incapacidade e representar importante problema de ordem socioeconômica, pode conduzir à invalidez, levando a piora na qualidade de vida. Relatar um caso clínico de tratamento domiciliar de úlcera venosa crônica . Descrição de caso clínico com avaliação inicial, conduta terapêutica e evolução, documentado com registro fotográfico e planimetria com o programa ImageTool®. Cliente E.B., 91 anos, deambulante com auxílio, apresentando lesão em membro inferior esquerdo há 50 anos. Na avaliação inicial apresentava duas úlceras venosas: no dorso do pé esquerdo com 16,36 cm2, e em região face medial lateral da perna esquerda com 50,27 cm2. Lesões crônicas e tecido de granulação com pontos de necrose e esfacelos. Aspecto sangrante e com biofilme. Exsudato com aspecto seropurulento, amarelado, moderada quantidade, ausência de odor. Queixa de dor intensa. O tratamento foi focado no controle da colonização e redução do exsudato, optando-se por faixa compressiva e curativo com prata nanocristalizada e debridamento instrumental conforme a necessidade. Após controle do exsudato, foi utilizado hidrogel com alginato de cálcio e papaína 3%. Em oito meses, houve redução no tamanho das úlceras em 47% da região face medial lateral da perna esquerda e 85% do dorso do pé e diminuição da dor. O enfermeiro especialista é fundamental no processo de avaliação da ferida para o desenvolvimento de um plano terapêutico que compreende adequação do cuidado tópico, uso de terapia compressiva e orientações ao paciente e seu cuidador. Universidade Estadual de Campinas (UNICAMP) 2016-10-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Análise lógica Analytical Research application/pdf https://econtents.sbu.unicamp.br/eventos/index.php/simtec/article/view/9813 10.20396/simtec.v6.2016.9813 Resumo dos trabalhos do SIMTEC Simpósio dos Profissionais da UNICAMP; v. 6 (2016): Temática: UNICAMP 50 ANOS - Memórias, Experiências e Trajetórias profissionais; 162-162 2525-5398 por https://econtents.sbu.unicamp.br/eventos/index.php/simtec/article/view/9813/12687 Copyright (c) 2016 Su Yan Ling Kiyohara, Paula de Moura Piovesana, Maura Antonio Dias Corrêa Volpi, Eloysa Marques Fernandes Pivetti https://creativecommons.org/licenses/by/4.0 |
| spellingShingle | Kiyohara, Su Yan Ling Piovesana, Paula de Moura Volpi, Maura Antonio Dias Corrêa Pivetti, Eloysa Marques Fernandes Insuficiência venosa. Ferida. Enfermagem. Chronic venous ulcer's therapeutic approach by specialist nurse: Experience report |
| title | Chronic venous ulcer's therapeutic approach by specialist nurse: Experience report |
| title_full | Chronic venous ulcer's therapeutic approach by specialist nurse: Experience report |
| title_fullStr | Chronic venous ulcer's therapeutic approach by specialist nurse: Experience report |
| title_full_unstemmed | Chronic venous ulcer's therapeutic approach by specialist nurse: Experience report |
| title_short | Chronic venous ulcer's therapeutic approach by specialist nurse: Experience report |
| title_sort | chronic venous ulcer's therapeutic approach by specialist nurse: experience report |
| topic | Insuficiência venosa. Ferida. Enfermagem. |
| url | https://econtents.sbu.unicamp.br/eventos/index.php/simtec/article/view/9813 |
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