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Exam (elaborations)

Anatomy 2086 Josephine Morrow Vism Packet

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Anatomy 2086 Josephine Morrow Vism Packet

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Anatomy 2086 josephine morrow vism
packet

,CONCEPT MAP WORKSHEET

DESCRIBE DISEASE PROCESS AFFECTING PATIENT
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS)

Chronic Venous Insufficiency is improper functioning of the vein valves in the lower extremities. Pathophysiology
including factors such as venous hypertension, incompetent valves in the veins, deep vein obstructions (DVT) and
decreased function of the skeletal muscle pumps.

The clinical manifestation is associated with impaired blood flow. In contrast to the ischemia caused by arterial
insufficiency, venous insufficiency leads to tissue congestion, edema, and eventual impairment of tissue nutrition.




DIAGNOSTIC TESTS PATIENT INFORMATION ANTICIPATED PHYSICAL FINDING
(REASON FOR TEST AND
RESULTS) Mrs. Morrow, 80-year- old
white female who develop a
venous stasis ulcer on her
right medial malleolus while
still living at home. The
current plan of care is focused
on promoting wound healing,
improving venous return, and
preventing skin breakdown.




Albumin level test: 3.4 Prealbumin
• Examine the legs for edema,
test: 14.7
comparing one leg with the
Test used to detect protein level, other
Protein in essential for proper wound healing plays a role in new cell growth • Impaired blood flow
• Ischemia caused by arterial
insufficiency
• Skin integrity




ANTICIPATED NURSING INTERVENTIONS

• Wash hands, introduce self, and identify patient
• Obtain vital signs, including asking about allergies and pain level assessment
• Check the order in the electronic health records (EHR)
• Asked if the patient was allergic to anything
• Provide meticulous skin care
• Monitor patient for signs of skin breakdown
• Assist with range of motion exercise to lower extremities

, • Perform neurovascular checks to look for changes
• Educated the patient about wound care
• Educated the patient about improving venous return

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