Venous Stasis Ulcer

1. Definition of "venous stasis ulcer."

1. It is the breakdown of the skin caused by incompetent valves in the veins.

2. Incompetent valves cause excessive venous pressure, which causes small skin veins and venules to rupture.

3. Venous ulcers frequently occur above the medial ankle.

2. Factors that may increase risk of venous stasis ulcers.

1. Thrombophlebitis.

2. Varicose veins.

3. Poor hygiene.

4. Poor nutritional status.

5. General debilitation.

3. Signs and symptoms of venous insufficiency.

1. Thickened, leathery skin.

2. Reddish-brown skin discoloration.

3. Swelling of extremity.

4. Pain (relieved with elevation of foot).

4. Measures to prevent or manage venous stasis ulcers.

1. Eat a well-balanced diet high in protein, vitamin C, and iron.   (Provide "Daily Food Guide" handouts.)

2. Use safety precautions to avoid trauma.

1. Avoid heating pads, hot water bottles, etc.

2. Provide good lighting.

3. Remove clutter and obstacles.

3. Promote good circulation.

1. Maintain optimal weight.

2. Exercise regularly.

3. Wear elastic support hose.

4. Avoid constrictive clothing.

4. Avoid extreme temperatures.

5. Avoid nicotine and caffeine.

6. Promote cleanliness of wound as ordered by physician.

7. Elevate legs to decrease edema.

8. Apply unna boots per physician order.

5. Possible complications of venous stasis ulcers.

1. Infection.

2. Recurrence of venous stasis ulcer.

3. Amputation of extremity.