Nulla vitae elit libero, a pharetra auue



Deep Vein Thrombosis, DVT, refers to the formation of a thrombus or blood clot within a deep vein, commonly in the thigh or calf. The blood clot can either partially or completely block the flow of blood in the vein. A DVT can be caused by a narrowed or blocked vein, which allows the blood to clot. This can be brought on by an injury to the vein, such as a sharp blow to the leg, or following surgery or radiation therapy. It can also be caused by poor circulation as a result of inactivity or prolonged bed rest or as the result of severe infection, liver disease and some cancers. A DVT becomes life-threatening when a piece of the blood clot breaks off and travels downstream through the heart into the pulmonary circulation system, and becomes lodged in the lung. Diagnosis and treatment of a deep venous thrombus is meant to prevent a pulmonary embolism. The symptoms of a DVT may include pain, swelling, warmth and redness of the leg usually the calf. Various diagnostic tests can be used such as D-dimer blood test, ultrasound scan, a Doppler ultrasound or a venogram.

| Resident’s Issues |Consultation Assessment and Plan |Signature |Date |Review Date |

|and Objectives | | | | |

| |2. Note the resident’s and, or relative’s understanding of the condition and any concerns or anxieties they have: | | | |

| |..........................................................................................................................................................| | | |

| |................................................. | | | |

| |3. Highlight any symptoms which are evident: | | | |

| || pain | Swelling | redness of skin | warm skin around THE area of clot | ACHE IN AFFECTED AREA | | | | |

| |…………….……………………………………………………………………………………………..…….…….……………..…………..… | | | |

| |4. Identify the affected area and record the measurement: | | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |.................................................................................................. | | | |

| |5. Discuss with the resident and or relative any possible contributing factors and highlight them: | | | |

| || previous venous thromboembolism | family history of thrombosis | inactivity after SURGERY | | | | |

| || Bed rest | obesity | heart failure | medical conditions such as cancer |………………………………….…… | | | |

| |……………………………………………………………………………………………………………………………………………….…… | | | |

| |6. Note the type of diagnostic test carried out: | | | |

| |………………………………………………………………………………………………………………………………………………….… | | | |

| |7. Note the prescribed medication and treatment regime: | | | |

| |..........................................................................................................................................................| | | |

| |................................................. | | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |................................................................................................................................................... | | | |

| |8. Discuss the importance of having the resident’s legs raised higher than their hips when resting. This helps to relieve | | | |

| |the pressure in the veins of the calf and stops blood and fluid pooling in the calf itself and will help the returning | | | |

| |blood flow from the calf. | | | |

| |9. If warfarin is prescribed advise the resident to avoid taking any cranberry juice, cranberries, or products containing | | | |

| |cranberries as it affects the warfarin therapy and ensure a warfarin care plan is completed. | | | |

| |10. Monitor for signs and symptoms of complications such as sudden or gradual breathlessness, or chest pain, or | | | |

| |sudden collapse as this may indicate a pulmonary embolism which is a medical emergency. | | | |

| |11. Liaise with the resident’s General Practitioner as required. | | | |

| | | | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |..........................................................................................................................................................| | | |

| |................................................................................................................ | | | |

|Name |Resident/Relative Signature |Date |

| | | |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download