Nursing Care Plan for a DVT Patient
Date of Submission
Deep vein thrombosis occurs when there is a formation of blood clot in a single or many deep veins found in the body, mostly in the legs which cause leg pain and swelling and red. It developed in Mr. Harry due to his other medical conditions that affected the blood flow. This essay will discuss a 24-year-old man who complained of pain in his leg which swollen and was red in color after his fourth day in the hospital following a fatal accident; the leg was just a new problem that aroused besides other treated injuries discovered. (Beckman et al. 2010).
The patient Mr. Harry Flanagan is rushed to an emergency room after a fatal accident with his legs that could no move due to pain resulting from other possible injuries. He complained of pain in the right side of his chest accompanied by considerable bruising in the same area, so an EGG was performed (Dorman et al.2010) .The significant laceration to his left thigh was covered with a pressure bandage. Two big bore cannulas were inserted. A CT and X-rays were performed on the pelvic, limp, chest and spinal. Then he was transferred to the ward. The second day he undergoes an ORIF in the operating theatre before being discharged to the ward. Harry has no significant medical history. He is fit and healthy medically. Harry is working as a real estate agent and has a family of wife and a daughter, eighteen years old. He leaves with his family at Canberra where he relocated to play rugby.
Information/Bring together cues
Data was collected to
I collected objective and subjective data to do an assessment on Mr. Harrys’ condition and diagnosed the problem. The individual data of his signs and symptoms included feeling pain in the leg which was red in color and swollen. The objective data was positive. Other information’s were handed over to me by the Night Nurse, who noted that he had difficulty responding to treatment offered by physiotherapists directing him to breathe deeply and exercise coughing many times per hour due to the bruising in his chest and pain to avoid risk of suffocation. She as well informed me that the patient was not responding to the direction to do leg exercises every two hours for quite some time. Collecting information was important to help me plan Harrys’ care.
In this paragraph, I will explain the abnormal/normal signs and justify the unusual signs. DVT signs and symptoms that are normal are Pain in the affected leg which in my case is the left thigh of Harry and not common, but there may be swelling in the both legs, but Harry had no such (Spyropouloset al.2007). Another sign is a pain in the leg which he complained about. The pain mostly starts in the calf like in Harrys’ case and may feel like soreness and cramping. Mr. Harry had symptoms but in some cases, the patients suffer from this disease with no obvious symptoms.
The abnormal symptoms that raise suspicion and needs immediate medical attention are as follows; chest pain that gets dangerous when patient breaths in deeply or coughs. Same in the case of the patient handed over to me who was being helped to practice breathing and was being taken through coughing exercises. This shows that his condition was not so far good and needed immediate care. Another warning sign is feeling dizzy, lightheaded or fainting which my patient was lucky he did not go through, discomfort or chest pain that increases when your one inhales air deeply or when coughing. Deep vein thrombosis is meant to avoid the clot from being larger, same as avoiding the clot from continues flowing and leading to a pulmonary embolism. Following that, the objective becomes reducing the probability of deep vein thrombosis occurring repeatedly. The medication ways include Compression stocking. These helps avoid swelling together with deep vein thrombosis. The stocking is covering the legs from the feet to about the height of the knees.
Different treatment can be administered if the patient is not responding in the other method. This option may be clot busters. Among the collection is called thrombolytic. These medicines, known as tissue plasminogen activators, be administered through an IV line to break up blood clots or could be administered through a catheter located straight keen on the coagulate. Side effects of the drugs may be, vital bleeding and are used correctly in life intimidating occurrences. That why the medication is administered only in an intensive care department of a health facility.
DVT occurs when a thrombus forms in a deep vein. This situation is mostly known as thrombophlebitis due to the linked inflammation in the concerned vessel wall. The predisposing factors for venous thrombus making are venous stasis, injure to the endothelium of the vein wall plus state linked with a significant risk for venous thrombosis consist of heart failure, surgery, fractures, immobility and advanced age or other many injuries of the pelvis. This disease typically develops in a lower extremity; however, the occurrence of subclavian venous thrombosis is rising due to the added use of central venous catheters. Medical history of deep vein thrombosis are always not characteristic and in most occurrence, the patient is has asthma. Symbols and symptoms that should be there consist of swelling, ache and softness plus uncommon heat involved in the edge. The biggest danger accompanied with DVT is that the clot will detach and lead to embolic occlusion of a pulmonary vessel (Bullanoet al.2007).
People suffering from the disease are usually medicated instead of surgically if not; there is many occlusion of a vessel plus anticoagulation plus thrombolytic treatment are contraindicated. Using increasing utilization of embolectomies, thrombolytic therapy and thrombectomies are not commonly performed. Clinical action varies depending on the site of the thrombus, the patients’ risk for bleeding and recording of preceding thrombus, and if a coagulation abnormality is present. Anticoagulant treatment is universal, applied in the treatment of calf vein thrombosis since the event of pulmonary embolism has gone down if there is no proximal vein in use.
However, the risk of development of calf vein thrombi is available, into a proximal venous segment if not treated. Due to the risk, most people suffering from calf vein thrombosis are given medical attention with an anticoagulant. There is as well a number 0f variation in the anticoagulant regimen in connection with anticoagulants. There is as well some change in the anticoagulant regimen in linked to the time that oral anticoagulants are initiated and the way and type of heparin requested. So I gave Mr. Harry the treatment that was considerate of his condition but after the medication, there are several things to look out for that I will mention in the next paragraph.
Mr. Harry had to be keen on the type of foods he digest or eat to ensure readiness for enhanced nutrition and must look out for symptoms of too much bleeding and take steps to prevent occurrence of another deep vein thrombosis. The things he can do include: put on a compression stocking to back up avoiding blood clots in the leg so that the swelling and pain get dealt with. He must be on the lookout of how much vitamin k he digests since the too much consumption of the vitamin affects the way that warfarin operates. This is only for patients who use warfarin, should check with the doctor or the nurse in charge of nutrition about the foods necessary for warfarin. Harry had been on the bed rest due to the surgery operated on him or other factors associated with the bed rest; now it was his time to start moving to help prevent developing of blood clotting. A blood test has to be regularly conducted to determine whether the there is an improvement on the clotting of blood or not so that medication can be given to treatments be modified. Harry had no history of DVT but patients who had suffered the same disease, blood thinners are administered for at least four to seven months or less (MacDougall et al.2006).
First, one has to accept the patients pain where he feels it and whether it is regular or not. It helps in diagnosing what the patient is suffering from and it also helps relieve the patient since his given the opportunity to explain how he feels and that gives him hopes and confidence of a relief after treatment and also helps avoid risk of chronic low self-esteem. One must be aware of the time the patient started experiencing symptoms, practically in Harry’s case, when he started feeling the pain and swelling in the leg and if also noticed the red color. I had to know Harry felt the pain and swelling severally that it was coming and going, or it had not taken long, but the pain flowed. That helps me to determined how far or deep the disease had developed. If there is anything that worsens the symptoms, it should be taken seriously into consideration that is why the question is applicable, and also know how severe the symptoms pain. Since Mr. Harry had no medical history, it was still appropriate to inquire from him if any relative of a family member had suffered the same problem. Questions generally help form a bond with the patient, make the patient feel welcomed and believe of getting the assist in the society and until the patient talks, many discoveries are found; it helps in being keen in a diagnosing disease. After treatment, make sure that the patient is lying in the best position to help in blood flow. Administration of correct medication is very sensible; it alters both emotional response and perception. Education of management of pain is necessary since it helps the patient manage and understand pain. Speak to the patient in the best tone and helpful manner to help decrease the patients’ pain. General give right approach and conducive environment for the patient, it is an important part of therapy.
Anxiety r/t DVT diagnosis
Write a report of how the patient behaved, the medication you administer and his response to the treatment. Take some time with him to know his discomfort and fear distress. Be aware of the pain the patients go through, for appropriate provision of a pain reliever. Provide emotional support and creating bond of trust. Ask him if he has any additional discussion before leaving to give opportunity of sharing psychosocial issues. Ensure you get Mr. Harry support for his care; reach the family if possible by phone call. Lastly I had to give him plus the family assurance of relief and recovery to avoid stress the patient and his family.
Ensure you re-check and perform blood test to determine the decreasing or increasing of the blood clotting. Check on Hi HP, BP and other laboratory tests necessary to ensure no effects of the disease in his system and determine his condition. Patient’s pain scale must be accessed so that if it is high, it is necessary to be reduced; it also determines recovery of the patient or new development.
The goal of treatment for DVT is to avoid the clot from expanding, because if it continues to grow, the patient goes that more additional pain and the swelling enlarges (Beckman et al.2010). The treatment also ensures that the blood clot does not get out of control and flows through the veins to the lungs, as well as helping the reduction of possibilities of formation of other blood clot forming.
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