Varicose Vein & Nursing

Management

GROUP 3
NOR FAEZIAH BT JAAFAR (1318552)
NUR SYAZWANI BT ARUDIN (1315620)
ILYANI NADZIRAH BT AZMI (1319078)
FAIZAH BT CHE MAT ZI (1319680)
NUR SYAHIRAH BT MOHD RAFI (1313148)
NUR MAIZATUL NAJIHAH BT AZMI (1312660)

Objectives
To define the meaning of varicose vein
To know the types of varicose vein
To list out the risk factors and causes of
varicose vein
To describe the pathophysiology of
varicose vein in pregnant women
To explain the nursing management and
give education on home management
To inculcate Islamic value during pregnancy

Contents

Introduction
Types of varicose veins
Risk factors
Causes
Pathophysiology
Nursing management
Home management
Complications

Introduction
Dilated, swelled leg veins
with back flow of blood
caused

by

incompetent

valve closure, which results

in venous congestion and
vein enlargement

Varicose veins

Types of varicose vein

Primary varicose veins

Types of varicose vein

Primary varicose veins

Secondary varicose veins

Types of varicose vein

o Primary varicose veins
o Secondary varicose veins:
Hemorrhoids

Types of varicose vein

o Primary varicose veins
o Secondary varicose veins:
Hemorrhoids
Esophageal varices

Types of varicose vein

o Primary varicose veins
o Secondary varicose veins:
Hemorrhoids
Esophageal varices
Varicocele

Risk factor
Genetics
Age
Gender
Pregnancy
Overweight and obesity
Posture

Causes
During pregnancy, the growing baby,
the placenta and uterus (womb) all
weigh down on the veins in the pelvis,
as well as on the large vein (inferior
vena cava)

Pathophysiology
weight during pregnancy

venous pressure

Dilation of veins (progesterone relax blood vessels)

Valves stretched

Incompetent valve

Reverse blood flow

Calf muscles fail to pump blood

Venous distention

Clinical manifestations

Enlarged veins that are visible on skin

Mild swelling of ankles and feet

Painful, achy, or heavy legs

Throbbing or cramping in legs

Itchy legs, especially in the lower leg and ankle

Discoloration of skin surrounding the varicose veins

Nursing management

Acute painrelated to tissue ischemia

Impaired skin integrity related to

vascular insufficiency

Impaired physical mobilityrelated to

activity limitations

Nursing diagnosis

Expected
outcome

intervention

Rationale

Acute painrelated
to tissue ischemia
as evidence by
pain score 5/10

Pain will be
reduced to 3/10

1)Assess the
degree of pain.
Note the
behaviour of
protecting the
extremities.

1)Degree of pain
is directly related
to the extent of
the circulation
shortfall, the
inflammatory
process.

2) Maintain bed
rest during the
acute phase.

2) Decrease
discomfort in
relation to muscle
contraction and
3) Elevate the
movement.
affected
3) Pushing to
extremity.
facilitate venous
return circulation,
reduce static
4) Encourage the
formation.
patient tochange
4) Reduce /
positionsfrequent
prevent muscle
ly.
weakness, helps
minimize muscle

Nursing
diagnosis

Expected
outcome

intervention

Impaired skin
integrity
related to
vascular
insufficiency
as evidenced
by itching

Maintain
the
integrity
of the
skin.

1) Assess skin
integrity, record
changes in turgor,
color noise, local
warm, erythema,
excoriation.

2) Assess the
extremities for venous
obvious protrusion.
3) Change position
often, and avoid
massaging the
affected limb.
4) Range of motion
exercises help to
passive or active.
5) Perform warm

Rationale
1) Skin condition is
influenced by
circulation, nutrition,
and immobilization.
Tissue can become
brittle and prone to
infection and
damage.
2) Superficial
venousdistensionmay
occur
becausebackflowthrou
gh the veins branching.
3) Improve circulation,
massage the potential
to solve / deploy
thrombus causing
embolus.
4) Improves circulation
of body tissue, prevents
stasis.

Nursing
diagnosis

Expected
outcome

intervention

Rationale

Impaired
physical
mobilityrelate
d to activity
limitations as
evidence by
pain.

Demonstrate
techniques /
behaviours
enabling
activities.

1) Maintain
properbody
position.

1) Improving tissue
stability (reducing the
risk of injury), the
functional position of
the extremities.
2) Edema can affect
circulation to the
extremities so that the
potential occurrence of
tissue necrosis.
3) Improve
maintenance of tissue
function.

2) Note the
circulation,
movement and
sensation are
frequent.
3) Assist with range
of motion active /
passive.
4) Schedule of
activities and
treatments to
provide
uninterrupted rest
period.
5) Encourage the

4) Prevent fatigue,
maintain strength and
patient tolerance of the
activity.
5) Enabling a family /
significant other to be
active in patient care
and provide more

Complications
Superficial thrombophlebitis

Complications
Superficial thrombophlebitis
Lipodermatosclerosis

Complications
Superficial thrombophlebitis
Lipodermatosclerosis
Venous ulceration

Complications
Superficial thrombophlebitis
Lipodermatosclerosis
Venous ulceration
Venous eczema

Home Management
Conservative management
- Elevation of the legs
- Avoid prolonged sitting & standing
- Compression stockings
- Exercise
- Avoid crossing leg
- Lose weight

Conclusion
It is important for the mother to take care of
herself during pregnancy so that the growing baby
is healthy.
In Islam, husband is encourage to do housework to
reduce the wifes workload.
Ibn `Abbas (may Allah be pleased with him) narrated
that the Prophet (peace and blessings be upon him)
said:"The best among you is the best towards his
wife, and I am the best of you to my wives."
(Ibn Majah and authenticated by Al-Albani)

References
BabyCentre. (2013). Varicose Veins in Pregnancy.
Retrieved on October 9, 2015 from
http://www.babycentre.co.uk/a271/varicose-veinsin-pregnancy.
Black & Hawk. (2012). Medical-Surgical Nursing.
Saunders publication; p.1426-27.

NCP NANDA(2012);Varicose Vein Care Plan.

Retrieved on October 9, 2015 from
http://www.ncpnanda.top/2013/01/varicoseveins-5-nursing-diagnosis-and.html