Protocol Proposal For The Care Of The Person With Venous Ulcer

Objective: To propose a care protocol for the care of the person with a venous ulcer in highly complex services. Methods and results: This is a methodological study, in three stages: literature review, validation of content and validation in the clinical context. The literature review was carried ou...

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Veröffentlicht in:International archives of medicine 2017-02, Vol.10
Hauptverfasser: Neves Dantas, Rodrigo Assis, Vieira Dantas, Daniele, De Vasconcelos Torres, Gilson, Duarte de Almeida Quithé, Quinídia Lúcia, Barros Ribeiro, Katia Regina, Lima Vasconcelos, Ellen de Fátima, Alves de Brito, Tiago, Aiquoc, Kezauyn Miranda, De Souza dos Santos, José Joandson, Tarquinio de Carvalho, Izabelle Cristine, Bezerra Costa, Izabelle, Araújo do Nascimento, Rayane, Silva Vieira, Natália Raiane, De Lima Silva, Gabryelle, Medeiros Bezerra, Dayse, Souza do Nascimento, Maria Marinah, Moreira de Lima, Maria Solange, Medeiros da Costa Dias, Jaciana, Lima Vasconcelos, Emily de Fátima, Braga Coutinho Cunha, Isabelle Cristina, Carneiro Fonseca, Michelle, Balbino da Silva, Sergio
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container_title International archives of medicine
container_volume 10
creator Neves Dantas, Rodrigo Assis
Vieira Dantas, Daniele
De Vasconcelos Torres, Gilson
Duarte de Almeida Quithé, Quinídia Lúcia
Barros Ribeiro, Katia Regina
Lima Vasconcelos, Ellen de Fátima
Alves de Brito, Tiago
Aiquoc, Kezauyn Miranda
De Souza dos Santos, José Joandson
Tarquinio de Carvalho, Izabelle Cristine
Bezerra Costa, Izabelle
Araújo do Nascimento, Rayane
Silva Vieira, Natália Raiane
De Lima Silva, Gabryelle
Medeiros Bezerra, Dayse
Souza do Nascimento, Maria Marinah
Moreira de Lima, Maria Solange
Medeiros da Costa Dias, Jaciana
Lima Vasconcelos, Emily de Fátima
Braga Coutinho Cunha, Isabelle Cristina
Carneiro Fonseca, Michelle
Balbino da Silva, Sergio
description Objective: To propose a care protocol for the care of the person with a venous ulcer in highly complex services. Methods and results: This is a methodological study, in three stages: literature review, validation of content and validation in the clinical context. The literature review was carried out from June to August/2011, being the basis for the construction of the Protocol for Venous Ulcers. The content validation included 53 judges (44 nurses, 8 physicians and 1 physiotherapist) selected through the Lattes platform to evaluate the items of the protocol. Validation in the clinical context occurred at the University Hospital Onofre Lopes, in Natal/RN with four judges (nurses), who worked in pairs, evaluating 32 patients with venous ulcers. The protocol was validated with 15 categories: sociodemographic data; anamnesis; examinations; ulcer characteristics; care with the lesion and perilesional area; medicines used to treat the lesion; evaluation and treatment of pain; surgical treatment of chronic venous disease; recurrence prevention (clinical and educational strategies); reference; counter-reference; and quality of life. Conclusion: The validated protocol regarding content and clinical context was applicable. Its implementation is a viable measure that assists in the reorientation of the team in high complexity services, aiming at wound healing and restoration of the patient´s integral health. Keywords: Varicose ulcer; Tertiary Health Care; Protocols; Validation studies.
doi_str_mv 10.3823/2293
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Methods and results: This is a methodological study, in three stages: literature review, validation of content and validation in the clinical context. The literature review was carried out from June to August/2011, being the basis for the construction of the Protocol for Venous Ulcers. The content validation included 53 judges (44 nurses, 8 physicians and 1 physiotherapist) selected through the Lattes platform to evaluate the items of the protocol. Validation in the clinical context occurred at the University Hospital Onofre Lopes, in Natal/RN with four judges (nurses), who worked in pairs, evaluating 32 patients with venous ulcers. The protocol was validated with 15 categories: sociodemographic data; anamnesis; examinations; ulcer characteristics; care with the lesion and perilesional area; medicines used to treat the lesion; evaluation and treatment of pain; surgical treatment of chronic venous disease; recurrence prevention (clinical and educational strategies); reference; counter-reference; and quality of life. Conclusion: The validated protocol regarding content and clinical context was applicable. Its implementation is a viable measure that assists in the reorientation of the team in high complexity services, aiming at wound healing and restoration of the patient´s integral health. 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The protocol was validated with 15 categories: sociodemographic data; anamnesis; examinations; ulcer characteristics; care with the lesion and perilesional area; medicines used to treat the lesion; evaluation and treatment of pain; surgical treatment of chronic venous disease; recurrence prevention (clinical and educational strategies); reference; counter-reference; and quality of life. Conclusion: The validated protocol regarding content and clinical context was applicable. Its implementation is a viable measure that assists in the reorientation of the team in high complexity services, aiming at wound healing and restoration of the patient´s integral health. 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