| Cause and contributing factors (184701): Patient knows the causes and factors that contribute to the development and relapse of VU. |
Ask the patient if he knows the causes and factors contributing to the development and relapse of VU. The patient is expected to answer: - Report genetic factors, overweight, multiple pregnancies, female sex, decompensated chronic conditions; - Be a smoker; - Suffer from diseases with circulatory problems; - Present failure of the calf muscle due to age and sedentariness; Include: not using compression therapy after healing / not performing skin hydration and avoiding traumas / not performing ankle flexion and extension exercises / not raising lower limbs - Not performing compression therapy, skin hydration, lower limb raising, isometric lower limb exercises. Include: not using compression therapy after healing / not performing skin hydration and avoiding traumas / not performing ankle flexion and extension exercises / not raising lower limbs Include: not using compression therapy after healing / not performing skin hydration and avoiding traumas / not performing ankle flexion and extension exercises / not raising lower limbs |
1. Patient is unable to report the causes and factors contributing to the development and relapse of VU; 2. Patient reports one cause and/or factor contributing to the development and relapse of VU; 3. Patient reports two causes and/or factors contributing to the development and relapse of VU; 4. Patient reports three causes contributing to the development and relapse of VU; 5. Patient reports more than three causes and/or factors contributing to the development and relapse of VU and describes them properly. |
| Benefits of disease management (184703) Patient knows the benefits of chronic disease – CVI management in his daily and social life. |
Ask the patient if he knows the benefits of CVI management. The patient is expected to answer: - Perform self-care without constraints; - Perform habitual and social activities; - Walk unrestrictedly; - Achieve wound healing and prevent relapse; - Reduce pain; - Prevent circulatory complications such as thrombosis. |
1. Patient is unable to report the benefits of CVI management; 2. Patient reports one benefit of CVI control; 3. Patient reports two benefits of CVI control 4. Patient reports three benefits of CVI control; 5. Patient reports more than three benefits of CVI control and describes them properly. |
| Signs and symptoms of chronic disease (184704): Patient knows the signs and/or symptoms of CVI. |
Ask the patient if he knows the signs and symptoms of CVI. The patient is expected to answer: - Present varicose veins; telangiectasia; edema; hyperpigmentation; eczema; venous ulcer; - Feeling pain in lower limbs: feeling of fatigue and weight in the lower limbs; pruritus and heat in the lower limbs. |
1. Patient does not know any sign and/or symptom of CVI; 2. Patient knows at least one sign and/or symptom of CVI; 3. Patient knows two signs and/or symptoms of CVI; 4. Patient knows three signs and/or symptoms of CVI; 5. Patient knows more than three signs and/or symptom of CVI and describes them properly. |
| Strategies to prevent complications (184707): Patient knows the care to prevent the complications of CVI, VU and relapse. |
Ask the patient if he knows the strategies to prevent complications of CVI, VU and relapse. The patient is expected to answer: - Weight management; - Avoid smoking; - Manage other chronic conditions; - Appropriate fluid volume intake; - Skin hydration in lower limbs; - Protect feet and limbs to avoid lesions; - Rest and raise the lower limbs; - Use indicated compression therapy with periodical replacements; - Follow-up with health professional; - Perform isometric exercises of the lower limbs; - Walk periodically. |
1. Patient does not know the strategies to prevent complications of CVI, VU and relapse; 2. Patient mentions knowing one strategy to prevent complications of CVI, VU and relapse; 3. Patient mentions knowing one strategy to prevent complications of CVI, VU and relapse; 4. Patient knows three strategies to prevent complications of CVI, VU and relapse; 5. Patient clearly describes and knows more than three strategies to prevent the complications of CVI, VU and relapse; |
| Strategies to balance activity and rest (184708): Patient knows the strategies to balance activity and rest in CVI management. |
Ask the patient if he knows the strategies to balance activity and rest in CVI control. The patient is expected to answer: - Perform isometric exercises of the lower limbs; - Walk regularly using compression therapy as indicated; - Raise lower limbs above the level of the heart; - Mix physical activities with rest; - Avoid long periods sitting or standing.. |
1. Patient does not know the strategies to balance activity and rest in CVI control; 2. Patient knows one strategy to balance activity and rest in CVI control; 3. Patient knows two strategies to balance activity and rest in CVI control; 4. Patient knows three strategies to balance activity and rest in CVI control; 5. Patient knows more than three strategies to balance activity and rest in CVI control and describes them properly. |
| Strategies to manage pain (184709): Patient knows pharmacological and non-pharmacological actions for pain management. |
Ask the patient if he knows the pain management strategies. The patient is expected to answer: - Follow analgesic therapeutic plan; - Use music therapy and relaxation; - Perform effective distraction technique; - Provide a calm environment; - Perform breathing exercises; - Perform massage, movements and stretching of the limb; - Raise lower limbs; - Take a comfortable position; - Maintain the dressing occluded using anti-adhesive and moist material on the VU. |
1. Patient does not know pain management strategies; 2. Patient knows and describes one pain management strategy; 3. Patient knows and describes two pain management strategies; 4. Patient knows and describes three pain management strategies; 5. Patient knows and properly describes more than three pain management strategies; Continue... |
| Procedures involved in treatment regimen (184717): Continuation. Patient knows the procedures involved in the treatment regimen for CVI and VU. |
Ask the patient if he knows the procedures involved in his treatment regimen for CVI and VU. The patient is expected to answer: - Use compression therapy daily and correctly with periodical replacements; - Perform programmed walks and exercises to strengthen the calf muscle; - Raise the lower limbs regularly; - Avoid smoking; - Manage one’s weight through appropriate diet and hydration; - Manage chronic conditions such as hypertension and diabetes; - Perform hydration and protective care of the lower limbs; - Perform care for VU dressing and according to the health team’s instructions; - Comply with the medication regimen; - Follow-up with a health professional. |
1. Patient does not know the procedures involved in the treatment regimen for CVI and VU; 2. Patient knows one procedure involved in the treatment regimen for CVI and VU; 3. Patient knows two procedures involved in the treatment regimen for CVI and VU; 4. Patient knows three procedures involved in the treatment regimen for CVI and VU; 5. Patient knows more than three procedures involved in the treatment regimen for CVI and VU and describes them properly. |
| Personal responsibilities for treatment regimen (184718): Patient knows his responsibilities in VU prevention and treatment. |
Ask the patient if he knows his responsibilities to prevent and treat VU. The patient is expected to answer: - Comply with the medication regimen; - Attend the consultations with health professionals; - Perform care for CVI and/or VU prevention and treatment in accordance with health professionals’ advice; - Comply with lifestyle changes as recommended; - Seek resources for his treatment. |
1. Patient does not know what he has to do and which are his responsibilities to prevent and treat VU; 2. Patient knows at least one responsibility to prevent and treat VU; 3. Patient knows two responsibilities to prevent and treat VU; 4. Patient knows three responsibilities to prevent and treat VU; 5. Patient knows more than three responsibilities to prevent and treat VU and describes them properly. |
| Financial resources for assistance (184725): Patient knows how to seek and which are the resources for assistance in CVI and/or VU prevention and treatment. |
Ask the patient if he knows how to seek and which resources are necessary for CVI and/or VU prevention and treatment. The patient is expected to answer: - Replace elastic stockings and/or compression bandages periodically; - Purchase materials for dressing and skin hydration, - Use appropriate and comfortable pants; - Seek resources for healthy diet; - Purchase medication according to doctor’s prescription; - Get transportation to health services; - Have an available companion with resources for his/her food and transportation needs; - Seek social support for CVI and/or VU prevention and treatment: health service, public defense office; - Seek personal and Family support for the prevention and treatment of CVI and/or VU. |
1. Patient does not know social and personal resources for CVI and/or VU prevention and treatment; 2. Patient knows and seeks, but is unable to get social and personal resources for CVI and/or VU prevention and treatment; 3. Patient knows, seeks and partially manages to get social and personal resources for CVI and/or VU prevention and treatment assistance; 4. Patient knows, seeks and manages to get most social and personal resources for CVI and/or VU prevention and treatment assistance; 5. Patient knows, seeks and manages to get social and personal resources for CVI and/or VU prevention and treatment assistance. |
