The venous hypertension ulcers constitute the largest percentage (between 75% and 90%) among the total of the veins. Because of its high incidence (between you 2% and 3% of the population) their care, are in some studies 50% of the total time in primary care nursing.
Chronicity and recurrence are the most relevant clinical characteristics, half are open over nine months, 20% are up to two years, and 10% to five, with relapse a third of the originally healed within twelve months of healing.
They are generally treated mostly in the outpatient setting, although there are worse criteria that require consultation or hospitalization:
- Ulcers very extensive, up from 10 to 12 cm., With great loss of substance.
- Presence of severe edema.
- Regional signs of infection, lymphangitis or cellulitis.
- Excessive pain.
It is crucial to perform a thorough history of the patient, especially to investigate personal, employment and associated risk factors. (more…)