Chronic venous disease and venous leg ulcers: An evidence-based update
Chronic venous disease (CVD) is a complex chronic vascular condition with multifaceted primary and secondary etiologies leading to structural and functional changes in veins and valves and blood flow of the lower legs. As a consequence, a spectrum of clinical manifestations arise, ranging from symptoms of mild leg heaviness and achiness to debilitating pain, and signs of skin changes, such as eczema and hemosiderosis, to nonhealing, heavily draining venous leg ulcers (VLUs). Triggers such as trauma to the skin are responsible for a large majority of VLU recurrences. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Authors: Teresa J. Kelechi, Jan J. Johnson, Stephanie Yates Tags: Article Source Type: research
From the Editor's Perspective…
Caring for patients with vascular disease has always been a challenging and complex area of care for both nursing and other healthcare disciplines. In the last decade, we have seen major changes in the provision of our health care. The development of evidence-based knowledge and skills as well as technological advances has greatly enhanced our nursing practice and overall disease management. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Tags: Perspectives Source Type: research
Translumbar inferior vena cava catheter: An unconventional dialysis access
As of December 2012, nearly 449,342 people in the United States were being treated for end-stage renal disease with dialysis; >90% of these patients were treated with hemodialysis (HD) and the minority was treated with peritoneal dialysis.1 Chronic HD is usually accomplished via a surgically created arteriovenous fistula, arteriovenous graft, or tunneled central venous catheter (CVC). Although use of a CVC is not optimal, >80% of patients in the United States initiate HD via a CVC.2 Traditionally, the jugular vein and subclavian veins are the most commonly used central veins for HD access. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Authors: Anne M. Foley Tags: Clinical Column Source Type: research
Review of article: A randomized trial comparing treatments for varicose veins by Julie Brittenden, MD, Seonaidh C. Cotton, PhD, Andrew Elders, MSc, et al (N Engl J Med 2014; 371:1218-27)
The investigators performed the Comparison of Laser, Surgery, and Foam Sclerotherapy (CLASS) trial. The purpose of the CLASS, multicenter, randomized, comparative effectiveness trial was to assess quality of life and other outcomes of treatment of varicose veins. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Authors: Lily Thomson Tags: Research Column Source Type: research
Iliofemoral deep vein thrombosis: Percutaneous endovascular treatment options
Venous thromboembolism is defined as an acute venous thrombotic event that targets two disease entities: deep vein thrombosis (DVT), pulmonary embolism, or both. The most common site of DVT origin is in the lower extremities, with 50% of patients exhibiting no symptoms. Although anticoagulation is the gold standard for DVT, early clot removal, especially of proximal iliofemoral DVT, is felt to reduce the incidence of postthrombotic syndrome (PTS) by preserving valve function. Up to one-half of all patients with an iliofemoral DVT treated only with anticoagulation subsequently develop long-term complications, including PTS....
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Authors: Kathleen Rich Tags: Article Source Type: research
Table of Contents
(Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Source Type: research
Information for Authors
(Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Source Type: research
Information for Readers
(Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Source Type: research
Vascular Trauma: The Power of Omission
Peripheral vascular traumas account for almost 80% of vascular injuries. The natural history of untreated vascular injuries will vary depending on the type and extent of the injury. A posterior knee dislocation is an important one to recognize, as a missed vascular injury may lead to limb loss. Posterior dislocation of the knee can result in complete severing or disruption of the popliteal artery. The gaps in accuracy of assessment and in timely transfer to vascular surgery have increased awareness of the importance of consistency in the assessment process and of ongoing monitoring to improve outcomes for this patient po...
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Authors: Bertha Hughes Tags: 2015 SVN National Conference Presentation Abstract Source Type: research
Physiological Amputation
Cryoamputation, or physiologic amputation, is used to stabilize a hemodynamically unstable patient resulting from acute limb ischemia. This procedure is not limb salvaging but can be used as a lifesaving procedure. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Authors: Jeri Long Tags: 2015 SVN National Conference Presentation Abstract Source Type: research
Postoperative Groin Wound Complications
Groin complications after arterial reconstructive surgery are at risk for infectious or lymphatic wound complications. Lymphatic complications are a serious challenge for a vascular surgery team. These complications have a significant health care utilization burden and increase the hospitalization, morbidity, and mortality of our patients. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Authors: Tiffany Street Tags: 2015 SVN National Conference Presentation Abstract Source Type: research
The Challenges of Providing Home Health Care for Vascular Patient
As healthcare costs continue to rise, the vascular patient with multiple comorbidities is faced with enduring an ever growing number of medical/surgical interventions which can now be performed as outpatient procedures or with a shortened length of hospitalization. In an effort to transition home, many of these patients require assistance from their families, but also home health care services and equipment. As health care providers, we must identify those patients who will benefit from home health care services, determine their needs, and develop an affordable care plan which will promote patient success. (Source: Journal...
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Authors: Dewey Moulton Tags: 2015 SVN National Conference Presentation Abstract Source Type: research
Measurement of Functional Status in Claudication
This presentation will describe the measurement of several commonly used objective and subjective measures of functional ability in patients with claudication. Relationships between measures will be reported and differences in these relationships by gender, age or disease severity will be examined to provide insight as to the most relevant method of measurement of functional ability in patients with claudication. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Authors: Diane Treat-Jacobson, Laura N. Kirk, Rebecca Brown, Noah Dietsch, Ruth Lindquist, Ulf Bronas Tags: 2015 SVN National Conference Presentation Abstract Source Type: research
Understanding Ischemic Pain in Peripheral Artery Disease
This session will help bring better understanding to the complexity of ischemic pain in the PAD patient, from a cellular level to research and practice implications. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Authors: Nicole Bohr Tags: 2015 SVN National Conference Presentation Abstract Source Type: research
Hyperbaric Therapy in Hospitalized Vascular Patient
This presentation will provide an overview of hyperbaric therapy in the hospitalized vascular patient including mechanism of action, indications for use and associated nursing interventions. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Authors: Kathleen Rich Tags: 2015 SVN National Conference Presentation Abstract Source Type: research
