circulatory stasis, and tissue hypoxia lead to an inflammatory reaction within the vessels which leads to remodeling of the skin and then ulceration (Huether, & McCance, 2012).The direct medical cost of CVD in the United States has been estimated to be between $150 million and $1 billion per year(Heller, J 2011). Treatment modalities are aimed at reducing venous valvular reflux, thereby inhibiting the ensuing pathologic inflammatory process. Treatment begins with taking a full patient history. The treatment should then be decided on based on the complexity of the complications. Uncomplicated patients are defined as mild to moderate symptoms without complication (Heller, J 2011). Uncomplicated patients are then treated with conservative therapy. Compression stockings are the first line treatment in conservative therapy (Heller, J 2011). It is important that patients are compliant with compression therapy. If a patient is compliant with therapy and it does not suffice then surgical intervention may be required (Heller, J 2011). To determine if aggressive treatment is warranted the provider should order a duplex examination to examine venous reflux (Heller, J 2011). If the
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- Spring '15
- Venous insufficiency, Huether, chronic venous insufficiency