Nursing Care Plan for Varicose Veins

Varicose Veins Nanda Diagnosis

Varicose veins are twisted, enlarged veins near the surface of the skin. They are most common in the legs and ankles. They usually aren't serious, but they can sometimes lead to other problems.

In normal veins, valves in the vein keep blood moving forward toward the heart. With varicose veins, the valves do not function properly, allowing blood to stay in the vein. Blood that pools causes the vein to swell.

This process usually occurs in the veins of the legs, although it may occur in other parts of the body. Varicose veins are common, but they usually affect women.

Causes include:
  • Defective valves from birth (congenitally defective valves)
  • Pregnancy
  • Thrombophlebitis
Standing for a long time and having increased pressure in the abdomen may lead to varicose veins, or may make the condition worse.

Varicose veins look dark blue, swollen, and twisted under the skin. Some people do not have any symptoms. Mild symptoms may include:
  • Heaviness, burning, aching, tiredness, or pain in your legs. Symptoms may be worse after you stand or sit for long periods of time.
  • Swelling in your feet and ankles.
  • Itching over the vein.

More serious symptoms include:
  • Leg swelling.
  • Swelling and calf pain after you sit or stand for long periods of time.
  • Skin changes, such as: Color changes, Dry, thinned skin, Inflammation, Scaling.
  • Open sores, or you may bleed after a minor injury.
Home treatment may be all you need to ease your symptoms and keep the varicose veins from getting worse. You can:
  • Wear compression stockings pop out .
  • Prop up (elevate) your legs.
  • Avoid long periods of sitting or standing.
  • Get plenty of exercise.

If you need treatment or you are concerned about how the veins look, your options may include:
  • Sclerotherapy to close off the vein.
  • Laser treatment to destroy the vein.
  • Radiofrequency treatment to close off the vein.
  • Surgery to tie off or remove the vein.

Nursing Care Plan for Varicose Veins

Assessment for Varicose Veins
  1. Assess the degree and type of pain.
  2. The level of activity, movement disorders: the causes, signs, symptoms and effects of movement disorders.
  3. Assess the quality of peripheral pulses.
  4. Temperature changes in both lower limbs.
  5. Check the edema and the degree of edema, especially in both lower limbs.
  6. Assess nutritional status.
  7. History of previous disease-related.

Nursing Diagnosis for Varicose Veins
  1. Acute pain related to tissue ischemia secondary.
  2. Impaired skin integrity related to vascular insufficiency.
  3. Impaired physical mobility related to activity limitations due to pain.
  4. Imbalanced Nutrition, Less Than Body Requirements related to increased metabolic needs.
  5. Disturbed Body Image related to varicose veins.


  1. "Symptoms of Varicose Veins and Spider Veins

    Many patients with varicose veins complain of pain, described as an aching or cramping in the legs. Other common symptoms include tiredness, restlessness, burning, throbbing, tingling, or heaviness in the legs. Pain caused by varicose veins is usually relieved by elevating the legs or by wearing support hose.

    In women, symptoms may be worse during certain parts of the menstrual cycle or during pregnancy. Patients also may develop swelling, ulcers (deep sores), and an increase in the pigmentation or darkening of the color of their skin, especially in the ankle region. Occasionally, varicose veins can form a painful blood clot with inflammation of the vein called thrombophlebitis."
    "Treatment Options for Varicose Veins and Spider Veins

    There are seven major forms of treatment for varicose veins and spider veins.

    1. Support Stockings. The most conservative approach is simply to wear properly-fitting support hose, especially when the veins cause painful or uncomfortable symptoms. These stockings can generally be purchased at any surgical supply store and at some pharmacies. They come in below-the-knee, above-the-knee, and pantyhose styles.

    2. Lifestyle changes. Good skin hygiene, weight loss (if needed), and walking can help treat varicose veins and spider veins.

    3. Sclerotherapy. This procedure, which has been available since the 1930s, is another treatment option. This procedure uses a highly concentrated saline (salt) solution or a specially made detergent that is injected directly into the vein, causing the vein to disappear gradually over three to six weeks. The procedure is simple, relatively inexpensive, and can be performed in an outpatient setting."

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  4. We can avoid varicose vein by do regular exercise, try to avoid tight clothes and keep avoid cross the legs when sitting.