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Deep Vein Thrombosis Case Study

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Deep Vein Thrombosis (DVT) is a serious medical condition that affects certain hospitalized patients. The healthcare team, especially the registered nurse, must understand what this condition entails, who it affects, and how to prevent and treat this condition. The proper knowledge and training will allow the registered nurse to be able to keep the patients safe and help prevent complication from deep vein thrombosis.
A DVT is a blood clot that can occur anywhere in the body, but these blood clots tend to occur in the deep veins of the legs and thighs. It is critical that these clots are diagnosed and treated promptly to prevent further complications such as a pulmonary embolism, which occurs when a blood clot travels from the lower extremities
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The registered nurse must be observant of any clinical signs that require further assessment such as the signs and symptoms stated earlier in this paper. Previously, nurses were taught to use the Homan’s sign to assess for a DVT. After extensive research, it has been found that the Homan’s sign is not as effective as previously documented. Therefore, after additional research, the registered nurse can use the Wells model when assessing a patient for a DVT. The Wells model is a numerical scale similar to other scales used within the nursing practice and consists of a scoring system that predicts the likelihood of a DVT. The Wells model assesses for the following criteria: if a patient has active cancer, any paralysis, if the patient has been bedridden for more than 3 days or had a major surgery within the last 4 weeks, Is the patient experiencing any local tenderness, any swelling or pitting edema in the leg or calf, or is there an alternative diagnosis that is more likely than a DVT. These areas are scored with a number 1 if positive and a 0 if negative. A score of 3 or more would indicate a high probability for a DVT. A score of 1 or 2 would indicate a moderate probability, and a score of 0 would indicate a low probability of a DVT. When doing an assessment, the registered nurse can quickly use the Wells model to determine if further assessment is
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