Recurrent DVT: A Case Study

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Introduction Mrs Beecham’s condition requires immediate attention and frequent monitoring during hospitalisation to prevent and reduce the risk of further damage to Mrs Beecham’s future health. The risk of recurrent DVT is high post hospitalisation. Therefore, it is crucial to educate Mrs Beecham how to identify recurrent symptoms of DVT and when to seek medical attention, to discuss the complications of untreated DVT, encourage lifestyle changes, importance of continuous thrombolytic therapy and compression therapy. Recurrent DVT is influenced by risk factors such as immobility, smoking, diabetes and age. Effective discharge planning is crucial to Mrs Beecham’s care particularly when the patient is at risk of recurrent DVT. The general …show more content…
Studies have established significant diabetes-related abnormalities in coagulability and endothelial function. Diabetes mellitus has been considered as a potential risk factor for idiopathic (unknown cause of disease) Deep Vein Thrombosis (DVT) (karim Gariani, 2016). Moreover, DVT is a frequent and potentially fatal complication of patients with COPD. Deep Vein Thrombosis account for many deaths in patients with chronic obstructive pulmonary disease (COPD) (Victor F. Trapson, 2005). The potential influence of inflammation on coagulation offers further potential to contribute to thrombogenesis in all smokers. Plasma fibrinogen levels are elevated in smokers and are further elevated during acute COPD exacerbation.

Research has also shown that DVT can occur as a result of prolonged immobility, especially in the elderly. The superficial veins and the deep veins are the two major groups of veins in the leg. The function of these veins is to return venous blood upward to the heart. These veins also have many one-way valves that keep the blood from flowing back down. Restriction of blood flow from the legs causes a build-up of pressure, which in turn forces fluid into the leg called oedema. Therefore, thrombus formation occurs when there is a reduced of blood flow due to physical inactivity (‘Deep Vein Thrombosis’,

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