Introduction:

A venous ulcer is a skin lesion that affects the lower third of the legs, accounting for about 70-90% of cases of ulcers in the lower limbs.

Objective:

To identify the main nursing interventions, diagnoses, and results in outpatients with venous ulcers, according to the NANDA-I, NOC and NIC classifications.

Methods:

Descriptive and cross-sectional research, with a quantitative approach. The data were collected at the wound outpatient clinic of a University Hospital in Rio de Janeiro, between April and May 2015. The population was 302 patients and the sample consisted of 20 patients with venous ulcers. To guide the data collection stage, we adopted a protocol already validated by experts and consisting of three sessions.

Results:

18 nursing diagnoses/nursing results were found; the significant ones were impaired tissue integrity/wound healing (second intention) (100%) and ineffective peripheral tissue perfusion/tissue integrity (100%), as well as 45 activities.

Conclusion:

The identification of nursing diagnoses directs the nursing care process, ad favors the planning of results and specific and individualized interventions that meet the affected human needs of these individuals.

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