TREATMENT OF CHRONIC WOUNDS IN USE WITH SOCIAL VULNERABILITY

Introduction and goal: Venous ulcers can be difficult to heal, being responsable for 70 to 90% of vasculogenic ulcers. Are one of the symptoms of venous insufficiency characterized by venous reflux due to incompetence of the valves present in the venous network. This lesion is approximately 70% of the wounds which the primary attention have careful in area programmatic 5.1. Method : Experience report describe treatment of venous ulcer of user with social vulnerability that have access to a clinic of the family in the city of Rio of Janeiro in area programmatic 5.1 and that during treatment was in street situation. Result and Conclusion: D.A.C, 57 years, smoking, deny alcoholism and comorbidity, with venous ulcers in throughout circumference until the average-third to one year. Accompanied by the family health staff in conjunction with the staff street office was requested shelter and removal of documents by CREAS. On adimission, it was prescribed antibiotics. Treatment with topical collagenase and mineral oil in injuries daily. It takes up with the solution of cholorhexidine degermante diglioconato 2% and serum physiological 0,9% in the first week, because the hygiene conditions. With the improvement of the clinical condition, treatment with serum physiological 0,9% and mineral oil. Later three months of treatment user directing the shelter, with the wound in the lateral region of the feet. Considering the use health needs that pervaded the health sector, we see effective treatment, low cost, providing better quality of life.