HOME CARE FOR VENOUS ULCER MEDIATED BY THE TRILHA TRAINING PROGRAM: CHALLENGES, CLINICAL PROGRESS, AND COMPETENCY DEVELOPMENT

Abstract

Introduction: Venous ulcers (VU) account for the majority of lower limb lesions and have a chronic course, difficult healing, and high recurrence. Although structured home care has the potential to improve adherence and reduce complications, its continuity remains challenging. This study aims to understand how such care can favor the clinical evolution of VU, guided by the question: how do the Nursing Process and the TRILHA Training contribute to clinical improvement and the development of competencies? Objective: To report the experience of home care for an elderly patient with a venous ulcer, based on the Nursing Process and TRILHA Training. Methodology: This is a qualitative experience report conducted at the home of an elderly patient in Maceió. Data were collected through direct observation, supervised care, and records in a field diary, clinical chart, and photographs. Thematic Content Analysis was employed, with source triangulation. Results: The combination of the Nursing Process and the TRILHA method structured care, favoring pain control, reduction of exudate, and progressive improvement of the wound bed. Communication adapted to cognitive limitations and the therapeutic bond strengthened patient and family adherence, as well as continuity of care. Conclusions: Structured home care proved effective in the clinical evolution of the venous ulcer and promoted the development of clinical reasoning, communication skills, and understanding of territorial challenges. As a limitation, this is a single case, highlighting the need to expand analyses of structured home care interventions.