(2)
Teach the patient to recognize the signs and symptoms of PVD.
(a) Decreased skin temperature.
(b) Decreased venous and capillary filling.
(c)
Diminished or absent pulses.
(d) Skin that appears thin and shiny.
(e) Loss of hair on the back of the hand or dorsum of the foot.
(f)
Thick and ridged toenails.
(3)
Discuss methods of promoting good circulation.
(a) Daily exercise to improve circulation. Walking is the best exercise.
(b)
Keep feet warm. Use socks, blankets, etc.
(c)
Do not sit or lie with legs crossed.
(d)
Do not use stockings or garters with tight elastic bands.
(4)
Instruct patient to thoroughly inspect and properly care for his feet.
(a)
Soak feet for about five to ten minutes each day to keep the skin
(b) Dry feet thoroughly and apply lotion.
(c)
Inspect the feet for cuts, scrapes, sores, blisters, or other skin
changes.
(d) Emphasize that no foot problem should be self-treated. The patient
must always seek the care of a physician.
h. The patient must be made aware of the complication of infection.
(1) Impaired circulation and decreased oxygen to body tissue results in slow
and lengthy healing times as well as an increase in the likelihood of serious infection.
(2)
Teach the patient to observe for signs of infection.
(3)
Teach the patient to prevent infection.
MD0918
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