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SKIN CARE-FEET AND LEGS
NURSING DIAGNOSES: Impairment of skin integrity related to dry, flaky and/or hypertrophic skin of feet and legs.
OUTCOME STANDARDS: Patient attains/maintains intact, pliable skin on feet and legs. Prevention of callus build-up, cracking and/or ulceration on feet and legs.
PROCESS STANDARDS:
- Assessment
- Present skin condition
- Nutrition and hydration status
- History of vascular disease
- Treatment of vascular disease
- Intervention
- Inspect feet and legs daily
- Assure adequate nutrition and fluid intake
- Monitor medical management of vascular disease
- Provide Foot Care
- Keep feet and legs clean and well lubricated.
- Do not soak feet. After bathing, dry thoroughly, especially between toes.
- Monitor medical management of vascular disease.
- After bathing, apply a thin coat of lubricating cream. (i.e. Lantiseptic Therapeutic Cream or Lantiseptic Skin Protectant)
- Document skin condition and treatment at least daily.
- If areas ulceration occur notify MD within 8 hours to assure appropriate wound care.
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