What You Need To Know About Peripheral Vascular Diseases

In patients with diabetes and peripheral vascular disease, the primary aim of nursing care is to help reduce the incidence of foot and leg amputations. As a result, protect the patient’s legs and feet from even mild traumas that can result in inflammation, ulcers, and eventual loss of function.I strongly suggest you to visit the link to learn more about this.

Examine the patient’s legs and feet extensively for signs of damaged skin integrity, such as pressure areas or skin tears. If your patient has peripheral or autonomic neuropathy, she may have diminished touch, pain, or temperature sensations, so check her legs and feet for signs of breakdown on a regular basis. Check the pulses in her feet, the temperature of her feet, the capillary refill, and the colour of her skin. Examine her for any changes in sensation, such as numbness or tingling.

Ensure that the patient’s feet are well-cared for. Make sure she switches positions every 2 hours and does range-of-motion exercises if necessary to avoid pressure on her legs and feet. Wash her feet with warm water and a mild soap, then thoroughly dry them, particularly between her toes. Examine her feet every day and moisturise them, but not between her toes. Reduce the possibility of pressure injuries by using protective padding, foot cradles, or an alternating-pressure mattress. Avoid wearing elastic antiembolism stockings to avoid constriction and poor circulation.

Even if your patient’s movement is restricted, make sure she is wearing suitable footwear, even if only for short distances. Shoes or slippers that don’t fit properly will lead to more injury and lengthen her stay in the hospital.

Keep an eye on your patient for signs of inflammation, such as redness, swelling, or foul-smelling, purulent discharge. Any open or draining lesion should be cultured, and antibiotic therapy should be started as soon as possible. If your patient is on antibiotics, make sure she drinks at least eight 8-ounce glasses of water per day and monitor her renal function on a regular basis. To achieve mechanical debridement, apply a wet-to-dry dressing to an infected wound and change it several times a day. (Remember that the dressing aids in the removal of dead surface skin, which facilitates the growth of new tissue.) Dress the wound with an occlusive dressing to keep it moist and promote cell migration and healing if it isn’t infected.