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- Optimize venous return. Elevate legs above the level of the heart, compression therapy (stockings, bandages, pumps), exercise (walking), weight management (sensible eating to avoid being overweight), smoking cessation.
- Treat infection. Consult with physician to determine need for antibiotic therapy, debridement, cleansing, and dressing approach.
- Debride. This is based upon condition of the wound and patient. Methods of debridement include autolytic, mechanical, sharp, and enzymatic.
- Perform daily skin inspection and care. This may include cleansing, moisturising, and use of protective barriers.
- Provide adequate nutritional intake.
- Manage pain.
- Provide education to patient, family, and caregiver.
- Document assessments and interventions.
- Reassess at regular intervals per agency protocol.
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