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General Nursing Interventions
  • 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, moisturizing, 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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