Fundamentals of Nursing-(Foot)
Date Submitted: 01/23/2003 14:22:03
Pes Cavus
Pes cavus (clawfoot) refers to a foot with an abnormally high arch and a fixed equinus deformity of the forefoot (see Fig. 626). The shortening of the foot and increased pressure produce calluses on the metatarsal area and on the dorsum (bottom) of the foot. CharcotMarieTooth disease (a peripheral neuromuscular disorder associated with a familial degenerative disorder), diabetes mellitus, and tertiary syphilis are common causes of pes cavus. Exercises are prescribed to
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and absence of infection.
Nursing Interventions
Promoting Tissue Perfusion
Neurovascular assessment of the exposed toes every I to 2 hours for the first 24 hours is essential to monitor the function of the nerves and the perfusion of the tissues. If the patient is discharged within several hours of the surgery, the nurse teaches the patient and family how to assess for swelling and neurovascular status (circulation, motion, sensation). Compromised neurovascular function can increase the patient's pain.
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