i'm doing the same task... and i'm hung up on which to interventions to use for impaired perfusion... we are only allowed 2! so far i have (and they are only basic outlines)
1. assess for pain in the extremities, noting severity, quality, timing and exacerbating and alleviating factors. (however i assume this would be more thoroughly assessed had i used chronic pain and doesn't relate as much to this situation?)
2. keep the client warm and have the client wear socks and shoes or slippers while mobile. do not apply heat.
3. pay meticulous attention to foot care. (patient has thickened toenails and decreased sensitivity in toes... mb refer to podiatrist?)
- perform toe-up and point-flex exercises
- observe for signs of dvt, including pain, tenderness, or swelling in the calf and thigh, and redness in the involved extremity.
- note skin texture and the presence of hair, ulcers, or gangrenous areas on the legs or feet.
(i developed evaluation criteria for each already... but i can't decide which 2 are the best to use :s)
if anyone knows of any great literature on interventions on pad it would be appreciated
*sigh* 2000 words on justifying why we chose the 2 top priorities, the 1 goal and 2 interventions is not fun.
thanks in advance for any assistance