Journal of Nursing Theory and Practice

[Foot disorders of the dialyzed patients]

TERÉNYI Judit, MOLNÁR Márta

FEBRUARY 28, 2016

Journal of Nursing Theory and Practice - 2016;29(01)

[In the background of increased morbidity and mortality in dialysis patients the frequent examination for foot disorders can be important. Dialysis nurses play an essential role in the recognition of these abnormalities. Registering foot disorders during regularly performed “foot visits” in our clinic. 69 dialyzed patients were examined and foot abnormalities (dry skin, calluses, fissures, abrasion, ulcers, joint deformities, fungal infections) were documented. Also peripheral pulses were examined. Calibrated tune-fork, monofilament test and neurotest were also performed. Intact, well-groomed feet were found only in 13 patients. Nail fungi were recognized in 22, dry skin and fissures in 24, abrasion and ulcus in 6 patients. In more than half of patients no peripheral pulses were palpable. Patients were given foot care tips and were admitted to specialists. Foot disorders - often in advanced state - were found in a great amount of our patients. Regular “foot visits” should become a routine examination of dialysis patients. ]

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