Central Mindanao University

College of Nursing
FUNDAMENTALS OF NURSING PRACTICE,
RLE
Procedure Checklist

Name of Student:
Clinical Instructor:

Foot Care

A. Direction: Write your answers on the space

provided.

Assessments:

Assess Surfaces for Cleanliness, odor,

dryness, and intactness
Possible Nursing Diagnoses:

Impaired skin integrity

Materials:

Wash Basin
Water
Towel
Soap
Wash Cloth
Lotion
B. Directions: Provide your assessment findings/rationale on the box. You are rated based on the
performance rubrics.

PROCEDURE RATIONALE
Preparatory Phase: Establish trust and
1. Prior to performing the
procedure, introduce self explaining reduces
and verify client’s anxiety
identity using agency
protocol. Explain to the
client what you are
going to do, why it is
necessary, and how he
or she can cooperate.
2. Perform hand hygiene Deters microorganisms
and observe other
appropriate infection
control procedure.

3. Provide for client Personal hygiene is a

privacy by drawing the
curtains around the bed personal matter
HYGIEN 1
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 Central Mindanao University
College of Nursing
FUNDAMENTALS OF NURSING PRACTICE,
RLE
Procedure Checklist
or closing the door to
the room. Some
agencies
provide signs
indicating the need for
privacy.
4. Gather all the required equipment.
 Fill the washbasin Saves time and energy.
with warm water at
about 40⁰C to 43⁰C Promotes soothing the
(105⁰F to 110⁰F). client
5. Assist the ambulatory Offers comfort
client to a sitting
position in a chair, or
the bed client to a
supine or semi-fowler’s
position.
6. Place pillow under the
client’s knees. Provide comfort and
provide support
7. Place the washbasin on Prolonged soaking may
the moisture- resistant
pad at the foot of the remove natural skin oil,
bed for a bed client or on drying the skin and
the floor in front of the
chair for an ambulatory making it susceptible to
client. cracking
8. For a bed client, pad Provide comfort
the rim of the
washbasin with a towel.
PROCEDURE RATIONALE
Performance Phase:
9. Wash the foot and soak it.
 Place one of the client’s
feet in the basin and
Washing offers cleansing
wash it with soap, paying soap and deters
particular attention to
the interdigital areas. microorganisms
Prolonged soaking is
generally not
recommended for diabetic
clients or individuals
with peripheral
vascular disease.

HYGIEN 2
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 Central Mindanao University
College of Nursing
FUNDAMENTALS OF NURSING PRACTICE,
RLE
Procedure Checklist
10. Rinse the foot well to
remove soap. Soap irritates the skin if
not completely removed
11. Rub callused areas of Removes dead skin
the foot with the
washcloth.

12. If the nails are brittle Soaking softens and

or thick and require
trimming, replace the loosens debris
water and allow the foot underneath
to soak for 10-20
minutes.
13. Clean the nails as Removes excess debris
required with an orange
stick.

14. Remove the foot from Provides comfort and

the basin and place it
on the towel. initiate drying

15. Blot the foot gently Harsh rubbing can

with the towel to dry it
thoroughly, particularly damage the skin
between the toes.

16. Apply lotion or lanolin Lubricates dry skin

cream to the foot but not
between the toes.

17. Apply a foot powder Foot powders have

containing a
nonirritating deodorant greater absorbent
if the feet tend to properties
perspire excessively.

HYGIEN 3
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 Central Mindanao University
College of Nursing
FUNDAMENTALS OF NURSING PRACTICE,
RLE
Procedure Checklist
18. If agency policy Provide comfort and
permits, trim the nails
of the nails of the first deters area where
foot while the second microorganisms may
foot is soaking.
 See the discussion on
grow
the nails for the
appropriate method
to trim nails. Note
that in many
agencies, toenail
trimming requires a
primary care
provider’s order or is
contraindicated for
clients with diabetes
mellitus, toe
infections, and
peripheral vascular
disease, unless
performed by a
podiatrist, general
practiced physician,
or advanced practice
provider such as a
nurse practitioner.

HYGIEN 4
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 PROCEDURE RATIONALE
Follow up Phase
19. Document any foot
problems observed.
Legal documentation and
 Foot care is not
generally recorded
provide further data for
unless problems are
noted. future assessment
 Record any signs of
inflammation,
infection, breaks in
the skin, corns,
troublesome calluses,
bunions, and
pressure areas. This
is of particular
importance for clients
with peripheral
vascular
disease and diabetes.
 Evaluation. Inspect
nails and skin after
the soak. Compare to
prior assessment
data. Report any
abnormalities to the
primary care
provider.
References: (Kozier, Erb, Berman, & Snyder, 2014); (Nettina, 2006)

C. Write medical terms and abbreviations related to this procedure. Provide meaning for each.