A person has a vascular ulcer. Which measure should you question?

When considering care for a person with a vascular ulcer, holding socks in place with elastic garters is a measure that raises concern. Elastic garters can create excessive pressure around the legs, which may impede blood circulation. This is particularly risky for individuals with vascular issues, as they already have compromised blood flow to the affected areas. Proper circulation is vital for optimal healing of vascular ulcers. Instead, alternative methods such as using non-constrictive, properly fitting socks or adaptive support that does not cut off circulation should be considered.

The other options usually align with best practices for managing vascular ulcers. Trimming toenails carefully can reduce the risk of injury and infection, so questioning the advice not to cut or trim toenails is warranted. Applying compression stockings is a standard approach to improve venous return and support healing in patients with venous ulcers. Additionally, regular repositioning is essential to prevent pressure injuries and promote overall vascular health in patients with compromised circulation, so it is sensible to maintain that practice. Thus, the method of holding socks in place with elastic garters should be scrutinized for its potential negative impact on circulation.