Chronic limb-threatening ischemia (CLTI) is a clinical syndrome associated with increased mortality, risk of amputation, and impaired quality of life. To treat patients with CLTI appropriately, a multidisciplinary approach should be adopted. Holistic nursing, in particular, is important in the care and healing of foot wounds caused by ischemia and foot infection in these patients. In this setting, the role of specific nurses is expanded significantly to allow them to perform advanced practice under comprehensive instructions for timely wound assessment and foot care in collaboration with the nursing and medical teams. Daily practice conducted by a specific nurse, including educating and motivating patients, is subjective and should consider the patient’s own appraisal. Their perspectives contribute to multidisciplinary cooperation in CLTI treatment and help to develop ideal foot management to facilitate a smooth transition from inpatient to home care. This review provides practical content on the treatment of patients with CLTI.
"},{"@language":"ja","@value":"包括的高度慢性下肢虚血（CLTI: chronic limb-threatening ischemia）の治療には全人的な管理が必要で，多職種による集学的治療が鍵となる。看護師の診療補助業務が拡大適用され特定行為として一部の医行為実施が認可された。担当医師との情報共有がより重要となる中，在宅ケアへシームレスに移行する方策には看護の視点からメディカルスタッフを含めた他職種者とともに検討することが必要である。治療とケアの融合を課題とした実践内容を報告する。
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