Daily bathing of feet and regular trimming of toenails promotes cleanliness, prevents infection, stimulates peripheral circulation, and controls odor by removing debris from between toes and under toenails. It’s particularly important for bedridden patients and those especially vulnerable to foot infection. Increased susceptibility may be caused by peripheral vascular disease, diabetes mellitus, poor nutritional status, arthritis, or any condition that impairs peripheral circulation. In such patients, proper foot care should include meticulous cleanliness and regular observation for signs of skin breakdown. (See Foot care for patients with diabetes.) Patients should be taught proper foot care on at least a yearly basis.¹

Toenail trimming is contraindicated in patients with toe infections, diabetes mellitus, neurologic disorders, renal failure, or peripheral vascular disease, unless performed by a doctor or podiatrist. Some facilities prohibit nurses from trimming toenails. Check your facility’s policy before performing the procedure.