Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

How should emollients be applied for treating autonomic neuropathy?

1. Between the toes for maximum effect

2. To the entire foot without restriction

3. Only to cracked areas of the feet

4. Not between the toes to avoid irritation

The correct answer is: Not between the toes to avoid irritation

The correct approach to applying emollients for treating autonomic neuropathy involves avoiding application between the toes, which minimizes the risk of irritation and infections. Patients with autonomic neuropathy often experience dryness and decreased sensation, particularly in the extremities, making the feet susceptible to skin breakdown and potential infections. By applying emollients to the entire foot, but avoiding the areas between the toes, the emollients can effectively hydrate and protect the skin without trapping moisture in those areas, which can lead to maceration and consequently irritation. Furthermore, people with autonomic neuropathy may not be able to feel discomfort or minor injuries, so protecting the skin integrity is crucial for preventing complications. While applying emollients only to cracked areas targets a specific issue, this method does not provide comprehensive care for the entire foot and may leave other, possibly less noticeable, areas at risk for dryness. Therefore, while emollients are important for overall foot care, the emphasis on not applying them between the toes is focused on preventing further complications in individuals already dealing with neuropathic challenges.