When discharging an 85-year-old female patient with stasis dermatitis, what instructions should the NP include?

Keeping the legs elevated while seated is an important instruction for a patient with stasis dermatitis, especially in an elderly individual. Stasis dermatitis is often related to inadequate blood flow and venous insufficiency, leading to swelling and skin irritation in the lower extremities. Elevating the legs helps facilitate venous return, reduces swelling, and can promote better circulation, which is essential in managing the symptoms of stasis dermatitis.

This approach alleviates pressure and helps to mitigate the discomfort and potential complications associated with the condition. This strategy can indeed enhance the overall effectiveness of the treatment plan for stasis dermatitis.

Other options, while they may seem beneficial, do not address the fundamental issues related to stasis dermatitis as effectively. For instance, applying warm compresses may provide temporary relief but does not actively promote venous return. Wearing tight compression stockings can be helpful for some patients, but if they are excessively tight, they could exacerbate swelling in others. Avoiding crossing legs is good advice to prevent discomfort and improve circulation but does not address the core issue of venous return as effectively as elevation does. Therefore, elevating the legs is the most appropriate advice in this situation.