The non-operative care of the vascular surgical patient

It is as important to recognize that some patients will not improve by operative surgery for vascular disease. When a decision is made for nonoperative management, responsibility dictates that the patient be given a regimen of measures designed for stabilization of his present condition and reversal of lifestyle trends which caused it. These include cessation of smoking, appropriate exercise and nutrition, excellent skin care, attention to clothing and shoes, management of prostheses, control of pain, and control of stress. A careful analysis of the patient's medications and his work environment must be made and tailored to his needs. Finally, the patient should be studiously educated as to his disease process and its relationship to his lifestyle. Only through understanding of the reasons for taking good care of himself can patients be effective in following their physician's advice.