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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Updated: Nov 10, 2025

Using Gold-standard Gait Analysis Methods to Assess Experience Effects on Lower-limb Mechanics During Moderate High-heeled Jogging and Running
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Health View to Decrease Negative Effect of High Heels Wearing: A Systemic Review.

Meizi Wang1,2, Ci Jiang1, Gusztáv Fekete3

  • 1Faculty of Sports Science, Ningbo University, Ningbo, China.

Applied Bionics and Biomechanics
|April 1, 2021
PubMed
Summary
This summary is machine-generated.

Wearing high heels (HH) can be mitigated by choosing appropriate heel heights (3.76–4.47 cm) and larger heel base supports (HBS). Total contact inserts (TCI) also reduce foot pressure and enhance comfort.

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Area of Science:

  • Biomechanics
  • Podiatry
  • Ergonomics

Background:

  • High heel (HH) wear is prevalent among women, despite known negative impacts on foot morphology.
  • Understanding how to mitigate adverse effects is crucial for daily wear.
  • Previous research has explored factors like heel height, insoles, and heel base support (HBS).

Purpose of the Study:

  • To systematically review studies on mitigating the negative effects of high heel (HH) wear.
  • To examine the influence of heel height, insoles, and heel base support (HBS) on women's comfort and safety.
  • To provide evidence-based recommendations for safer high heel (HH) usage.

Main Methods:

  • Systematic review of existing literature.
  • Analysis of studies examining heel height, total contact inserts (TCI), and heel base support (HBS).
  • Evaluation of biomechanical and subjective comfort data related to high heel (HH) walking.

Main Results:

  • An optimal heel height range of 3.76 cm to 4.47 cm was identified.
  • Larger heel base supports (HBS) improve gait stability, reduce ankle injury risk, and enhance comfort compared to smaller ones.
  • Total contact inserts (TCI) significantly decrease plantar pressure and improve perceived comfort.

Conclusions:

  • Specific high heel (HH) parameters, including heel height and heel base support (HBS) size, can reduce adverse effects.
  • Total contact inserts (TCI) offer a viable method for increasing comfort and reducing foot impact.
  • Current findings are based on short-term studies; long-term effects require further investigation, ideally integrating numerical and experimental methods for personalized recommendations.