Design and Development of a Telerehabilitation Self-Management Program for Persons with Chronic Lower Limb Swelling and Mobility Limitations: Preliminary Evidence

Table 1

10 Steps to healthier feet and legs.

Step	Goal
1	Understand basic pathophysiology of the vascular and lymphatic system, including warning signs of vascular, lymphatic, and neurological damage.
2	Demonstrate proper limb hygiene, for example, washing and drying technique and nail care.
3	Describe proper use of moisturizers and appropriate application.
4	Relate steps during skin inspection for changes such as redness, wounds, skins cracks, blisters, and excessive dryness and increased hardness.
5	Describe proper care for minor skin wounds.
6	Describe how to select appropriate footwear and clothing.
7	Demonstrate strategies to prevent/minimize swelling, including leg elevation, avoidance of excessive heat, and proper diet.
8	Demonstrate appropriate deep breathing and decongestive exercises.
9	Demonstrate appropriate application and care of an advanced pneumatic compression device and compression garments.
10	State signs and symptoms and appropriate action when complications develop, for example, deep venous thrombosis, pulmonary emboli, pulmonary congestion, edema, and/or infection.