Module 1

Under Construction

Introduction to Foot and Nail Care

Learning Objective 1: Explain the principles of being a foot care nurse.

Section 1.3: Introduction to Modules 2-8

Module Breakdown: Each Module will have a learning objective. The case study with questions and rationale will help determine gaps in knowledge. A short, video lecture accompanies each written section. The written sections provide the bulk of the information you need to know. The activity in each section will address cognitive (thinking), affective (feeling), or psychomotor (doing) learning domains. The quiz is a formative evaluation to point you towards topics that you need to review. The quizzes do not count towards your final score, but allow for identification of gaps in knowledge. The foot care video will provide examples for how to trim/thin nails and reduce calluses/corns. The tools you use will depend on your state regulations or guidelines (e.g. some states do not allow use of scalpels). Your hands-on training will determine your competence to perform specific actions (e.g. if you have been trained to use scalpels). You are encouraged to practice on inanimate objects throughout this online course so that you are prepared to enhance your skills during your hands-on-training.


Module 8 will provide a review of Modules 2-7. Once you have completed the modules and quizzes with a score of 80-100, you may take the exam. You have one chance to pass the 120 question exam. The exam has a time limit of 2 hours. Failing scores (less than 80%) require retaking the exam, as the learning objectives were not met. Further study is encouraged before retaking the exam for an additional fee.


Recommended Reading:

Armstrong, D. G., & Lavery, L. A. (Eds.). (2016). Clinical Care of the Diabetic Foot. (3rd ed.). Alexandria, VA: American Diabetes Association. 


Doughty, D. B., & McNichol, L. L. (Eds.). (2016). Wound, Ostomy and Continence Nurses Society® Core Curriculum: Wound Management. Philadelphia, PA: Wolters Kluwer.


The recommended reading is strongly recommended. Digital copies of the books (e.g. eBooks or Kindle books) are especially convenient. 


Scholarly nursing includes lifelong learning, which is accomplished by seeking information from many resources. In addition to the recommended reading, develop a list of peer-reviewed research articles that will assist you to form your evidence-based practice. For an example of articles, explore those listed on the Cape Cod Foot Care website under Nursing Education > Foot and Nail Articles

Practice Guidelines:

ECRI Guidelines Trust®

U.S. Preventative Services Task Force

American Heart Association

Evidence-Based Medicine Guidelines

Agency for Healthcare Research and Quality


Module Outlines 2-8:

Module 2: Anatomy and Physiology

Learning Objective 2: Describe the working processes of the lower extremities, feet, and nails.

Case Study 2

(Chapter 1 Doughty)


Section 2.1: Anatomy and Physiology of Legs 


Section 2.2: Anatomy and Physiology of Feet 


Section 2.3: Anatomy and Physiology of Nails 


Quiz 2


Foot Care Video 2


Module 3: Foot and Nail Pathophysiology

Learning Objective 3: Assess pathological conditions of the nails.


Case Study 3


Section 3.1: Nail pathophysiology


Section 3.2: Foot Pathophysiology (Chapter 1 Armstrong & Lavery (2016))


Section 3.3: Gait disturbance


Section 3.4: Footwear (Chapter 3 Armstrong & Lavery (2016))


Section 3.5: Offloading (Chapter 5 Armstrong & Lavery (2016))


Section 3.6: Foot and Nail Assessment (Chapters 26 Doughty & McNichol (2016); 2, 9, 10 Armstrong & Lavery (2016))


Quiz 3


Foot Care Video 3


Module 4: Lower Extremity Pathophysiology 

Learning Objective 4: Assess pathological conditions of the lower extremities.


Case Study 4


Section 4.1: Lower Extremity Venous Disease (LEVD) (Chapter 21 Doughty & McNichol (2016))


Section 4.2: Lower Extremity Arterial Disease (LEAD) (Chapter 22 Doughty & McNichol (2016); 11 Armstrong & Lavery (2016))


Section 4.3: Lower Extremity Neuropathic Disease (LEVD) (Chapter 23 Doughty & McNichol (2016))


Section 4.4: Other Diseases of the Lower Extremities (Chapter 25 Doughty & McNichol (2016))


Section 4.5: Focused Lower Extremity Assessment


Quiz 4


Foot Care Video 4


Module 5: Soft Tissue Injuries 

Learning Objective 5: Differentiate soft tissue injuries, causes, and appropriate dressings.


Case Study 5


Section 5.1: Types of Wounds (Chapters 3, 10, 11, 24 Doughty & McNichol (2016); 4 Armstrong & Lavery (2016))


Section 5.2: Mechanical Injuries (Chapter 16 Doughty & McNichol (2016))


Section 5.3: "Top-Down" Injuries (Chapter 17 Doughty & McNichol (2016))


Section 5.4: "Bottom-Up" Injuries (Chapter 18 Doughty & McNichol (2016))


Section 5.5: Soft Tissue Injury Risk (Chapter 19 Doughty & McNichol (2016))


Quiz 5


Foot Care Video 5


Module 6: Healing 

Learning Objective 6: Identify factors that inhibit or promote healing. 


Case Study 6


Section 6.1: Nutrition for Healing (Chapter 6 Doughty & McNichol (2016))


Section 6.2: Healing Processes (Chapter 2 Doughty & McNichol (2016))


Section 6.3: Topical Therapy (Chapters 7 Doughty & McNichol (2016); 7 Armstrong & Lavery (2016))


Section 6.4: Cleansing and Dressing Selection (Chapters 8 Doughty & McNichol (2016); 8 Armstrong & Lavery (2016))


Section 6.5: Debridement and Advanced Wound Therapy (Chapters 9 Doughty & McNichol (2016); 6 Armstrong & Lavery (2016))


Quiz 6


Foot Care Video 6

Module 7: Plan of Care and Interventions

Learning Objective 7: Create a plan of care to address client risks and well-being.


Case Study 7


Section 7.1 Plan of Care


Section 7.2: Client Education (Chapters 4, 5 Doughty & McNichol (2016))


Section 7.3: Referrals (Chapter 12 Armstrong & Lavery (2016))


Section 7.4: Protection and Sanitization


Section 7.5: Skin Care (Chapter 13 Doughty & McNichol (2016))


Section 7.6: Foot and Nail Debriding


Quiz 7


Foot Care Video 7

Module 8: Putting it all Together: Review of Modules 2-7

Learning Objective 8: Describe how a foot care nurse can assist clients with various conditions. 


Case Study 8


Section 8.1: Anatomy and Physiology


Section 8.2: Foot and Nail Pathophysiology


Section 8.3: Lower Extremity Pathophysiology


Section 8.4: Soft Tissue Injuries 


Section 8.5: Healing 


Section 8.6: Plan of Care and Interventions


Quiz 8


Foot Care Video 8


Cumulative Exam

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