•Like all casts, clubfoot casting can cause vascular compromise and diminished perfusion.
•The parents of the infant should be taught the signs and symptoms of vascular compromise.
•Correction is achieved best if it is begun in the newborn period. A cast is applied while the foot is placed in an corrected position. Although the deformity involves the ankle, the cast extends above the knee to ensure firm correction.
•There is a potential for alteration in skin integrity, but this is not as harmful as altered tissue perfusion.
•Risk for infection and fear of stranger are not appropriate nursing diagnoses.