Which finding on the heel would warrant prompt assessment for infection?

• A. Erythema, blisters, or breaks in skin.
• B. Dry skin with peeling.
• C. Nail discoloration.
• D. Hair growth on the heel.

Answer: (A)

Recognizing compromised skin integrity is the key concept here. Erythema (redness), blisters, or any break in the skin on the heel shows the skin barrier has been breached, creating a portal for bacteria to enter. In older adults, the skin is thinner and heal more slowly, and the heel bears weight, so a breach can quickly lead to infection or cellulitis if not evaluated promptly. Early assessment allows timely treatment and helps prevent spread or deeper infection. Dry skin with peeling may be uncomfortable but doesn’t by itself signal an infection. Nail discoloration and hair growth on the heel aren’t infection indicators and don’t require the same urgent evaluation.