Precision nursing care of a newborn with congenital absence of skin in both lower extremities: a case report

This paper summarizes the nursing experience of a neonate with congenital extensive skin defects of both lower extremities. The key nursing strategies included establishing a staged, precision wound-care pathway based on a dynamic and accurate multidisciplinary team (MDT) collaboration mechanism; developing a three-dimensional infection prevention and control nursing model integrating environment, wound, and systemic management; implementing patient-centered, systematic comfort-oriented pain management; and enhancing caregivers' confidence and treatment adherence through structured health education, skills empowerment, and psychological support. After 21 days of systematic treatment and nursing care, the patient's condition stabilized and improved, and the neonate was discharged. Follow-up at two months showed good wound healing. This case provides a referenceable precision nursing model for neonates with congenital extensive skin defects.