The nursing considerations may be simplified into the three Ps (pressure, position, and pain)-avoidance of excessive pressure, which may interrupt the blood supply and cause subsequent ischemia. The position of the graft site is important; elevation reduces swelling and minimizes separation of the graft. Additionally, the graft site should be immobilized to avoid trauma and promote adherence of the graft. Pain management, the final P, may be more pronounced in FTSGs and is important postoperatively for comfort and to decrease agitation; excessive and prolonged pain after the administration of pain medicine may signal tissue ischemia and should be reported to the surgical team. The site should also be inspected for progressive edema, temperature, cyanosis, or blanching of the skin which may indicate an interruption in the vascular supply. Skin-grafted wounds cannot tolerate shear forces, hematoma, or seroma, so dressings tend to be thick and compressive, and wounds near joint surfaces require immobilization (Drain & Odom-Forren, 2008).