Diabetes and Feet

Diabetes and Feet PowerPoint PPT Presentation


The Podiatrist can utilize the following techniques and equipment to assess your foot health: ... Your podiatrist will advise you on who should cut your toenails. ...

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Diabetes and Feet

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Slide 1:Foot Care Chris Hamer, Chief Podiatrist

Slide 2:Introduction

Diabetes is a lifelong disease, which can cause problems in the feet. These problems usually manifest themselves in two main areas: Damage to nerves (affecting sensation) Damage to blood vessels (affecting circulation) It is vitally important to keep your diabetes under control. You should have a diabetic foot assessment at least annually.

Slide 3: Role Of The Podiatrist In Diabetic Foot Care

Prevention Education Treatment Assessment

Slide 4:

Each diabetic patient will be assessed individually as to their foot health, treatment and medical needs. The Podiatrist can utilize the following techniques and equipment to assess your foot health: Observation – includes mobility, dexterity, gait, skin, nails and any abnormalities. Dopplar – equipment that uses ultrasound to record the velocity of the blood flow in the arteries. It is of use in determining ischaemia (poor circulation). Assessment of the diabetic foot

Slide 5:

Monofilament – a fine filament, which when applied to the foot exerts a small pressure. It is of use in detecting any sensory loss (neuropathy). Neurotip – a sharp/blunt instrument used when neuropathy is indicated. Cotton wool – used to test patient’s ability to detect “soft touch” sensation. Tuning fork – used to test vibration sensation in the foot. Vibration perception can be the first sensory response to be lost with neuropathy. Assessment of the diabetic foot (cont…)

Slide 6:

Palpation of pulses – Each foot has three pulses. Reduced or absent pulses can indicate peripheral vascular disease. Assessment of the diabetic foot (cont…)

Slide 7:

Keep your feet clean by washing them daily. Dry them carefully with a soft towel, paying particular attention to drying between the toes. This helps prevent problems such as athletes foot and ulcers. Dry skin can be treated by applying moisturizing cream on a regular basis. Avoid using cream between the toes, as this can make the skin too moist and prone to infection. Keeping your feet healthy

Slide 8:

Cut your nails regularly. Follow the shape of the end of the toe when cutting. It is important not to cut the nails too short or down the sides. It is important not to walk barefoot, to avoid the risk of damaging your feet. Any minor cut, abrasion or blister should be covered until healed. A sterile dressing and tape should be sufficient. If any lesion is slow to heal seek immediate advice from your GP, Nurse or Podiatrist. Keeping your feet healthy

Slide 9:

If you suffer from neuropathy it may be difficult for you to differentiate between hot and cold. It is, therefore, important to be careful when bathing. Test the temperature of the water with your elbow or ask someone else to test for you. Remove hot water bottles from the bed before getting into bed. Do not use electric blankets. Avoid sitting too close to fires and heaters. It is easy to burn your skin without noticing. Also, be aware of car heaters being too hot on your legs. Keeping your feet healthy

Slide 10:

If you suffer from neuropathy it may be difficult for you to differentiate between hot and cold. It is, therefore, important to be careful when bathing. Test the temperature of the water with your elbow or ask someone else to test for you. Remove hot water bottles from the bed before getting into bed. Do not use electric blankets. Avoid sitting too close to fires and heaters. It is easy to burn your skin without noticing. Also, be aware of car heaters being too hot on your legs. Keeping your feet healthy

Slide 11:

Socks should be cotton or wool, be free from bulky seams and have non-elasticated tops. Before putting on socks and shoes check them for any foreign objects (stones, pins, splinters, bulky seams etc.) Wearing socks inside out helps prevent seams rubbing the skin. Never use propriety products, such as corn plasters, corn pastes and hard skin remover. Keeping your feet healthy

Slide 12:

Do not trim or cut any hard skin from your feet. The Podiatrist will do this if necessary. Your podiatrist will advise you on who should cut your toenails. Keeping your feet healthy

Slide 13:

When buying footwear: Take the socks and/or insoles you anticipate wearing most often. Shop at stores with trained staff and that have a large selection of styles, sizes and fittings. Always try on both shoes. Advice on foot wear

Slide 14:

If your feet tend to swell, shop for shoes later in the day, when your feet may be swollen. For maximum comfort, buy a shoe with adjustable fastening, i.e. laces, Velcro, strap, buckle. Advice on foot wear

Slide 15:

You are urged to check your feet on a daily basis. If you notice signs of the following, consult your Podiatrist or any other healthcare professional: Infection Swelling Redness Warning signs

Slide 16:

Heat Pain Discolouration Change in shape Numbness Warning signs

Slide 17:

The Podiatry Department can be contacted by writing to: Podiatry Shetland NHS Board Lerwick Health Centre South Road Lerwick Or by telephone: 01595 743317 Contact details

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