A team of registered assistant nurses at polyclinics are specially trained to perform diabetic foot screening. They are able to: identify and screen foot problems of patients with diabetes. reduce the risk of foot complications by providing education on proper foot care and good glycaemic control.
What is a diabetic foot screening?
A diabetic foot exam checks people with diabetes for these problems, which include infection, injury, and bone abnormalities. Nerve damage, known as neuropathy, and poor circulation (blood flow) are the most common causes of diabetic foot problems.
What is diabetic foot screening DFS?
Diabetic Foot Screening (DFS) helps patients identify early foot abnormalities and reduce the morbidity associated with diabetes which helps to prevent the risk of leg amputations.
Why is diabetic foot check important?
All people with diabetes should have their feet checked at least once a year by a doctor or podiatrist. This is important to detect problems early and to prevent ulcers and other complications. You may have heard it said that diabetes causes gangrene (dead, black tissue).
How long does a diabetic foot exam take?
As you can see, a comprehensive diabetic foot exam a very simple examination, completely painless, and it takes about 20 – 30 minutes. If you have diabetes, making sure you get this exam every year is one of the most important things you can do to manage your diabetes and prevent amputations.
What does diabetic foot look like?
Although rare, nerve damage from diabetes can lead to changes in the shape of your feet, such as Charcot’s foot. Charcot’s foot may start with redness, warmth, and swelling. Later, bones in your feet and toes can shift or break, which can cause your feet to have an odd shape, such as a “rocker bottom.”
Can a nurse perform a diabetic foot exam?
Routine foot examinations, including the Semmes-Wenstein monofilament, should be performed on all diabetics to detect possible PN (ADA, 2012). Any healthcare provider, including nurses, can perform this test.
When does a diabetic foot need to be amputated?
Tissue damage or death (gangrene) may occur, and any existing infection may spread to your bone. If the infection cannot be stopped or the damage is irreparable, amputation may be necessary. The most common amputations in people with diabetes are the toes, feet, and lower legs.
What is the treatment for diabetic foot?
The management of diabetic foot ulcers requires offloading the wound, [6,7] daily saline or similar dressings to provide a moist wound environment, débridement when necessary, antibiotic therapy with or without surgical intervention if osteomyelitis or soft tissue infection is present, [9,10] optimal control of blood …
What is the Ipswich Touch Test?
Aims: The Ipswich Touch Test is a novel method to detect subjects with diabetes with loss of foot sensation and is simple, safe, quick, and easy to perform and teach. This study determines whether it can be used by relatives and/or carers to detect reduced foot sensation in the setting of the patient’s home.
Why do doctors look at diabetes feet?
People with diabetes need to check their feet often because cuts and other injuries to the foot could lead to infection and, in extreme cases, make it necessary to amputate.
Why do diabetics have foot problems?
Facts you should know about diabetes foot problems
Symptoms and signs of diabetic foot problems arise due to the decreased sensation from nerve damage as well as the lack of oxygen delivery to the feet caused by vascular disease. People with diabetes have an increased risk of ulcers and damage to the feet.
Why can’t diabetics soak their feet?
Do not soak feet, or you’ll risk infection if the skin begins to break down. And if you have nerve damage, take care with water temperature. You risk burning your skin if you can’t feel that the water is too hot.
Can your feet show signs of diabetes?
Long-term high blood sugar can cause a type of nerve damage called diabetic neuropathy. Diabetic neuropathy can occur throughout the body, but most often in the legs and feet. The condition might make you lose feeling in your feet. If your feet are numb, you might not notice a blister, cut or sore.
How do you know if you have neuropathy in your feet?
A common sign and symptom of neuropathy is loss or diminished sensation. A quick and easy way to test this at home is touching the 1st, 3rd and 5th toes of both feet with your index finger. This can be performed by either you or a family member.