Foot lecture Flashcards
WASH AND CLEAN YOUR FEET!
Foot exam – As the Pharmacist and be a PWD
PWD: People with Diabetes
For people with diabetes ______________ is the leading cause.
amputations
Simply by doing a foot exam we are preventing the wound which is preventing the infection which is preventing the ulcer which is then preventing the amputation
Inspection
Obvious __________
____________ from foot wear
Toe nail care
Skin _________ - (check entire foot including between toes and on soles) for athletes foot or other infections and drying
Foot structure and biomechanics
injuries
wear marks
integrity
Palpation
Pedal pulses (circulation)
Dorsalis _________
Posterior Tibial
pedis
Feel for bumps or palpate any obvious irregularities
(e.g., ___________)
infection (warmth, erythema, _______)
Temperature
calluses
pus
Signs of Sensory
Tuning fork on bony prominence
Demonstrate vibration on _________ first
Ask patient to close eyes
Ask them to tell you when it STOPS vibrating
Then put tuning fork to your own hand to feel if still vibrating
If continues to vibrate ___________ there is decreased sensation
HOLD the handle – DO NOT TOUCH the u-shaped metal
hand
> 10 seconds
handle
Sensory
Apply using _______
interviewing with patient eyes
closed so that patient is
unaware of test point, apply
until the filament just bends
non-cued interviewing
Documentation
+ or - in specific location
Full sensation to …
Decreased sensation to…
Reduced vibratory sensation at the…
Absent vibratory sensation at the…
Caring for Feet in Diabetes
Blood glucose management
Check ______ DAILY
Be more active
Diabetic shoes
Wash & dry _________ daily
Keep skin soft and smooth
Trim toenails - ________
Wear ______and ________ at all
times
Protect feet from hot and cold
Keep the blood flowing to feet
feet
dry
square
shoes and socks
