diabetic foot care_posters

8/6/2019 Diabetic Foot Care_Posters

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Doctor

Reference



Foot deformities may be the result of diabetic motor

neuropathy.

The function of intrinsic muscles is lost, causing the toe digits to buckle as other muscles become imbalanced.Muscle wasting occurs.The plantar fat pad becomes displaced and the metatarsal heads become moreprominent.Limited joint mobility occurs and contributes to the potential for toe and footinjury.If Charcot foot is present, there are severe bone and joint changes and the footis swollen and warm to the touch.

The more serious deformities are illustrated above.

Prominent metatarsal heads are evidence of major deformity such as midfoot collapse.



Management Guidelines for Active Ulcer or Foot

Infection

� Never let patients with an open plantar ulcer walkout in their own shoes.

Weight relief must be provided.

Assess/prescribe therapeutic footwear to helpmodify weight bearing and protect the feet.

Conduct frequent wound assessment and providecare as indicated.

Demonstrate preventive self-care of the feet. Provide patient education on wound care.

Refer to specialists and a diabetes educator asindicated.

Certify Medicare patients for therapeutic footwear

benefits.

Place a High Risk Feet sticker on the medicalrecord.



Patient

Awareness



In Kenya, diabetic gangrene is a major cause of

amputation*

Dr. Obimbo Moses M. et al. The Journal of Diabetic Foot

Complications, Volume 2, Issue 1, No. 2, © 2010



Putting your feet first!

Tips for Proper Footwear

· Proper footwear is very important forpreventing serious foot problems. Athletic orwalking shoes are good for daily wear. They

support your feet and allow them to "breathe."· Never wear vinyl or plastic shoes, because they

don't stretch or "breathe."

· When buying shoes, make sure they arecomfortable from the start and have enoughroom for your toes.

· Don't buy shoes with pointed toes or high heels.

They put too much pressure on your toes.

Foot care is very important for each person with

diabetes, but especially if you have:· Loss of feeling in your feet

· Changes in the shape of your feet

· Foot ulcers or sores that do not heal



10 tips to a healthy feet !

1. Take care of your diabetes.

� Keep your blood sugar within a goodrange

2. Check your feet every day.

� Look at your bare feet every day for

cuts, blisters, red spots, and swelling.� Use a mirror to check the bottoms of

your feet or ask a family member for help if you have trouble seeing.

3. Wash your feet every day.

� Wash your feet in warm, not hot, water every day.

� Dry your feet well. Be sure to drybetween the toes.

4. Keep the skin soft and smooth.

� Rub a thin coat of skin lotion over thetops and bottoms of your feet, but notbetween your toes.

5. Smooth corns and calluses gently.

� If your feet are at low risk for problems,use a pumice stone to smooth cornsand calluses.

� Do n¶t use over-the-counter products or sharp objects on corns or calluses .

6 . Trim your toe nails each week or when needed.

� Trim your toenails straight across andfile the edges with an emery board or nail file.

7. Wear shoes and socks at all times.

� Never walk bare foot!� Wear comfortable shoes that fit well and

protect your feet.� Feel inside your shoes before putting

them on each time to make sure thelining is smooth and there are noobjects inside.

8. Protect you feet from hot and cold.

� Wear shoes at the beach or on hotpavement.

� Wear socks at night if your feet get cold.� Don¶t test bath water with your feet.� Don¶t use hot water bottles or heating

pads.

9. Keep the blood flowing to your feet.

� Put your feet up when sitting.

� Wiggle your toes and move your anklesup and down for 5 minutes, 2 or 3 timesa day.

� Don¶t cross your legs for long periods of time.

� Don¶t smoke.

� Be more active

10. Check with your doctor.

� Have your doctor check your bare feetand find out whether you are likely tohave serious foot problems.

� Remember that you may not feel thepain of an injury.

� Call your doctor right away if you find acut, sore, blister, or bruise on your footthat does not begin to heal after oneday.

� Follow your doctor¶s advice about footcare.



Foot problems are very common in people with diabetes

and can lead to serious complications!

As always, prevention is the best medicine

A good daily foot care regimen will help keep your feet healthy.

1. Wash your feet in warm (not hot) water, using a mild soap. Dontsoak your feet, as this can dry your skin.

2. While your feet are still wet, use a pumice stone to keep callusesunder control.

3. Dry your feet carefully, especially between your toes.

4. Thoroughly check your feet and between your toes to make surethere are no cuts, cracks, ingrown toenails, blisters, etc. Use ahand mirror to see the bottom of your feet, or ask someone elseto check them for you.

5. Clean cuts or scratches with mild soap and water, and cover with

a dry dressing suitable for sensitive skin.6. Trim your toenails straight across and file any sharp edges. Dont

cut the nails too short.

7. Apply an odourless lotion to your heels and soles. Wipe off excesslotion that is not absorbed. Dont put lotion between your toes,as the excessive moisture can promote infection.

8. Wear fresh clean socks and well-fitting shoes every day.Whenever possible, wear white socks if you have a cut or sore,the drainage will be easy to see.



E nsure that your foot care kit

always contains:

Nail clippers

Nail file

Lotion/ Moisturizer

Pumice stone andNon-breakable hand mirror

Diabetes affects the circulation and immune system, which

in turn impairs the bodys ability to heal itself.Over time, diabetes can damage sensory nerves (thisis known as neuropathy), especially in thehands and feet.

As a result, people with diabetes are less likelyto feel a foot injury, such as a blister or cut.

Unnoticed and untreated, even smallfoot injuries can quickly becomeinfected, potentially leading to seriouscomplications.



In Kenya, 48% of patients suffer

from diabetic foot ulcers*

You dont want to be one of them !

Dr. Obimbo Moses M. et al. The Journal of Diabetic

Foot Complications, Volume 2, Issue 1, No. 2, © 2010



Suffering from Diabetes?Suffering from Diabetes?

T ake adequate care of your feet T ake adequate care of your feet

wear well-fitting shoes. They should be supportive, have low heels(less than 5 cm high) and should not rub or pinch. Shop at a reputablestore with knowledgeable staff who can professionally fit your shoes.

wear socks at night if your feet get cold.

elevate your feet when you are sitting. wiggle your toes and move your ankles around for a few minutes

several times a day to improve blood flow in your feet and legs.

exercise regularly to improve circulation.

inspect your feet daily and in particular, feel for skin temperaturedifferences between your feet.

wear high heels, pointed-toe shoes, sandals (open toe or open heel) or worn-out shoes.

wear anything tight around your legs, such as tight socks or knee-highs.

ever go barefoot, even indoors. Consider buying a pair of well-fittingshoes that are just for indoors.

put hot water bottles or heating pads on your feet.

cross your legs for long periods of time.

smoke. Smoking decreases circulation and healing, and significantlyincreases the risks of amputation.

have pedicures by non-healthcare professionals.

DOs

DONTs



In case of Diabetes, your feet deserveIn case of Diabetes, your feet deserve

better attention!better attention!

Are you giving your feet the required attention ?



Do you suffer from diabetes?

Do you feel sensation at all the circled

areas?

Examine yourself !

Tell your doctor to examine you!

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