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Diabetes Foot Screen Name (Last, First, MI) Date: / / Fill in the following blanks with a Y o “N to indicate findings in the right or left foot. Is there a history of a foot ulcer? Is there a foot
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How to fill out diabetic foot pdf form
How to fill out diabetes foot screen:
01
Gather the necessary materials such as a monofilament, a 128 Hz tuning fork, a reflex hammer, a measuring tape, and a sterile lancet.
02
Begin by washing your hands thoroughly and putting on gloves to ensure cleanliness.
03
Start the examination by checking the patient's sensation using the monofilament. Apply pressure to different areas of the foot with the monofilament and ask the patient if they can feel it. Document any areas of decreased or absent sensation.
04
Continue the examination by testing the patient's vibration perception using the tuning fork. Strike the tuning fork and place it on the bony prominences of the patient's foot. Ask them if they can feel the vibration. Again, document any areas of decreased or absent perception.
05
Assess the patient's ankle reflex by using the reflex hammer to strike the Achilles tendon. Observe for a normal reflex response or any abnormal reflexes.
06
Measure the patient's foot using the measuring tape to assess for any deformities, such as foot ulcers, calluses, or foot length discrepancies. Take note of any abnormalities.
07
Lastly, perform a visual inspection of the patient's foot, looking for any signs of redness, warmth, swelling, or cuts. Document any abnormalities found.
Who needs diabetes foot screen:
01
Individuals with diabetes, especially those who have had the condition for a long time or who have poorly controlled blood sugar levels, should undergo regular diabetes foot screen examinations.
02
Patients with a history of foot ulcers, recurrent infections, or peripheral neuropathy should also have regular foot screens.
03
People with other risk factors for foot complications, such as peripheral arterial disease or foot deformities, may also benefit from diabetes foot screens.
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What is diabetes foot screen?
Diabetes foot screen is a preventive examination to detect foot complications in individuals with diabetes.
Who is required to file diabetes foot screen?
Individuals with diabetes are required to file diabetes foot screen.
How to fill out diabetes foot screen?
Diabetes foot screen can be filled out by following the instructions provided by the healthcare provider or medical facility conducting the examination.
What is the purpose of diabetes foot screen?
The purpose of diabetes foot screen is to identify and prevent foot complications in individuals with diabetes.
What information must be reported on diabetes foot screen?
The specific information required to be reported on diabetes foot screen may vary, but typically includes details about the individual's medical history, foot examination findings, and any recommended interventions or treatments.
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