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DIABETES FOOT ASSESSMENT & RISK STRATIFICATION FORM Please fill in blank spaces, tick or circle applicable highlighted areas. Date Location Date of last assessment PATIENT DETAILS Name NHS Address
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How to Fill Out Diabetes Foot Assessment Risk:

01
Begin by gathering all the necessary information for the assessment, including the patient's medical history, current medications, and any previous foot complications.
02
Use a standardized diabetes foot assessment risk tool, such as the Diabetic Foot Ulcer Risk Assessment or the Ipswich Touch Test, to guide the assessment process.
03
Evaluate the patient's foot sensation by conducting various tests, such as the monofilament test or the vibration test. Record the results accurately.
04
Assess the patient's foot circulation by checking the pulses in their feet and ankles. Look for any signs of poor blood flow or arterial disease.
05
Inspect the patient's feet for any signs of deformities, ulcers, blisters, calluses, or wounds. Take note of their severity and location.
06
Examine the patient's footwear and ask about their typical footwear choices, assessing if they provide adequate protection and support.
07
Provide education and counseling to the patient about proper foot care, including regular cleaning, moisturization, nail trimming, and avoiding excessive pressure on the feet.
08
Document all the findings from the assessment accurately in the patient's medical records for future reference and monitoring.

Who Needs Diabetes Foot Assessment Risk:

01
Individuals with diabetes are recommended to undergo regular diabetes foot assessment risk, regardless of their age or duration of diabetes.
02
Those who have previously experienced foot complications, such as foot ulcers, infections, or amputations, require frequent assessments to prevent further complications.
03
Diabetics with peripheral neuropathy, a common complication characterized by numbness or loss of sensation in the feet, should undergo regular assessments to monitor their risk of developing foot complications.
04
Patients with poor blood circulation to the feet, known as peripheral arterial disease, should have their foot health regularly evaluated due to a higher risk of developing ulcers and other foot problems.
05
Older adults with diabetes may also benefit from regular foot assessments, as age can increase the risk of foot complications and decrease the individual's ability to notice changes in foot health.
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Diabetes foot assessment risk is the evaluation of the likelihood of developing foot complications due to diabetes.
Healthcare professionals responsible for the care of patients with diabetes are required to conduct and file diabetes foot assessment risk.
Diabetes foot assessment risk is filled out by conducting a thorough examination of the patient's feet, including assessing for nerve damage, circulation issues, and signs of infection.
The purpose of diabetes foot assessment risk is to identify and mitigate potential foot complications in patients with diabetes to prevent serious health issues such as infections and amputations.
Information reported on diabetes foot assessment risk includes the patient's medical history, current medications, nerve function test results, vascular status, and any foot abnormalities.
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