Get the free Annual Comprehensive Diabetes Foot Exam Form 2009 Revisiondocx

Developed by Joann M. Peterson, MSN, ARP 5/19/09 Annual Comprehensive Diabetes Foot Exam Form Name DOB Date Wt Ht BP Pulse Temp BMI Allergies Interview Current/Past History Current tobacco user History

How to fill out annual comprehensive diabetes foot

How to fill out annual comprehensive diabetes foot:

1. Begin by obtaining the necessary forms for the annual comprehensive diabetes foot assessment. These forms can typically be found in medical offices, clinics, or hospitals specializing in diabetes care.
2. Read through the instructions on the forms carefully. Familiarize yourself with the specific information that is required for each section.
3. Start by providing your personal details, including your name, date of birth, and contact information. This ensures that your assessment is correctly identified and connected with your medical records.
4. Next, complete the sections related to your medical history. Include any previous foot problems or complications you may have experienced, as well as a list of any medications you are currently taking.
5. Progress to the examination section, where you will document the findings from your foot assessment. This typically involves inspecting the skin, examining the nails, assessing blood flow and sensation, and checking for any deformities or abnormalities.
6. Depending on the form, you may also be required to record your foot measurements, such as the length, width, and arch height, as well as any ongoing foot care practices or treatments you are undertaking.
7. Finally, review your completed form for accuracy and completeness. Ensure that all sections have been filled out to the best of your knowledge and that any required signatures or dates have been provided.
8. Submit the form to your healthcare provider or diabetes care team within the designated timeframe. This will allow them to review the information, identify any potential issues, and provide appropriate recommendations or interventions if necessary.

Who needs annual comprehensive diabetes foot:

1. Individuals with diabetes, particularly those who have been diagnosed with type 1 or type 2 diabetes, need to undergo an annual comprehensive diabetes foot assessment.
2. This assessment is essential for early detection and prevention of foot complications that may arise due to diabetes-related nerve damage (neuropathy) or poor blood circulation (peripheral arterial disease).
3. People with diabetes are at increased risk of developing foot problems, including foot ulcers, infections, and even amputations if left untreated.
4. Therefore, an annual comprehensive diabetes foot assessment is crucial for identifying any signs of foot complications, addressing them promptly, and implementing preventive measures to reduce the risk of further complications.

In summary, filling out an annual comprehensive diabetes foot assessment involves completing the required forms accurately and thoroughly. This assessment is necessary for individuals with diabetes to detect and prevent potential foot complications.

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What is annual comprehensive diabetes foot?

Annual comprehensive diabetes foot is a comprehensive assessment of the foot for individuals with diabetes to prevent complications such as ulcers, infections, and amputations.

Who is required to file annual comprehensive diabetes foot?

Individuals with diabetes are required to file annual comprehensive diabetes foot.

How to fill out annual comprehensive diabetes foot?

To fill out annual comprehensive diabetes foot, individuals need to undergo a foot assessment by a healthcare provider and report any findings or concerns.

What is the purpose of annual comprehensive diabetes foot?

The purpose of annual comprehensive diabetes foot is to prevent complications related to diabetes such as diabetic foot ulcers and amputations.

What information must be reported on annual comprehensive diabetes foot?

Information such as foot examination results, treatments received, and any foot-related complications must be reported on annual comprehensive diabetes foot.