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Diabetes Foot Examination Name: Age: Date: I. Medical History (Per Patient) II. Current History (Per Patient) Diabetes () (Oral) (Diet) Hypertension Cardiovascular Disease Peripheral Vascular Disease
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How to fill out diabetes foot examination

How to fill out diabetes foot examination:
01
Start by thoroughly cleaning your hands with soap and warm water. This helps prevent the spread of any potential infections.
02
Gather all the necessary equipment for the foot examination. This may include a handheld mirror, a non-fragrance lotion or oil, a monofilament for testing sensation, a sterile lancet for blood glucose testing, and sterile gloves.
03
Put on the sterile gloves to ensure a hygienic examination process.
04
Begin by visually inspecting the feet for any abnormalities such as cuts, sores, redness, swelling, or changes in skin color. Pay close attention to the areas between the toes and the soles of the feet.
05
Use the handheld mirror to examine the bottom of the feet if necessary. This allows you to see any areas that are difficult to reach or see without assistance.
06
Proceed to check the toenails for any signs of infection, ingrown nails, or fungus growth. Trim the nails if needed, keeping them straight across and avoiding cutting too close to the skin.
07
Perform the sensation test using a monofilament. Starting from the toes, touch the filament to different areas of the feet and ask the individual if they can feel the pressure. This test helps identify any loss of sensation, which is common in diabetic patients.
08
If needed, perform a blood glucose test by using a sterile lancet to obtain a small blood sample. Follow the instructions provided with the blood glucose monitoring device to ensure accurate results.
09
After completing the foot examination, apply a non-fragrance lotion or oil to moisturize the feet and prevent dryness.
Who needs diabetes foot examination?
01
Individuals with diabetes: Diabetes is a chronic condition that affects blood sugar regulation. People with diabetes are at a higher risk of developing foot complications, such as neuropathy (nerve damage) and poor circulation. Regular foot examinations are essential for early detection and prevention of potential problems.
02
Those with a history of foot complications: People who have previously experienced foot issues related to diabetes, such as infections, ulcers, or amputations, should undergo regular foot examinations. These individuals are more susceptible to developing further complications and require closer monitoring.
03
Older adults: As individuals age, the risk of diabetes and its associated complications increases. Regular foot examinations are particularly important for older adults to ensure early detection and proper management of foot problems.
04
Individuals with poor blood circulation: Conditions that affect blood flow, such as peripheral artery disease (PAD), can lead to insufficient oxygen and nutrients reaching the feet. This increases the risk of foot complications, making regular foot examinations crucial.
05
Those with diabetic neuropathy: Diabetic neuropathy is a common complication of diabetes that causes nerve damage. It can result in loss of sensation, particularly in the feet. Regular foot examinations help identify any changes in sensation and prevent complications from arising.
In summary, individuals with diabetes, a history of foot complications, poor circulation, diabetic neuropathy, or those who are older should undergo regular diabetes foot examinations. These examinations involve visually inspecting the feet, checking for abnormalities, performing sensation tests, and conducting blood glucose monitoring if necessary.
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What is diabetes foot examination?
Diabetes foot examination is a medical assessment to analyze the condition of a patient's feet, specifically focusing on any potential complications related to diabetes.
Who is required to file diabetes foot examination?
Individuals diagnosed with diabetes are typically required to undergo diabetes foot examination.
How to fill out diabetes foot examination?
Diabetes foot examination forms can be filled out by a healthcare provider or medical professional specializing in diabetic foot care.
What is the purpose of diabetes foot examination?
The purpose of diabetes foot examination is to monitor and prevent complications such as neuropathy, ulcers, and infections that may arise in diabetic patients.
What information must be reported on diabetes foot examination?
Information such as sensory perception, circulation, skin condition, and presence of any wounds or abnormalities must be reported on diabetes foot examination.
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