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Diabetes Foot Risk Assessment Triage Referral Date of Screening and Triage (yyyyMondd) HAFT Fax # Send the completed Diabetic Foot Screening Tool and Triage Referral Form with your site based referral
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How to fill out diabetes foot risk assessment
How to fill out diabetes foot risk assessment
01
Gather the necessary materials for the assessment, such as the diabetes foot risk assessment form and a pen.
02
Start by obtaining the patient's demographic information, including their name, age, gender, and contact information.
03
Proceed to ask the patient about their medical history, particularly focusing on any previous foot-related issues or complications.
04
Next, perform a thorough examination of the patient's feet, checking for any abnormalities, pain, or wounds.
05
Take note of the patient's neuropathy symptoms, including any tingling or numbness in the feet.
06
Assess the patient's vascular status by checking their pulses and examining their skin for signs of poor circulation.
07
Evaluate the patient's foot deformities or conditions that may increase their risk of foot ulcers or complications.
08
Use the diabetes foot risk assessment form to score the patient's risk level based on the gathered information.
09
Discuss the results with the patient, providing them with recommendations for foot care and any necessary interventions.
10
Document the assessment findings and recommendations in the patient's medical records for future reference.
Who needs diabetes foot risk assessment?
01
Individuals diagnosed with diabetes, particularly those who have had the condition for an extended period
02
Patients with a history of foot-related complications, such as foot ulcers, infections, or amputations
03
Those with poor blood circulation or neuropathy symptoms in the feet
04
Individuals who have difficulty maintaining proper foot hygiene or self-care
05
People with known risk factors for foot problems, such as obesity or a sedentary lifestyle
06
Anyone experiencing foot pain, deformities, or abnormalities
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What is diabetes foot risk assessment?
Diabetes foot risk assessment is a process of evaluating the risk of developing foot problems for individuals with diabetes.
Who is required to file diabetes foot risk assessment?
Individuals with diabetes are required to undergo diabetes foot risk assessment.
How to fill out diabetes foot risk assessment?
Diabetes foot risk assessment can be filled out by healthcare professionals trained in assessing foot health.
What is the purpose of diabetes foot risk assessment?
The purpose of diabetes foot risk assessment is to identify individuals at risk of developing foot complications due to diabetes.
What information must be reported on diabetes foot risk assessment?
Information such as medical history, foot examination findings, and previous foot complications must be reported on diabetes foot risk assessment.
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