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Diabetes Care Program of Nova Scotia Foot Risk Assessment Form Guide September 2009 Diabetes Care Program of Nova Scotia 2009 DC PNS Diabetes Foot Risk Assessment Form Guidelines The Diabetic Foot
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How to fill out foot care assessment template

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How to fill out foot care assessment template:

01
Start by gathering relevant information about the individual's medical history, including any foot conditions, injuries, or surgeries they have had.
02
List any current medications or treatments the individual is undergoing that may affect their foot health.
03
Assess the individual's foot hygiene habits, including how often they clean their feet, trim their nails, and change their socks.
04
Evaluate the individual's foot sensation by testing their ability to feel touch, temperature, and vibration on different parts of their feet.
05
Examine the individual's foot structure and alignment, noting any deformities, asymmetry, or abnormalities.
06
Assess the individual's footwear, ensuring it provides proper support, fits correctly, and is appropriate for their specific foot conditions.
07
Evaluate the individual's foot mobility and range of motion, checking for any limitations or impairments.
08
Document any signs or symptoms of foot issues, such as pain, swelling, redness, or sores.
09
Create a comprehensive plan to address any identified foot care needs, including recommendations for foot care products, exercises, treatments, or referrals to specialists if necessary.

Who needs foot care assessment template:

01
Healthcare professionals, such as podiatrists, nurses, or caregivers, who provide foot care services to patients.
02
Individuals who have foot conditions, injuries, or diseases that require regular monitoring and assessment.
03
Elderly individuals or those with limited mobility who may be at higher risk for foot problems and require ongoing foot care attention.
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A foot care assessment template is a structured document used by healthcare professionals to evaluate the condition of a patient's feet, helping to identify any issues or concerns related to foot health.
Healthcare professionals, such as podiatrists, nurses, and other qualified practitioners responsible for patient foot care, are required to fill out the foot care assessment template.
To fill out a foot care assessment template, practitioners should gather patient information, document foot health history, perform a physical examination of the feet, assess circulation and sensation, record any abnormalities, and provide recommendations or treatment plans.
The purpose of the foot care assessment template is to systematically document foot health, identify problems, guide treatment decisions, promote patient education, and safeguard against serious complications.
The information that must be reported includes patient demographics, medical history, foot examination findings (such as condition of skin, nails, and circulation), any foot-related symptoms, and recommended interventions or referrals if necessary.
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