Get the free Diabetes Foot Screening Tool - Alberta Health Services

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Diabetic Foot Screening Footwork Site: ___ Risk: Low Mod High Stable High Date of Next Foot Screen: ___ Education Handout Provided Outpatient Label:Score Right Foot Left FootCommentRight Foot Left

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How to fill out diabetes foot screening tool

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Obtain a copy of the diabetes foot screening tool.

02

Review the instructions provided with the tool.

03

Gather the necessary information, such as the patient's medical history and current symptoms.

04

Fill out each section of the tool accurately and completely, including any measurements or observations.

05

Double-check your entries for accuracy and completeness before submitting the completed tool.

Who needs diabetes foot screening tool?

01

Individuals with diabetes, especially those with a history of foot issues or neuropathy, may benefit from regular foot screenings using a diabetes foot screening tool.

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What is diabetes foot screening tool?

Diabetes foot screening tool is a tool used to assess and evaluate the risk of foot complications in individuals with diabetes.

Who is required to file diabetes foot screening tool?

Healthcare providers, such as doctors and nurses, are required to file diabetes foot screening tool for their patients with diabetes.

How to fill out diabetes foot screening tool?

Diabetes foot screening tool can be filled out by recording relevant information such as medical history, physical examination findings, and any foot abnormalities.

What is the purpose of diabetes foot screening tool?

The purpose of diabetes foot screening tool is to identify individuals with diabetes who are at risk of developing foot complications, such as ulcers and amputations.

What information must be reported on diabetes foot screening tool?

Information such as neuropathy assessment, vascular assessment, foot deformities, and previous history of foot ulcers or amputations must be reported on diabetes foot screening tool.

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