Journal List > J Korean Diabetes > v.15(4) > 1054938

Lee: Diabetic Foot Education and a Diabetic Foot Screening Tool

Abstract

People with diabetes mellitus develop lower-limb complications such as diabetic neuropathy, peripheral vascular disease, foot ulcers, and lower-leg amputations. Widespread failure to carry out diabetic foot screening can lead to risk of ulceration and amputation. We hope to enhance competence and knowledge concerning high-risk diabetic foot screening. This continuing education activity is intended for physicians and nurses with an interest in skin and wound care.

References

1. Mayfield JA, Reiber GE, Sanders LJ, Janisse D, Pogach LM. American Diabetes Association. Preventive foot care in diabetes. Diabetes Care. 2004; 27(Suppl 1):S63–4.
2. Reiber GE, Pecoraro RE, Koepsell TD. Risk factors for amputation in patients with diabetes mellitus. A case-control study. Ann Intern Med. 1992; 117:97–105.
3. Centers for Disease Control and Prevention (CDC). History of foot ulcer among persons with diabetes–United States, 2000–2002. MMWR Morb Mortal Wkly Rep. 2003; 52:1098–102.
4. Muller IS, de Grauw WJ, van Gerwen WH, Bartelink ML, van Den Hoogen HJ, Rutten GE. Foot ulceration and lower limb amputation in type 2 diabetic patients in dutch primary health care. Diabetes Care. 2002; 25:570–4.
crossref
5. Fritschi C. Preventive care of the diabetic foot. Nurs Clin North Am. 2001; 36:303–20. vii.
6. Peter-Riesch B, Assal JP. Teaching diabetic foot care effectively. J Am Podiatr Med Assoc. 1997; 87:318–20.
crossref
7. Neil JA, Knuckey CJ, Tanenberg RJ. Prevention of foot ulcers in patients with diabetes and end stage renal disease. Nephrol Nurs J. 2003; 30:39–43.
8. Lee JH, Jeon HJ, Kim KA, Nam HW, Woo JT, Ahn KJ. Committee of Education, Korean Diabetes Association. Diabetes education recognition program. J Korean Diabetes. 2012; 13:219–23.
crossref
9. Korean Diabetes Association Education Committee. The Guide for Diabetes Education. 3rd ed.Seoul: Gold'Planning and Development;2013. p16.
10. Kuhnke JL, Botros M, Elliott J, Rodd-Nielsen E, Orsted H, Sibbald RG. The case for diabetic foot screening. Diabetic Foot Canada. 2013; 1:8–14.
11. Inlow S. A 60 second foot exam for people with diabetes. Wound Care Canada. 2004; 2:10.
12. Canadian Association of Wound Carewebsite (CAWC). Inlow's 60-second Diabetic Foot Screen screening tool [Internet]. Toronto: CAWC;c2014. [cited 10 nov 2014]. Available from:. http://bit.ly/133fZx6.
13. Boulton AJ, Armstrong DG, Albert SF, Frykberg RG, Hellman R, Kirkman MS, Lavery LA, Lemaster JW, Mills JL Sr, Mueller MJ, Sheehan P, Wukich DK. American Diabetes Association; American Association of Clinical Endocrinologists. Comprehensive foot examination and risk assessment: a report of the task force of the foot care interest group of the American Diabetes Association, with endorsement by the American Association of Clinical Endocrinologists. Diabetes Care. 2008; 31:1679–85.
14. Sibbald R, Woo K, Ostrow B. Preventing amputations: the need for screening, diagnosis and treatment of diabetic footcomplications in Guyana, South America. J World Council Enterostomal Ther. 2008; 28:34–6.
15. Ostrow B, Woo KY, Sibbald RG. The Guyana diabetic foot project: reducing amputations and improving diabetes care in Guyana, South America. J World Council Enterostomal Ther. 2010; 30:28–32.
16. McDonald A, Shah A, Wallace W. Diabetic foot education and Inlow's 60-second foot screen. Diabetic Foot Canada. 2013; 1:18–22.
17. Perkins BA, Bril V. Diabetic neuropathy: a review emphasizing diagnostic methods. Clin Neurophysiol. 2003; 114:1167–75.
crossref

Fig. 1
Documents for Inlow's 60-second Diabetic Foot Screen Tool.
jkd-15-221f1.tif
Fig. 2
Documents for Simplified 60-second foot screen.
jkd-15-221f2.tif
Table 1.
Diabetic foot screening tools
  Inlow's 60-second Diabetic Foot Screen Tool (2011) Simplified 60-second foot screen (2012)
Time The 60-Second The 60-Second
Component A 10-g monofilament, Clinical knowledge assessment skills A 10-g monofilament Basic clinical knowledge for the non-foot care specialist
Description The 12 screening tool elements
Based on the value for each category, care plans and recommendations may be provided
The simplified sixty second foot screen tool has 10 items with a positive or negative value
Available Canadian Association of Wound Carewebsite site at http://bit.ly/hMxgqL
Canadian Diabetes Association site at http://bit.ly/1aVgeMH
http://cawc.net/index.php/
resources/60-second-diabetic-foot-screen/
www.diabeticfootscreen.com
or http://bit.ly/1elThqP
Validated Murphy et al., 2012
Carreau et al., 2013
Sibbald et al., 2008, 2012
Ostrow et al., 2010
TOOLS
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