Diabetes mellitus
The role of the specialist diabetes podiatrist
Diabetic foot problems are responsible for 47% of all diabetes related
admissions.
Foot problems have a significant impact on the quality of life of people
with diabetes.
It has been proven that a coordinated approach to foot health can prevent
up to 50% of these problems.
The role of the Specialist Diabetic Podiatrist is central to this
approach.
Screening
An essential part of the prevention programme for patients with diabetes
is the foot screening examination which should be performed by the
specialist chiropodist on every newly diagnosed patient and at least
annually thereafter.
Management strategies
Once the level of risk for foot injury or ulceration has been determined
appropriate management schemes including footwear recommendations, education
referral to community chiropody or specialist care.
To provide high grade clinical care for those patients that are deemed at
high risk in conjunction with routine care provided by community
chiropodists.
Education
To provide intensive one to one education for the patient in all aspects
of foot health.
To update all other health professionals and carers on foot health advice.
Wound Management
To provide an expert resource in the management and debridement of foot
ulcers.
Patient intervention times
Guidelines dependent on the risk status of the patient.
All patients annually for risk assessment 30 minutes.
Woundcare management 20-30 minutes.
Routine care to be carried out by community chiropodists.
Source: Northumbria NHS Health Care Trust diabetes protocol
