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All Things Feet

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June 12, 2012 …

June 12, 2012
Meeting of Director of Nurses at the Chequamegon Clinic


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  • 1. All Things FeetJennifer Flo DPM CWSP6-12-12
  • 2. Elders and Foot Problems Skin dries out easily Skin becomes less elastic Nails become thicker and more brittle Plantar fat pad shrinks DJD Things spread out!
  • 3. Add to that…. Diabetes Hypertension Smoking CHF Stroke or Paralysis Obesity Back, Hip, or Knee problems
  • 4. Nails#1 foot complaintThick nailsFungal Nails
  • 5. NailsIncurvated NailsAbscess
  • 6. Calluses#1 Cause: Poorly fitting shoesAlso: Bunions Hammertoes Bony prominences
  • 7. Tinea pedisAKA Athlete’s FootCaused by fungus which loves dark moist spaces.
  • 8. DeformityHammertoesBunions
  • 9. DeformityCharcot Foot
  • 10. DiabetesWhat does diabetes have to do with feet?- Arterial disease leads to cold feet and legs- Inability to fight infection- Robs a person of the “gift” of pain- 1/4 nursing home residents has diabetes
  • 11. Shoes and Socks- provide support and protection- need to fit well- should be Velcro or laced- Poorly fitting shoes are involved in 1/2 the problems that lead to amputation.
  • 12. Good Shoes?
  • 13. Orthopedic ShoesOrthopedic shoes are for people with risk factors:2. History of ulcer3. Numbness4. Hammertoes5. Bunions6. Painful calluses
  • 14. Diabetic SocksReduce chafing and blistersResist bunching upDesigned to avoid creasing the skin
  • 15. Hygiene!Daily Care Routine:2. Check feet daily - top, bottom, front, back and between toes.3. Bathe and soften with lotion or cream4. Do NOT put moisturizer between the toes.
  • 16. Inspect!Look for:Color changesSwellingPainSores that are slow to healIngrown toenailsCracks in the skin
  • 17. Exercise Improves the body’s use of insulin Lowers blood pressure Improves Circulation
  • 18. Exercise One out of three adults age 65 and older falls each year. CDC Regular weight bearing exercise is the best way to prevent falls.