All Things Feet

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

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All Things Feet

  1. 1. All Things FeetJennifer Flo DPM CWSP6-12-12
  2. 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. 3. Add to that…. Diabetes Hypertension Smoking CHF Stroke or Paralysis Obesity Back, Hip, or Knee problems
  4. 4. Nails#1 foot complaintThick nailsFungal Nails
  5. 5. NailsIncurvated NailsAbscess
  6. 6. Calluses#1 Cause: Poorly fitting shoesAlso: Bunions Hammertoes Bony prominences
  7. 7. Tinea pedisAKA Athlete’s FootCaused by fungus which loves dark moist spaces.
  8. 8. DeformityHammertoesBunions
  9. 9. DeformityCharcot Foot
  10. 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. 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. 12. Good Shoes?
  13. 13. Orthopedic ShoesOrthopedic shoes are for people with risk factors:2. History of ulcer3. Numbness4. Hammertoes5. Bunions6. Painful calluses
  14. 14. Diabetic SocksReduce chafing and blistersResist bunching upDesigned to avoid creasing the skin
  15. 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. 16. Inspect!Look for:Color changesSwellingPainSores that are slow to healIngrown toenailsCracks in the skin
  17. 17. Exercise Improves the body’s use of insulin Lowers blood pressure Improves Circulation
  18. 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.

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