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Agnesian HealthCare Know & Go Friday, March 2017: Podiatry & Health Shoppe


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Drs. Robert Bertram and Sarika Parikh, as well as Deb Winterhack of Agnesian Health Shoppe business development, present on updates on their respective services.

Published in: Health & Medicine
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Agnesian HealthCare Know & Go Friday, March 2017: Podiatry & Health Shoppe

  1. 1. Podiatry Robert Bertram, DPM Sarika Parikh, DPM Podiatry (Foot & Ankle) Agnesian HealthCare
  2. 2. Presentation Outline Introduction  Robert Bertram, DPM  Sarika Parikh, DPM What is podiatry? Common foot and ankle issues Diabetes and diabetic foot care Agnesian Health Shoppe Questions
  3. 3. What Is Podiatry?  Podiatry, or podiatric medicine, is a specialized area of medicine dedicated to the diagnosis, treatment and prevention of diseases and disorders of the foot, ankle and lower extremities.  Foot/ankle anatomy is complicated  26 bones, 33 joints, 100+ ligaments, 19 tendons  Many areas that can become an issue
  4. 4. Common Foot and Ankle Issues Plantar fasciitis (heel pain) Achilles tendonitis Bunions/hammertoes Flatfeet Arthritis Diabetic foot care (corns, calluses, toenails)
  5. 5. Plantar Fasciitis  Most common cause of heel pain in adults  Typically due to repetitive or excessive stress on the foot  Symptoms  Gradual onset of pain at bottom of the heel  Worse when taking first steps in the morning or after prolonged sitting  Conservative treatment: Shoe inserts/orthotics, stretching, appropriate footwear, NSAIDs, rest, ice, other (physical therapy, injections, etc.)  Surgical treatment
  6. 6. Inflammation often caused by repetitive stress on the tendon Achilles tendon runs down back of lower leg Symptoms:  Aching, stiffness, soreness or tenderness within the tendon Treatment: RICE, physical therapy, stretching exercises, orthotics, night splints/custom bracing Achilles Tendonitis
  7. 7.  More than just a bump  Reflects changes in the bony structure  Big toe leans toward second toe, misaligning the bones  Progressive - gets worse and bump is more prominent  Symptoms  Pain or soreness  Redness and inflammation  Burning or numbness  Difficulty wearing certain shoes  Treatment  Conservative  Surgical Bunions
  8. 8. Hammertoes More severe cases - open sores Treatment  Conservative  Surgical Abnormal bend in the second, third, fourth or little toe Bend in the toe Pain/irritation when wearing shoes Corns and calluses Redness and inflammation
  9. 9. Flatfeet Structural abnormality leading to abnormal foot alignment/positioning Progressive weakening of supportive structures and gradual collapse of the arch Conservative treatment: orthotics, bracing, functional supports, physical therapy Surgical treatment: reconstructive procedures to recreate arch of foot
  10. 10. Arthritis  Most common in the mid-foot, big toe or ankle  Inflammation of the joint - breakdown in joint cartilage  Symptoms  Pain and stiffness  Swelling in or near the joint  Difficulty walking or bending the joint  Treatment  Conservative - shoes, boots, bracing, orthotics  Surgical - joint fusion or joint replacement
  11. 11. Diabetic Foot Care  Elevated blood sugars damage nerves, blood vessels, joints, skin  Vascular disease  Neuropathy  Ulceration  Infection  Gangrene  Amputations
  12. 12. Diabetic Facts Number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014. Global prevalence of diabetes among adults over 18 years of age has risen from 4.7 percent in 1980 to 8.5 percent in 2014. Diabetes prevalence has been rising more rapidly in middle- and low-income countries. Diabetes is a major cause of blindness, kidney failure, heart attacks, stroke and lower limb amputation.
  13. 13. Why Screen the Diabetic Foot? 15 percent of people with Type I and Type II diabetes will develop one or more foot ulcers in their lifetime. 10 percent of these will go on to have a major lower limb amputation. Of all non-traumatic lower limb amputations, 85 percent are due to diabetic foot ulcerations.
  14. 14. Five-Year Mortality Rate
  15. 15. Foot Care Tips  Check your feet every day  Look at your bare feet every day for cuts, blisters, red spots and swelling  Use a mirror to check the bottoms of your feet or ask a family member for help if you have trouble seeing  Wash your feet every day  Wash feet in warm, not hot, water  Dry feet well; be sure to dry between the toes  Keep the skin soft and smooth  Rub a thin coat of skin lotion over the tops and bottoms of your feet, BUT NOT BETWEEN YOUR TOES
  16. 16. Foot Care Tips, cont. Wear shoes and socks at all times  Never walk barefoot  Wear comfortable shoes that fit well and protect your feet  Feel inside your shoes before putting them on each time to make sure the lining is smooth and there are no objects inside  Make sure the shoe fits properly Take care of your diabetes and try to be more active  Work with your healthcare provider to keep your blood sugar within a safe range  Plan a physical activity program with your healthcare provider
  17. 17. Footwear Tips  Type of shoe  Proper fit  Shoe wear, patterns of wear  Lining wear  Foreign bodies/objects  Insoles, orthotics
  18. 18. Agnesian Health Shoppe  How does podiatry work with the Agnesian Health Shoppe?  Diabetic/therapeutic shoes  Compression stockings  Over-the-counter shoe orthotics  Walkers  Crutches  Roll about knee scooter  Wheelchair  Surgical shoes/boots
  19. 19. Agnesian Health Shoppe Deb Winterhack
  20. 20. Services  Sleep management  Home oxygen  Women’s health  Mobility and home access  Diabetic shoes  Retail DME shop  Wound care  Re-supply program  Repair and service  Benefits  Additional products
  21. 21. Sleep Management Sleep Management Program Respiratory therapists on-site  Four full-time respiratory therapists  Technicians on-call 24/7  Flexible schedules to meet patient’s needs Patient education and exceptional compliance Re-supply program for masks and supplies  Direct mailing to patient’s home with permission Retail products, such as pillows and wedges for sleep comfort
  22. 22. Home Oxygen  Home Oxygen program consists of:  Respiratory therapists and certified delivery technicians  Provide home delivery at set-up and 10 tanks per month  Provide education on proper use of equipment and supplies  Our team has many years of experience and have established relationships with our customers providing a sense of security and compassion.  Strive for same day service, on-call 24/7  Respiratory therapists available for consultation with patients and their providers
  23. 23. Women’s Health Post mastectomy supplies, including:  Breast prosthesis, bras, swimwear, fashionable scarfs and head coverings, wigs Mom and baby products  Medela and Ameda Breast pumps and supplies  Earth Mama Angel Baby skin care products Compression garments  Ready-to-wear and custom fitted (for both genders)  Two certified compression and mastectomy fitters with a licensed registered nurse on staff Private fitting rooms - call for appointments
  24. 24. Staying Home Safely Falls inside and outside are the number one cause of injury among the elderly Stairs lifts assist in climbing the stairs More access to your entire home Funding sources available Wheelchair ramps provide access into your home or garage Vehicle ramps provide easier transports Free home assessments for safety, equipment and home modifications
  25. 25. Staying Home Safely
  26. 26. Mobility & Home Access Two nationally-certified assistive technology professionals (ATP). Work with patients and providers to ensure proper equipment is built to fit the patient’s needs, home and lifestyle. High-end custom specialty mobility devices and equipment including: Power wheelchairs Power lifts Scooters
  27. 27. Diabetic/Therapeutic Shoes Complete Dr. Comfort line of diabetic and therapeutic shoes, inserts and socks. Full-time certified associates dedicated to assisting customers with their orders for shoes and inserts. Medicare and most private insurances will cover one pair of shoes and three pairs of inserts per year for qualified diabetic patients.
  28. 28. Lift Chairs For patients who have trouble getting in and out of living room furniture Available in a variety of fabrics to complement décor Provides safety and independence Mattresses and covers for sleep Wide range of styles, colors and price Delivery and set-up provided Hydro-lift product for any surface
  29. 29. Retail DME Shop DME specialists assist with in-home medical equipment and supplies, and third party reimbursement for private insurances and Medicare Expanded cash and carry product lines  Exercise equipment – Zone recommended  Pain management products  Dietary supplements & chiropractic recommended products  Podiatry orthotics and bracing Ambulatory aids, bathroom & bedroom safety
  30. 30. Wound Care Registered Nurse Registered nurse on-site working with patients and providers on wound care supplies and reimbursement.  Answers questions  Product education  Liaison for patient as it relates to reimbursement  Works hard to find products that will be covered  Conveniently located next to the Agnesian Wound Care  Products delivered right to the patient’s home
  31. 31. Re-Supply Program Re-order program with trained specialists: Place monthly reminders to patients for supplies for CPAP, ostomy, wound care, urological, enteral or incontinent products Monthly and quarterly reminder calls Never call a patient without permission Never ship product without speaking to the patient
  32. 32. Repair & Service On-site maintenance of all rental equipment Repair of purchased power mobility devices, wheelchairs, lift chairs and motorized scooters
  33. 33. Questions? Thank you for your support and loyalty.