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Preventing falls and amputation prevention april 2013


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Here is a presentation I put together about falls and preventing wounds. I put the video as the 2nd slide if you want to watch it.

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Preventing falls and amputation prevention april 2013

  1. 1. Preventing Falls and FootWounds in DiabetesDon Pelto, DPMCentral Massachusetts Podiatry, PCWorcester, MassachusettsTo Learn More Visitwww.DrPelto.comDiabetes ToolkitPreventing Falls
  2. 2. Part 1: Preventing Falls• What is the leading cause of injury deathsamong older adults?
  3. 3. What is injured in a fall?• Hip• Head• Bones
  4. 4. Where do falls occur?• Inside the house(55%)– Bedrooms (30%)– Living Rooms (31%)– Kitchens (19%)– Bathrooms (13%)– Hallways (10%)• Outside but near thehouse (23%)
  5. 5. Risk Factors You May Have• Neuropathy – lack offeeling in foot• Ankle Instability –weakness in the ankle• Weakness – in musclesin thigh and legs
  6. 6. • Vision Problems –maculardegeneration, poorsight, glaucoma• Foot Deformities –bunion, hammertoe,painful feet
  7. 7. Risk Factors Around You• EnvironmentalHazards – water, ice,rug• Obstacles – items onfloor
  8. 8. • Medications with sideeffects – high bloodpressure, seizure,diabetes, emotionalproblems, pain• Improper shoegearand long clothing
  9. 9. Fall Risk Plan• Assistive Devices• Physical/OccupationalTherapy• Primary Care• Podiatric Evaluation
  10. 10. Moore Balance Brace• Easy to put on• Light weight• Aid in foot clearance• Custom made tomaximizesomatosensoryfeedback• Eliminates abnormalmotion
  11. 11. Questions to ask• Have you fallen in the past?• Do you often slip, trip or have near falls?• Do you have a fear of falling?• Do you drag your feet when walking?• Do you have to touch or hold on to the wallor furniture while walking?
  12. 12. Part 2: Preventing Diabetic FootProblems
  13. 13. Why Should I Listen?• 1-4% of people with diabetes get ulcers(sores, wounds) every year and 15-25%will get one in their lifetime• 15% of ulcers lead to amputation• 85% of amputations start as ulcers
  14. 14. Patient Story
  15. 15. 3.5 Ways To Prevent A FootWound
  16. 16. 3.5 Ways To Prevent A FootWound1. Examine your feetdaily
  17. 17. 3.5 Ways To Prevent A FootWound1. Examine your feetdaily2. Wear correct sizeshoes or diabeticshoes
  18. 18. 3.5 Ways To Prevent A FootWound1. Examine your feetdaily2. Wear correct sizeshoes or diabeticshoes3. Have aprofessional trimyour calluses
  19. 19. 3.5 Ways To Prevent A FootWound3.5. Takeresponsibility andlearn more• Have yearly footexam• Have doctor look atfeet every visit• Diabetes Toolkit
  20. 20. 4 Major Reasons FootWoundsDon’t Heal Fast
  21. 21. 1. Blood Sugar – Hemoglobin A1C
  22. 22. 2. Poor Circulation - PAD
  23. 23. 3. Neuropathy
  24. 24. 4. Infection
  25. 25. To Learn More Visitwww.DrPelto.comDiabetes ToolkitPreventing FallsDonald Pelto, 757-4003