Diabetes a known disease to everyone. If you are a diabetic patient & also have a wound then you are the person who know the sufferings. Here, we discussed about the care regarding diabetes. Following these, your sufferings will reduce. Thanks

1. WELCOME
DIABETIC FOOT CARE

2. Foot problems are common in people with
diabetes. These problems include foot infection,
foot ulcer, lower extremity infection, narrowing
the blood vessels etc. Without proper care foot
problems lead to amputation. We might be
afraid if we lose a toe, foot or leg to diabetes.
But we can lower our changes of having diabetes
foot problems by taking care our feet regularly.
Close co-ordination among the podiatrist,
orthotist, nurse, physician and surgeon is vital in
the care of the diabetic foot.
Introduction

3. Definition Of Foot Care :
Foot care involves all aspects of preventative and
corrective care of the foot and ankle. Doctors
specializing in foot care are called podiatrists.

4. Purposes Of Foot Care:
1. To maintain mobility and function.
2. To prevent Ulcer.
3. To prevent injury of foot.
4. To promote early healing of foot.
5. To prevent infection
6. To safe the foot from amputation.

5. Risk Factors Of
Foot Problem:
1. Duration of diabetes.
2. Older age.
3. Uncontrolled
hyperglycemia.
4. Peripheral vascular
disease.
5. Peripheral neuropathy.
6. Trauma
7. History of prior Ulcer
amputation
8. Limited joint mobility.
9. Prolonged elevated
pressures.
10. Structural foot
deformity.

6. Causes Of Foot Problem
 Poor circulation.
 High blood sugar.
 Nerve damage.
 Trauma.
 Irritated or wounded feet.
 Infection
 Smoking
 Foot wear, example- Poorly fitting shoes
 Deformities
 Nerve damage.

7. Sign & Symptoms Of Diabetics Foot
1. Burning and painful feet.
2. Swelling of the feet or legs.
3. Loss of sensation to cold or touch.
4. Thickening and yellowing of the toenails.
5. Onset of red Spots, Blister sores, Ulcer, infected corner or
ingrown toenails.

8. Treatment of diabetic foot
• Conservative treatment:
1. Bed rest.
2. Intravenous antibiotics.
3. An intravenous insulin pump may be necessary to
control the blood glucose level.
• Surgical debridement:
1. To drain pus & abscess cavities.
2. To remove all necrotic & infected tissue.
3. If necrosis has developed in the digit, a ray
amputation is necessary.
4. Skin grafting is needed after granulation tissue has
developed which accelerates wound healing.

9. Complications
 Neuropathy
 Skin Change
 Calluses
 Sores
 Foot Ulcer
 Poor Circulation
 Gangrene
 Amputation

10. Prevention of Diabetic Foot Problem
There are five key elements to prevent foot
problems-
1. Identification of the at risk foot.
2. Regular inspection and examination of the at
risk foot.
3. Education of the patient, family & health care
providers.
4. Routine wearing of appropriate foot wear.
5. Treatment of pre-ulcerative signs.

11. There are a few foot care habits you can adopt & try to do everyday.
Inspect Feet:
Check feet and toes inspecting the tops sides, soles, heels and
the area between the toes. If you are physically unable to inspect
your own feet use a mirror or ask someone to help.

12. Wash feet :
Wash feet everyday in worm water with mild soap. Hot
water and harsh soaps can damage skin. Check the water
temperature with fingers or elbow before putting feet in.

13. Dry Feet:
Pad feet to dry them and make sure to dry well. Infection
tend to develop in moist area.

14. Moisturize Dry Skin:
If the skin or feet feels dry, use lotion or oil. Do not use
lotion between toes.

15. Toenail Care:
Here are a few tips for proper toenail care.
 Trim toenails after washing feet, when nail are soft.
 Do not cut into the corners.
 Be careful not to cut toenails too short.

16. Foot Wear:
Shoes And Socks
Shoes:
Choose Comfortable, well fitting shoes.
Do not wear shoes made out of plastic or other
materials.
Wear shoes that can be adjusted with laces,
buckles.

17. Socks:
 Wear clean, dry socks.
 Wear socks to bed if your feet are cold.

18. Healthy Foot Habit :
Following good foot care habits will go a long way toward keeping your feet
healthy . Here are a few helpful tips.
 Antiseptic solution can burn your skin. Never use them on your feet
without your doctor approval.
 Never use a heating pad, hot water bottle, electric blanket on your
feet.
 Avoid walking barefoot, it causes sores or injuries that can get
infected.
 Protect your feet from heat and cold.

19. Nursing Care Plan
Nursing
Diagnosis
Goals Nursing Intervention Evaluation
Destruction of
skin layers
related to poor
nerve supply.
Maintain
normal skin
integrity.
1.Assess size, color and condition of
surrounding skin.
2.Thoroughly wash the wound as soon as
possible with soap and water for 5 minutes.
3.After washing, An Antiseptic solution must
be applied in the wound area. Such as-
povidone, iodine etc.
4.Keep the skin free from pressure.
5.Examine the wound.
Gradually
Maintain Skin
Integrity.

20. Nursing Diagnosis Goals Nursing Intervention Evaluation
Risk for infection related
to inadequate primary
defense.
Prevent
infection
1. Place the patient in wall
ventilated room, clean or
isolated room.
2. Should limit visitors or client.
3. Maintain personal hygiene.
4. Gently handling the patient.
Gradually
decrease risk of
infection.
Nursing Care Plan

21. Nursing
Diagnosis
Goals Nursing Intervention Evaluation
Deficient knowledge
about diabetic foot
care.
Provide
appropriat
e
informatio
n about
foot care .
1. Explain about importance of care.
2. Encourage for maintaining of foot
hygiene.
3. Avoid walking barefoot.
4. Were shoes and socks at all times.
5. I Regular visit to health care
provider.
Demonstrate
knowledge about
diabetic foot care.
Nursing Care Plan

22. Summary:
Diabetes is one of the non-communicable disease. Now, due
to changes in life style & industrial process, incidence of
diabetes & its complication have been increased.
Accordingly Diabetic foot considered as a common
complication of diabetes. Most of these complications can
be prevented with careful foot care. If complication do
occur, daily attention will ensure that they are detected
before the become serious. It may take time and effort to
build good foot care habits.

23. Reference:
Medical-dictionary Thefreedictionary.com/foot+care
www.healthline.com/helth/diabetes-foot-care
www.emedicinehealth.com/diabetic-foot-care
https:en.m.wikipedia.org/wiki/diaveric_foot_care
Patient.info/doctor/diabetic-foot
www.idf.org.international diabetic federation

24. THANKS