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Hi all
A young man as attends the clinic with feet in desperate need of help, following a very traumatic car accident 2 years ago. He has multiple psycho-social issues and smells really bad. I have been practising 10 years and hence my sense of smell and stomach have adapted to the requirements of the job, however the odour that this young man leaves behind clears the waiting room. I need to call him in for a review and further investigation. I am curious as how many of you would approach this sensitive subject. I believe the odour may have something to do with drug and alcohol abuse and his transient lifestyle.

 

Hello moe,
I think most of us have encountered a similar problem. I can also understand the sensitive nature of the issue. There are different ways to approach the subject. Personally I think it depends entirely on the sensitivity of the patient. Depending upon how you think the chap in Q may respond you could advise him that to decrease the possibility of potential infection all patients are advised (by letter, just to him. (I won't tell him hes the only 1 though) ;) that pts. are advised due to current regulation, to soak their feet prior to their podiatry appt. (He may get the hint & have a good wash?). I think my choice would be the other option & book him in as the last patient of the day. Cowardly I know but if its only the smell thats the issue & you can cope I reckon this may be the more appropriate action. Alternatively is it appropriate to enquire if he has problems self managing with his personal hygeine. I have contacted social services on a few occasions for advice RE: access to services for individuals with difficulties with personal hygeine. Could it be an incontinance issue? Let me know how you get on. :)
Regards