Diabetes assessment

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I am in private practice. What detail or level of assessment should I be providing when conducting a diabetes assessment? Is there a standard to follow I.e. monofilament (which toes, what areas), vibration etc. I do an assessment but I am reviewing what I do to determine that it complies or is up to current standard.

 

Hi Zac,

There is the 'International Consensus on the Diabetic Foot' which can be accessed online. They make recommendations on minimum standards of assessment.

Cheers

 

Hi Zac,

These two links will set you in the right direction for doing a comprehensive evidence based foot exam.

http://care.diabetesjournals.org/content/31/8/1679.long

http://www.bakeridi.edu.au/Page.aspx?ID=728

 

Hi Zac,
You could also drop into one of your hospital based podiatry clinics and ask for copies of the neurovascular forms they use. Most hospitals keep up with best practise with this sort of screening and are often screening high risk patients and can give you good advice. As podiatrists I think we should all be aiming to screen at that level, and not the level of a clinic nurse.
Cheers
Burke