Neurovascular Assessments

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Hi Guys,

We were taught at UNI to do neurovascular assessments annually if there are no issues with results. Through an EPC we do a full assessment at patients first visit, if the patient is a low risk patient we re-assess in 12/12.

We have been told at my work by a place that refer quite a few patient that the legislation has changed and we now need to re-assess ALL diabetic patients every 6/12. Does anyone know if this is correct? Where would I find it in writing that if patients are low risk we only need to assess once a year?

Thanks in advance!

Kara

 

Their is NO legislation that covers this!
Various different organizations have differing guidelines on the frequency - some say 6 months; some say 12.

 

Cool thanks for that! Very helpful.

 

I have not looked at the guidelines recently, but a while back (ie quite a few yrs ago!) the APodC guidelines were different to the DiabetesAustralia guidelines!

 

Reading page 20 of the NHMRC's National Evidence-Based Guidelines for the Prevention, Identification and Management of Foot Complications in Diabetes, may help, although they do state that "There were no studies providing evidence for the optimal frequency of foot assessment in people with and without foot ulceration" and so their recommendations on frequency of risk assessment are based on expert opinion , these guidelines/recommendations are also from 2011. If you don't mind using American recommendations read page S47 in the American Diabetes Association's Standards of Medical Care in Diabetes which was published this year (2014).



http://www.nhmrc.gov.au/_files_nhmr...nts/diabetes_foot_full_guideline_23062011.pdf

http://care.diabetesjournals.org/content/37/Supplement_1/S14.full.pdf

 

Page 33 of Diabetes Australia's Diabetes Management in General Practice , also has recommendations for foot exam (by nurse) published in 2012. This document is only intended for Type 2 Diabetes,

http://www.diabetesaustralia.com.au/Documents/DA/Publications/13.04.08 DMiGP Web Version.pdf