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Hygiene
Published in Barbara Smith, Linda Field, Nursing Care, 2019
Nurses have an important role in assessing, assisting and monitoring the patient’s hygiene. The qualified nurse is responsible for supervising the assistance given by the healthcare assistant. The occupational therapist may assess and help the patient to develop ways to become self-caring through teaching and through the introduction of different equipment. The physiotherapist may be involved in helping the patient with posture and mobility. The podiatrist may help the patient with any foot problems. Continence and oral health specialists may be involved in certain aspects of the patient’s care. In addition, social care workers, volunteers and formal and informal carers may have roles to play. All of these people need to work together to develop and carry out the patient’s care/treatment plan. The basis for any care is the nurse working in collaboration with other multidisciplinary team members, the person and their carers (Nursing and Midwifery Council, 2018).
HIV/AIDS Neuropathy
Published in Gary W. Jay, Practical Guide to Chronic Pain Syndromes, 2016
Vasanthi Arumugam, Maurice Policar
Podiatrist evaluation (to develop plan of care, including exercise, care of feet, etc.) Loose shoes or no shoesSoak feetShort walksBlanket bridge to protect feet while sleeping
Fungi
Published in Thomas T. Yoshikawa, Shobita Rajagopalan, Antibiotic Therapy for Geriatric Patients, 2005
Avoidance of public showers and pools helps prevent spread of dermatophyte infections. Drying the feet well after bathing, wearing clean socks daily, and avoiding maceration are important in preventing tinea pedis recurrences. Routine visits to a podiatrist can help improve care of toenails and lead to early diagnosis and appropriate therapy. Prophylactic systemic antifungal agents have no role to play in preventing dermatophyte infections. However, treating the first signs of tinea infection with application of antifungal creams or lotions will help keep the infection in remission.
Footwear characteristics and foot problems in community dwelling people with stroke: a cross-sectional observational study
Published in Disability and Rehabilitation, 2023
Dorit Kunkel, Louis Mamode, Malcolm Burnett, Ruth Pickering, Dan Bader, Margaret Donovan-Hall, Mark Cole, Ann Ashburn, Catherine Bowen
All shoes were assessed using the Footwear Assessment Tool [24] with particular emphasis on fixation, fit, heel counter stiffness, and support. During this assessment, shoes were classified as “indoor” or “outdoor” shoes and as “adequate” or “inadequate” depending on the footwear features. For example, “adequate” shoes had a small, a high collar, broad heel, thin and firm midsole, adequate means of fixation and adjustment and a textured slip-resistant outer sole. For example, if the fit of the shoe was tight on aspects of the foot, e.g., around bony prominences, squashing toes, or bunions (HAV) it was considered to narrow or too small. These features were recorded by the assessing podiatrist. In addition, a photograph was taken of all the shoes. The information about the footwear features and the photographs were then assessed by three podiatrists (the assessing podiatrist as well as two podiatrists who were not involved in the assessments and were blinded to participant and assessment outcomes). They made their decisions on the appropriateness of the footwear based on existing guidelines of adequate footwear features [28]. In cases of disagreement, a final decision was made by reaching consensus through discussion. The guidelines used to ascertain whether footwear was considered “adequate” was based on the expert group criteria for the recognition of healthy footwear [28]. Whilst expert opinion can only be considered low level evidence, in this study, the guidance was also combined with an expert podiatrist clinician performing the foot and footwear assessment.
Experiences of foot health in patients with rheumatoid arthritis: a qualitative study
Published in Disability and Rehabilitation, 2022
Anne-Marie Laitinen, Carina Boström, Sasu Hyytiä, Minna Stolt
Lack of choice of care methods was related to podiatric care. Those who did have the opportunity to access podiatric care reported that the care methods remained the same from one year to the next. They hoped to benefit from innovative methods rather than the same ones that had been used for years. They also mentioned the competence of the podiatrist and the requirement for lifelong learning. Because they attended the same events, the participants had shared their care experiences with each other; therefore, they knew what methods had been used to help other patients with RA. Comparing their experiences led to the suggestion that podiatrists should develop their care methods and use new ones to support patients’ foot health. The provision of effective podiatric care was challenged and requested.
The dysmorphic metatarsal parabola in diabetes—clinical examination and management: a narrative review
Published in Journal of Endocrinology, Metabolism and Diabetes of South Africa, 2021
AT Thompson, B Zipfel, C Aldous
Corrective metatarsal surgery is not undertaken lightly in a patient living with diabetes. Surgery would elongate the first metatarsal by means of distraction osteogenesis or may shorten the diaphysis of the longer second metatarsal.39,40 In contrast, podiatrists gradually remove the dermal hyperkeratosis by non-invasive sharp debridement followed by low-speed dermabrasion. This is followed by a clinical biomechanical examination. The podiatrist will thereafter construct a functional in-shoe device to correct the faulty foot biomechanics. The orthosis or prescription innersole is worn inside suitably flexible footwear (Figure 8). Prescription inserts are usually affixed with Velcro® as this enables the insert to be removed and re-positioned in different pairs of a patient’s footwear.