
Diabetes Education
Diabetes Education is the essential link for successful diabetes managment. Research is providing great progress and there is
much hope to offer our patients. With proper treatment diabetes can be managed, complications can be minimized and in some cases completely avoided.
Reinforcing understanding through on-going support measures including access to local resources including support groups
helps to maximize positive outcomes for successful diabetes self management.
Complications from diabetes can and do occur, often diabetes is present for a time before it is found. Understanding is key to successful management. Diabetes mellitus is by nature an insidious disease. The effects of high bllod sugar exposures on
nerves, capillary beds and bones creates a cumulative stress from being prolonged exposure and bathed in high concentrations of sugar. Complications may be slowly progressive and may involve the eyes, heart, kidneys and / or feet.
Bariatric weight
loss surgery and pancreatic transplants offer great hope for cure and remissions that may halt
further development of diabetes related lower extremity complications. Medical research is bringing us closer to what may utimately be a cure for diabetes. Today's information
will hopefully will lead to tomorrow's cure. There is much hope on the horizon and proper care today increases your overall health and quality of life.
Some complications may be permanent or non-reversible.
Long term unmanaged effects of damaged
capillary beds may present lifelong potential for impaired circulation. Impaired
sensation from diabetic peripheral neuropathy carries the potential for injury to go unnoticed because there is no pain to warn of injury. Delayed treatment may allow an infection to begin. Bony deformities
remain and frequently progress because the weakened structural foundation is still called upon to carry the weight of the body.
Lifelong potential for serious diabetes related lower extremity complications
may continue, even in the
presence of a cure as the permanent, residual
effects of past events may remain a factor for lower extremity
complications, including serious infection and possibly even amputation.
Develop a Daily Routine : Never go Barefoot. Check your feet daily. Look between the toes. feel the top, bottom, heel and sides of both feet daily. Check for blisters, sores, cuts, changes in color, temperature and report anything unusual. Wash your feet every day with warm water and mild soap. Avoid soaking your feet. Dry feet well, especially between toes. Apply a gentle lotion daily while avoiding the areas between your toes. Never go barefoot. Wear good socks and supportive shoes and ask your doctor if you might benefit from protective diabetic footwear.
The field of diabetes footwear is a medical specialty called Pedorthics. Certified Pedorthists are the foot health members of the health care team. Matching the health and lifestyle to the proper footwear is important. Most insurance companies recognize the benefits of this protection by offering benefits for protective footwear to people with diabetes complications through an ABC or BOC Certified Pedorthists, the foot health practioners. For
more information on Pedorthics please contact Sylvia Thompson, RN, CFCN, CPED -Board Certified Pedorthist at THE WELL-FOOT CLINIC in Port Angeles by calling (360) 582-3736 or Fax your information to us at (877) 582-3735.
Best wishes,
Sylvia A Thompson, MS,RN,CFCN,CPED,DE
Registered Nurse / Board Certified Foot Nurse / Board Certified Pedorthist
Copyright: Sylvia A Thompson, MS,RN,CFCN,CPED,DE / THE WELL FOOT CLINIC - 2-08-2012
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Certified Foot Nurse and Foot Program
The field of Nurse Foot Care is an evolving field of
Registered Nurses who provide routine nail care services to individuals of
reasonably good health while promoting higher standards, greater awareness,
advanced training, education and certifications. Specialty programs to address healthcare
fields, promote high standards for better outcomes. Long recognized issues have
motivated university healthcare programs and responsible providers to respond
to historic trends in foot care patterns and complications.
Nurse Delegation brings growing numbers of people to provide basic nail
clipping and filing service within the community. Nurse Delegates are minimally
trained and remain under the direct supervision of the trainers and program. Home
care / Facilities are advised to administer programs only through a registered
nurse CFCN. Programs should
train using the actual tools and supplies to train that would be used during
working.
Verification of training / learning should be accepted as passing scores on written and performance skills and periodic reviews. CFCN oversight often continues beyond course completion, but can be severed at any time, at the discretion of the CFCN. All ties are permanently severed upon termination of employment and the training will not carry over to another employer or position.
High risk foot and nail care complications can lead to serious
complications, including amputation and death. Registered Nurses who have not attended
advanced training in high risk foot and nail care are cautioned. Nurse Delegates
are not covered in scope or liability and should not be involved in high risk
or diabetic foot care.
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FOR IMMEDIATE RELEASE
THE WELL FOOT CLINIC®-Port Angeles
Awarded Dual ABC Accreditations
(Port Angeles, WA) – THE WELL FOOT CLINIC®-Port Angeles, proudly announces a Three-Year Accreditation award in Comprehensive Pedorthics and Ancillary Assistive Devices by the American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc. (ABC).
THE WELL FOOT CLINIC® -Port Angeles, is recognized for achievements in the areas of Organizational Management, Patient Care Standards, Quality Assurance, Supplier Compliance and Facility and Safety Management. This award represents the highest level of accreditation achievable in the profession of Orthotics and Prosthetics.
"THE WELL FOOT CLINIC®-Port Angeles, has demonstrated its commitment to the provision of quality patient care services by seeking and attaining ABC accreditation," said Catherine Carter, ABC's Executive Director. "ABC has developed the highest standards for accreditation in the industry and is proud to include THE WELL FOOT CLINIC®-Port Angeles, among our over 1,400 accredited patient care facilities."
THE WELL FOOT CLINIC® has been offering Comprehensive Pedorthic services within Washington State, the Olympic Peninsula and greater Seattle areas since 2004. Founded in 2004, by Sylvia A Thompson, MS, RN, CFCN, CPED, Board Certified Pedorthist, (CPED) & Board Certified Foot Nurse (CFCN), who first combined these two sub-specialty healthcare fields promoting healthy gait and balance through innovation and technology.
The American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc. has been credentialing practitioners and organizations since 1948 in accordance with established standards of excellence in the delivery of comprehensive patient care. A not-for-profit organization headquartered in Alexandria, Virginia, ABC's mission is to encourage and promote the highest standards of professionalism in the delivery of Orthotic, Prosthetic and Pedorthic services. ABC advances the competency of practitioners, promotes the quality and effectiveness of orthotic, prosthetic and pedorthic care, and maintains the integrity of the profession.
For additional information about THE WELL FOOT CLINIC®, or the ABC, contact THE WELL FOOT CLINIC®-Port Angeles, at 360-582-3736.
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DIABETES & LOWER EXTREMITY AMPUTATION
One in four Americans with diabetes will develop potentially serious foot problems but wearing properly fitted footwear can help avoid unnecessary complications. A Board Certified Pedorthist (CPED) is the trained footwear specialist on the healthcare team that works with you to enhance good foot care with properly fitted shoes and foot orthotics. The ABC Certified Pedorthists is recognized nationally and all legitimate programs proudly display their certifications, licenses&accreditations for your personal inspection.
Establishing care and routine visits with a trusted local provider is important for everyone but even more vital when dealing with diabetes and properly fitting footwear. Improper treatment can have devastating consequences for patients and the community caring for them. Protect your feet!
For additional information about diabetes and footwear, contact Sylvia A Thompson, ABC Board Certified Pedorthist at the nationally accredited WELL FOOT CLINIC®-Diabetes Clinic. Centrally located at
409 South Oak Street in Port Angeles, or call (360) 582-3736.
Sylvia A. Thompson, MS, RN, CFCN, CPED
Board Certified Pedorthist
Board Certified Foot Nurse
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I am a member of the Az State Board of Nursing Scope of Practice Committee and we are trying to develop an Advisory Opinion for diabetic foot care. What are your recommendations?
Carolyn Lohmann, RN, BSN, CCRN, June 28, 2011
The term "Diabetic Foot Care" overlaps other conditions or illness with similar signs / symptoms / presentations & potential complications, because of this I prefer the term, "High Risk Foot Care". Minimum credentialling level, advananced training requirements and limited scope after meeting requirements. Standard criteria and developing state approved Foot Programs would help to raise levels of care and accountability. This should infer a non-delagatable task to those with lesser training.
August 22, 2011
hi, I am trying to find out the legalities of registered nurse performing podiatry care in home health setting. i.e cut toe nails. my boss says any registered nurse can legally do diabetic foot
Ami Joiner, March 24, 2011
I encourage preparation with the knowledge, skill and appropriate tools to safely accomplish the task before assuming the liability associated with high risk footcare.
August 21, 2011
Hi Patricia, WOCNCB hosts an annual program, local colleges also offer foot care modules. Basic areas should include A&P, Diabetes, Foot Pathologies, Wound Care, Best Practice and Legalities. Thanks
Sylvia A Thompson, MS, RN, CFCN, CPED, June 11, 2010
Hello Sylvia
I am an RN in North Carolina and am just getting started in foot care. I am looking for a mentor/path to learn- can you suggest someone?
Thank you
Patricia Jenkins, June 11, 2010
Hi Patricia,
I am offering mentor weekend classes this fall specifically designed to give you the knowledge and confidence to advance your Nursing career in Foot Care and starting your own practice. Learning new techniques you can use back at the office. Meet others in your field, discuss problems and solutions in a relaxed atmosphere of learning. Registrations and / or Questions? Email me at
wellfootclinic@wavecable.com
Hope to see you soon,
Sylvia Thompson, MS, RN, CFCN, CPED
Owner
THE WELL-FOOT CLINIC®
September 01, 2010