Diabetic Foot Care Clinic
 Who should be seen in a Foot Care Clinic?

While persons with diabetes are at a higher risk of complications such as ulcers, amputations, and infection, there are many other reasons why a person could need the services provided in a medically managed Foot Care Clinic
 
Anyone with the following problems can be at high risk for complications:
  • Foot deformities
  • Loss of sensation in the feet or lower extremities
  • Circulatory problems
  • History of ulcers or skin break down of the feet
  • Visual impairment
  • Diminished mental capacity
  • Inability to reach or care for the feet
  • Elderly or frail persons
  • Obesity
 
Reasons for a Medically Managed Foot Care Clinic

Prevention and Early Detection of Complications
While there are several health problems that can increase the risk for foot problems, diabetes is by far the most common health risk. Foot ulcers and amputations are a major cause of death, disability, as well as emotional and physical costs for people with diabetes. Early recognition and management of independent risk factors for ulcers and amputations can prevent or delay the onset of adverse outcomes.
 
Diabetes affects every system in the body, including the nervous, circulatory, and immune system. Dysfunction in these systems can have serious consequences. A diabetic who has neuropathy can have decreased sensation in their feet, which increases the risk for undetected injury because the sensation of pain that most of us would feel is limited, thus the injury can result in infection. Poor circulation means the person with diabetes may not have enough blood flow to help the wound heal, and if infection occurs he/she may not be able to fight off an infection as well as the average person due to the suppressed immune system.
 
Foot Examination and Risk Identification
Another important benefit of attending our Foot Care Clinic is the availability of qualified health care providers who can identify risk factors early.
 
Our foot care specialists have attended educational programs that include not only classroom education, but clinical training in providing safe foot care and recognition and treatment of many foot problems.
 
Education
Patients with diabetes and high risk foot conditions should be educated regarding their risk factors and appropriate management. Our program is geared towards educating the participants of our foot clinic to maintain good foot health.
 
Consistent Foot Care and Optimum Foot Health
Patients can be followed on a regular basis in order to manage chronic problems. Depending on the patient and the foot problems, patients may be seen every 2 to 3 months, or in some cases only every 6 to 12 months.
 
The frequency and amount of care a patient needs is determined by an extensive examination of the feet. Persons at higher risk (circulatory problems, diabetes, history of ulcers, amputation, calluses, loss of sensation) usually require more frequent visits and closer monitoring.
 
Experienced Staff
Our staff has received specialized education and training in foot care. The program is facilitated by Linda Picker-Johnson, ANP, who is Board Certified in Advanced Diabetes Management and has over 7 years experience in managing and conducting a diabetes foot clinic in St. Louis, Missouri prior to moving to the Grants Pass area.

What to Expect for Your Foot Care
 
The foot care nurse will record a brief medical history, including:
  • Underlying history
  • History of foot health
  • Current medications
 
The nurse will then thoroughly examine your feet, documenting:
  • Foot structure
  • Foot health
  • Circulation
  • Sensation
 
The nurse will ask to examine the shoes that you are currently wearing to ensure they are safe for your feet. If needed and you meet the diabetic guidelines, our providers are able to order diabetic shoes.
 
The nurse will talk with you throughout the exam and treatment and will share information on prevention, health promotion, and services available to you in the community.
 
Treatment includes:
  • Trimming nails
  • Filing nails
  • Reducing thick nails if needed
  • Reducing or removing calluses and corns
  • Removing ingrown part of nail if required
 
You will then receive a relaxing and gentle massage to promote circulation and lymphatic drainage.
 
The nurse may make recommendations for you to visit your primary care provider if problems are discovered during the brief history and physical examination. It is your responsibility to follow through on this recommendation for your best health and safety.
 
You should expect your first appointment to take 60 minutes.
 
Optimally, the nurse should follow up every 4 to 6 weeks for people with underlying medical conditions and 6 to 8 weeks for maintaining healthy feet.