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Reducing Foot Complications for People with Diabetes - Registered ...

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<strong>Reducing</strong> <strong>Foot</strong> <strong>Complications</strong> <strong>for</strong> <strong>People</strong> <strong>with</strong> <strong>Diabetes</strong><br />

16<br />

complications in people <strong>with</strong> diabetes is an interdisciplinary and community wide endeavour.<br />

Organizational commitment and support <strong>for</strong> implementation is critical <strong>for</strong> success. Many<br />

settings have <strong>for</strong>malized interdisciplinary teams and the development panel strongly<br />

supports this structure. Collaborative assessment and planning <strong>with</strong> the client is essential.<br />

The recommendations made are not binding <strong>for</strong> nurses and should accommodate<br />

client/family wishes and local circumstances.<br />

It is the intention of this guideline to identify best nursing practices to help people <strong>with</strong><br />

diabetes reduce their risk of foot complications. It is acknowledged that individual competencies<br />

of nurses vary between nurses and across categories of nursing professionals (RPNs and RNs)<br />

and are based on knowledge, skills, attitudes and judgment enhanced over time by experience<br />

and education. It is expected that individual nurses will per<strong>for</strong>m only those aspects of diabetes<br />

foot assessment and education <strong>for</strong> which they have appropriate education and experience.<br />

Further, it is expected that nurses, both RPNs and RNs, will seek consultation in instances<br />

where the client’s care needs surpass the individual nurse’s ability to act independently.<br />

It is acknowledged that effective care depends on a coordinated interdisciplinary approach<br />

incorporating ongoing communication between health professionals and clients, ever mindful<br />

of the personal preferences and unique needs as well as the personal and environmental<br />

resources of each individual client.

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