SOADI Frontline Training - CAMH - Nicotine Dependence Clinic

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SOADI FRONTLINE TRAINING 26 • Loss of circulation—pulses found in foot, Doppler or manually, history of lower-limb pain on exertion that is relieved with rest. • Callus present on soles or toes of feet or an abnormal foot shape (e.g. claw, hammer toes, bunion, obvious bony prominence, Charcot's foot or joint). A person living with diabetes may not be a good candidate for selfcare if he or she: • Is unable to see and reach the bottom of his or her feet. • Does not have someone who has been taught to perform appropriate foot care or an inspection. • Wears poor-fitting footwear—shoes that are too narrow or short, don’t have toe protection, have a rough or worn interior, or have uneven wear on sole or heel. • Has not received any foot care education before. • Does not check feet often or ever. • Does not report foot problems to health-care team. • Does not take steps to reduce risk of injury. Reflexology Reflexology is a focused-pressure technique directed at the feet. It is based on the premise that there are zones and reflexes on different parts of the body which correspond to and relate to our body parts, glands, and organs. There are approximately 7200 nerve endings on the feet, and these relate to various organs and glands within the body. A mirror image of the body has been mapped on the feet and pressure applied on specific reflex points on the feet can affect the corresponding part of the body. Benefits • Reflexology treatments provide deep relaxation, which reduces stress and tension that can aggravate diabetes. • Enhances circulation—blood and lymph circulation improves, blood supply to the cells is improved, and the release of toxins from the body is increased. • Stimulates pancreas and liver which helps in maintaining blood sugar level and reduces blood sugar fluctuations. Figure 25 Our ancestors used reflexology as a part of their healing, and we continue in their footsteps. Following a reflexology treatment it is important for the next few days to drink plenty of water and rest whenever possible.
SOADI FRONTLINE TRAINING 27 Chiropody Chiropodists specialize in foot care. • Primary care—common foot conditions, foot infections, foot deformities, orthotic requirements, and diagnosis of foot disease and disorders. • Diabetic foot assessments—checks the general health of the feet which includes circulation and sensation. SOADI Foot Care Clinic includes a screening and education on nail care, ingrown toe nails, corns, callus, plantar warts, and skin problems. Preventing Foot Care Complications Foot care professionals play a vital role in diabetes care: • See a professional every six weeks. • Do not cut your own toe nails. • Do not remove your own corns or calluses. • Wear proper footwear. • Address any foot concerns immediately. Controlling blood-glucose levels will help maintain healthy feet: • Eat regular balanced meals from each of the four food groups. • Drinking plenty of water. • Take medications and insulin as prescribed. • Control stress levels. • Reduce sugar, salt, white flour, high-fat dairy, and lard. • Family Doctor for HbA1C every three months. • Check blood glucose regularly. Possible amputation. Increased risk of infection. Diabetes Out of Control: Neuropathy Healing takes the body longer. Decreased sensation in the feet. Increased risk of injury. Figure 26 Foot care is extremely important for people living with diabetes. Neglecting the feet can ultimately lead to amputation. Love your feet daily: • Using a mirror, look at your feet closely every day. • Wash your feet with lukewarm water and mild soap, dry them (especially between toes), and moisturize then (but not between toes) daily. • Look for changes daily (e.g. blisters, bruisers, red areas, open sores, etc.).
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SOADI Frontline Training - CAMH - Nicotine Dependence Clinic

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