Diabetes Care Program of Nova Scotia Foot Risk Assessment Form ...
Diabetes Care Program of Nova Scotia Foot Risk Assessment Form ...
Diabetes Care Program of Nova Scotia Foot Risk Assessment Form ...
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APPENDIX GThe Diabetic <strong>Foot</strong> in <strong>Nova</strong> <strong>Scotia</strong>: <strong>Foot</strong> <strong>Risk</strong> Stratification<strong>Foot</strong> <strong>Risk</strong><strong>Assessment</strong> FindingsNormal findings:• No Skin Abnormality• No Structural Deformity(nails, toes, foot)• No Vascular Problems• Protective Sensation intactAny one or combination <strong>of</strong>the following:• Skin Abnormality (skin barrier intact)• Structural Deformity (nails, toes, foot)• Limited Mobility (! ROM toes, ankle)• Loss <strong>of</strong> Protective Sensation• Vascular Problems (absent pulses,cold skin, cyanosis/pallor)Any <strong>of</strong> the following:• Skin Breakdown (skinbarrier not intact)• Ulcer (Past or Present)• AmputationLOW RISKMODERATERISKHIGH RISKDCPNS - September 2009<strong>Diabetes</strong> <strong>Care</strong> <strong>Program</strong> <strong>of</strong> <strong>Nova</strong> <strong>Scotia</strong> 2009
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