Quality Standards for Diabetes Care Toolkit

NZSSD Diabetes Foot Screening and Risk Stratification Tool

www.nzssd.org.nz/healthprofs/Primary%20diabetes%20foot%20screening%20and%20referral%20pathways%2005%2009%2013%20with%20intro.pdf

Resources

Refer to SIGN (2010) section 11 Management of Diabetic Foot Disease.
NZSSD: Diabetes Foot Screening and Risk Stratification Tool

www.nzssd.org.nz/

Refer to the tool developed by NZSSD – PodSIG (2014). This paper also provides a good general overview of an in-depth foot assessment (Boulton et al 2008).
Health Navigator diabetes how to treat your feet page: www.healthnavigator.org.nz/health-topics/diabetes-foot-care/
Diabetes New Zealand Pamphlet on diabetes and how to care for your feet: www.diabetes.org.nz/resources/pamphlets#Pamphlets
Diabetes New Zealand

www.diabetes.org.nz/about_diabetes/complications_of_diabetes/feet

Massachusetts Department of Public Health DM prevention and control programme feet brochure: http://files.hria.org/files/DB707.pdf
LEAP (lower extremity amputation prevention) www.hrsa.gov/hansensdisease/leap/

Five step LEAP programme:

1. Annual foot screening

2. Patient education

3. Daily self-inspection

4. Footwear selection

5. Management of simple foot problems
Foot care for a lifetime brochure HRSA

US Department of Health and Human Services Health Resources and Services Administration Health care Systems Bureau National Hansen’s Disease Programs: www.hrsa.gov/hansensdisease/leap/footcareforalifetime.pdf

National Institute for Health and Care Excellence (NICE)

In hospital care of foot pathway information for patients

Inpatient management of diabetic foot problems: www.nice.org.uk/guidance/cg119
Type 2 diabetes foot problems: Prevention and management of foot problems: www.nice.org.uk/guidance/cg10
Assessment of feet using the Touch the toes test can be undertaken in an individual’s own home by a member of their family/whānau, but is not a substitute for annual review by an appropriate health care professional (Rayman et al 2011). There is a video or full instructions (pdf) available on the Diabetes UK website (Diabetes UK 2012).