swrwoundcareprogram.ca

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Diabetic Foot Ulcer Referral Tool Diabetic Foot Referral Tool
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Moderate Risk - Instructions for Building your Team


Persons with diabetes who are deemed “Moderate Risk” present as follows:
  • Diabetic Foot Ulcer Risk Stratification & Referral Algorithm risk category 1, 2a, 2b
  • Loss of protective sensation, absence of a bony/structural foot deformity, absence of peripheral arterial disease (PAD) and intact skin, OR
  • Loss of protective sensation PLUS a bony/structural foot deformity, absence of PAD and intact skin, OR
  • Presence of PAD and intact skin
Such people require:
  • Bi-tri annual foot screening and risk stratification by a trained healthcare profession, i.e. you
  • Written and verbal education regarding foot care, foot wear and emergency contacts.You may print the educational materials below and provide/discuss them with your patient.You may also consider referring your patient to a diabetes self-management class, hosted by the South West Self-Management Program.
PDF Diabetic Foot Ulcer pamphlet
PDF Drop Your Socks pamphlet

Assemble a “Moderate Risk Dream Team’ for your patient by choosing from the following community resources keeping in mind the essential components of:
  • An AHCP who specializes in diabetes
  • An AHCP who specializes in wound prevention, assessment and management
  • An AHCP who specializes in systems navigation

Build Your Diabetic Foot Referral Team

Start Building Your Team
  • Diabetes Education Programs
    Diabetes education programs provide individuals with the tools, skills and confidence needed to properly self-manage their diabetes and enable them to live healthy lives. The diabetes education teams consist primarily of a registered nurse
  • Dietitian Services
    Registered dietitians are food and nutrition experts who work with clients, their caregivers, and health care providers. Together, they manage nutrition based on medical conditions and individual needs
  • Foot Care - Clinics
    Chiropody/Podiatry clinics provide advanced foot care including the assessment, treatment and prevention of foot disorders. Chiropodists and Podiatrists provide a range of services from routine foot care to high risk diabetic foot ulcer
  • Foot Care - In-Home
    Nurses with basic or advanced training in professional foot care provide thorough foot assessments and provide toenail, callus, corn and fungal nail care. Those with diabetes should be treated by a nurse with advanced foot care training.
  • Ontario Health atHome
    Health care services offered at home, at school, and in the community, as well as access to supported living programs and long-term care, are coordinated by Local Health Integration networks (LHINs) to ensure people of all ages can make
  • Prosthetics and Orthotics
    Prosthetic devices replace missing body parts. Orthotic devices control, guide, limit, or immobilize body parts to help with rehabilitation or movement
  • Wound Care
    Wounds are injuries to the skin and other soft tissues caused by trauma, a surgical incision or prolonged pressure. The capacity of a wound to heal depends in part on its depth, as well as on the overall health of the individual.
© The South West Regional Wound Care Program. All Rights Reserved.

“Integrated, evidence-informed skin and wound care every person, every health care sector, every day.”
Ontario

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