High Risk - Instructions for Building your Team
Persons with diabetes who are deemed “High Risk” present as follows:
- Diabetic Foot Ulcer Risk Stratification & Referral Algorithm category 3a or 3b
- Current or previous history of diabetic foot ulceration AND/OR
- Previous history of amputation
Such people require:
- Weekly-monthly foot screening 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.
Diabetic Foot Ulcer pamphlet
Drop Your Socks pamphlet
Assemble a “High 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
- A Physician specializing in wound management
Speciality Site Referral Form for Primary Care
Build Your Diabetic Foot Referral Team
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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
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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
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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
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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.
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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
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Prosthetics and Orthotics
Prosthetic devices replace missing body parts. Orthotic devices control, guide, limit, or immobilize body parts to help with rehabilitation or movement
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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.
Yes
No
Maybe Later
