healthy aging conf
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Diabetes and The Importance of
Foot Care
Dr. Mercy Popoola
Presented At The: 9thAnnual Healthy Aging
Summit, Augusta Georgia June, 2006
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The Diabetes Epidemic
21 million people with Diabetes
> $132 billion annually (ADA 2002)
$10 Billion annual cost Lower
Extremities amputations Diabetes has increased by 50% over
the last 10 years
50% Can Be PREVENTED (ADA)
OBESITY Epidemic is a Factor 15% will develop a foot ulcer
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The Effects of Diabetes on Foot
Health Most Diabetic foot ulcers are due to
neuropathy (Loss of sensation).
Neuropathy is Often Ignored. But
Once it rears its head, it presents alife long challenge or problem.
Leading to ulcers and amputationWithout Preventative Measures.
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Other Foot Health Problems
Age and Self Care Limitations
Arthritis - Osteoarthritis
Fear of Bone Fractures
Breathing Problems
Economics: Lack of Reimbursement
Access to Care: Limited
Mobility: Transportation Issues
Heart Disease, Post Stroke
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Study Outcome: Transportation
a Big Issues!
010
20
30
40
5060
70
80
90
100
Doctors Nurses Others
Transportation
Fear
Reinbursement
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The Importance of Regular Foot
Screening
To Prevent and Reduce Complications
Nerve: Lack of Sensation- Neuropathy
Vision: Poor Vision and Blindness
Circulation: Poor and Insufficient Blood Sugar: High and Unstable
Foot Structure: Collapse Foot, Bunion
Nail Abnormalities: Ingrown Toenail,Fungus
Prone to Infections and Ulcers
Leading to Amputation!
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Prevention and Management:
Ideas For Foot Care At Home
Meticulous Foot and Nail Care
Appropriate Foot Wear - KEY
Stop Smoking Leg Exercises & Manage Obesity
Manage Cholesterol
Maintain Diabetes control Alternative & Complementary Therapy:
Proper Nutrition, Yoga, Massage, AromaTherapy, Relaxation, Meditation,
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Patient Education By Providers
Daily Foot Assessment with aMirror if Necessary
Protection & Prevention of Injury
Appropriate Foot Wear
Regular Vision Check
Early Intervention & Follow Up Checking for Circulation (Doppler)
and Neuropathy (Monofilament)
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Neurological Assessment:
Monofilament For Neuropathy!
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Prevention: Shoe Strategies
Poor Shoes Can Lead to Foot Pain & FootUlcers
Diabetes Must Never Go Without ProperShoes, Even at Home
Shoes With Extra Depth
Do not Buy Shoes In the Morning
Use Seamless Socks
Poor Shoes and Socks Can Lead toCorns, Calluses, Ingrown Toe Nails
Be Careful with OTC Foot Care Product
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Shoe Education
Does Your Shoe Fit?
Check Out Ellen Degeneres Feet!
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Coastal Georgia Regional
Development Centers Program
County Locations & Centers: Five
Numbers Served Per Site: 15-40
Common Foot & Nail Problems Corn and CALLUS
FUNGAL NAIL INFECTION & Long Nails
Dirty, Coated, & Dry Feet PAINFUL FEET & Swollen Feet
Lack of Information or Misinformation
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Foot Care Program Includes
More Than Toenail cutting
Filing and Shaping
Foot Assessment & Survey
Foot Bath and Massage
Referral and Follow Up
Foot Care Education
Shoe Assessment and Education
FUTURE: COLLABORATION!
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Future Possible Collaboration
And Opportunities
Grant Writing
Epidemiological Study
Hands on Foot & Nail Care
Opportunities: Faculty & Students
Interest: Prevention Focus
Vision For Training and Follow Up
Mobile Foot Clinic Please JoinUs to Get the Fund For the VAN!
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What About Our Foot Mobile?
What About Alternative Therapy For Foot Pain?
Any Questions?
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Some Foot Care Resources Foot Care Product
www.universalfootcare.com1-800-323-5110
www.feelgoodstore.com1-800-926-0880
Best Shoes
SAS (770)953-8118 or (210) 921-7415
Foot Support
www.supportplus.com
1-800.229-2910
Stores Wal-Mart and Bath & Body Works
Good Foot Lotions: www.Amerigel.com
Providers: www.google.comFoot Search
To Get Monofilament: 1-800-543-9055 or 1-888-289-9293
http://www.universalfootcare.com/http://www.feelgoodstore.com/http://www.supportplus.com/http://www.amerigel.com/http://www.google.com/http://www.google.com/http://www.amerigel.com/http://www.supportplus.com/http://www.feelgoodstore.com/http://www.universalfootcare.com/
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