Foot Check Program

2042 Words 9 Pages
This paper will focus on creating a foot check program in the hemodialysis unit at the Providence Veterans Administration Medical Center. The prevalence of foot wounds among the veterans has increased over the last six months due to poor foot care practices. Without a program in place to educate, assess and intervene, foot complications will continue. According to Crozier, (2014) patients on hemodialysis have a high prevalence of foot related issues resulting in an increased number of hospitalizations, often resulting in amputations which can be serious and even life threatening. Amputations can be avoided with adequate education and thorough evaluations which promotes early detection and referrals. Jones, Chess, Cawley, Phillips & Riley (2013) …show more content…
Amputations can be avoided with adequate education and thorough evaluations which promotes early detection and referrals. Foot ulcerations are an important predictor of mortality within the first ninety days of initiation of hemodialysis (Jones, Chess, Cawley, Phillips & Riley (2013). The prevalence of foot wounds among the veterans at the Providence Veterans Administration has increased over the last six months due to poor foot care practices. The unit consists of thirty eight veterans with varying co-morbid conditions. Of the thirty eight veterans sixty nine percent of the population is diabetic and eighteen percent have peripheral vascular disease, making them predisposed to developing foot wounds. In the last 6 months referrals have been made from Nephrology to: podiatrist, wound care specialist, and vascular surgeons. Unfortunately, it is not until patient complaints occur that the hemodialysis nurse will intervene, have the Nephrologist evaluate the feet and referrals made to the appropriate care providers if necessary. Of the veterans requiring intervention, 62% of them started hemodialysis within the last year. With the increased need for referral it was evident there was a lack of education among this population. Without a program in …show more content…
non-diabetic population on hemodialysis. Sixty patients were asked to have a comprehensive foot check analysis. This was an observational study done in a satellite facility. A foot screening tool was used to identify risk factors associated with foot ulceration such as peripheral arterial disease, peripheral neuropathy, or foot pathology. Risk factors for ulcerations were recorded at baseline for all patients and mortality data was revisited after three years. Foot pathology was noted in 79% of these patients, 18% of non-diabetics had peripheral neuropathy, 45% of diabetics and 30% of non- diabetics had peripheral artery disease (PAD). Forty nine percent of the total unit had at least two out of three independent risk factors for foot ulcerations. Mortality independent of the patient’s age was predictive in those patients with PAD and peripheral neuropathy (PN). Findings showed a high prevalence of risk factors for foot ulcerations in the hemodialysis population, PVD (Jones, et al.,

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