Preventing falls and amputation prevention april 2013
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Transcript of Preventing falls and amputation prevention april 2013
Preventing Falls and Foot
Wounds in DiabetesDon Pelto, DPM
Central Massachusetts Podiatry, PC
Worcester, Massachusetts
To Learn More Visit
www.DrPelto.com
Diabetes Toolkit
Preventing Falls
Part 1: Preventing Falls
• What is the leading cause of injury deaths
among older adults?
What is injured in a fall?
• Hip
• Head
• Bones
Where do falls occur?
• Inside the house
(55%)
– Bedrooms (30%)
– Living Rooms (31%)
– Kitchens (19%)
– Bathrooms (13%)
– Hallways (10%)
• Outside but near the
house (23%)
Risk Factors You May Have
• Neuropathy – lack of feeling in foot
• Ankle Instability –weakness in the ankle
• Weakness – in muscles in thigh and legs
• Vision Problems –
macular
degeneration, poor
sight, glaucoma
• Foot Deformities –
bunion, hammertoe,
painful feet
Risk Factors Around You
• Environmental
Hazards – water, ice,
rug
• Obstacles – items on
floor
• Medications with side
effects – high blood
pressure, seizure,
diabetes, emotional
problems, pain
• Improper shoegear
and long clothing
Fall Risk Plan
• Assistive Devices
• Physical/Occupational
Therapy
• Primary Care
• Podiatric Evaluation
Moore Balance Brace
• Easy to put on
• Light weight
• Aid in foot clearance
• Custom made to
maximize
somatosensory
feedback
• Eliminates abnormal
motion
Questions to ask
• Have you fallen in the past?
• Do you often slip, trip or have near falls?
• Do you have a fear of falling?
• Do you drag your feet when walking?
• Do you have to touch or hold on to the wall
or furniture while walking?
Part 2: Preventing Diabetic Foot
Problems
Why Should I Listen?
• 1-4% of people with diabetes get ulcers (sores, wounds) every year and 15-25% will get one in their lifetime
• 15% of ulcers lead to amputation
• 85% of amputations start as ulcers
Patient Story
3.5 Ways To Prevent A Foot
Wound
3.5 Ways To Prevent A Foot
Wound1. Examine your feet
daily
3.5 Ways To Prevent A Foot
Wound1. Examine your feet
daily
2. Wear correct size
shoes or diabetic
shoes
3.5 Ways To Prevent A Foot
Wound1. Examine your feet
daily
2. Wear correct size
shoes or diabetic
shoes
3. Have a
professional trim
your calluses
3.5 Ways To Prevent A Foot
Wound3.5. Take
responsibility and
learn more
• Have yearly foot
exam
• Have doctor look at
feet every visit
• Diabetes Toolkit
4 Major Reasons Foot
Wounds
Don’t Heal Fast
1. Blood Sugar – Hemoglobin A1C
2. Poor Circulation - PAD
3. Neuropathy
4. Infection
To Learn More Visit
www.DrPelto.com
Diabetes Toolkit
Preventing Falls
Donald Pelto, DPM
(508) 757-4003