DIABETIC FOOT

Patient should be instructed in:

PROPER DAILY FOOT CARE
REGULAR FOOT INSPECTION
NAIL CARE
WELL-FITTING SOCKS AND SHOES
STRICT GLUCOSE CONTROL
DAILY FOOT EXAMINATION
 PROPER DAILY CARE

If vision impaired use mirror to see bottom of

feet
Check patient foot at every visit
Wear socks to keep feet warm at night
CORNS AND CALLUSES
 B ASUH KAKI ANDA
DENGAN AIR DAN SABUN
KERINGKAN CELAH KAKI
PERIKSA CELAH-CELAH
KAKI
 KUDIS DI CELAH-CELAH
JARI KAKI
- PERIKSA CELAH-CELAH JARI KAKI SETIAP HARI
 AMPUTASI JARI KAKI
-AKIBAT ULAT AIR (SKIN MACERATION)
PENJAGAAN KULIT
KULIT KERING
 SAPUKAN EMOLIENT UNTUK
MENGELAKKAN KEKERINGAN KULIT
HEEL BALM
 PENJAGAAN KUKU
-POTONG KUKU LURUS DAN GESEK TEPI
YANG TAJAM
CARA BETUL MEMOTONG KUKU
KUKU MENCENGKAM
TERPOTONG KULIT PADA
JARI BERKENAAN
ALAT-ALAT MEMOTONG
KUKU
SENTIASA MEMAKAI KASUT
- DI DALAM DAN DI LUAR RUMAH
BERKAKI AYAM -
TERPIJAK PAKU
ELAKKAN (REFRAIN)
ELAKKAN (REFRAIN)
 A B

C D E
 PROPER DAILY FOOT CARE

Dont walk barefoot.

Dont use heat on the foot.Dont soak in hot
water BURN.
Dont cut corners when trimming nails. Cut
nail straight.
Dont use sharp instruments to trim calluses
 FOOT CARE GUIDELINE
Inspect your feet daily for blisters, bleeding, and
lesions between your toes.
Use a mirror to see the bottom of your foot and
heel.
Do not soak your feet unless the temperature of
the water is lukewarm, not as hot as you can stand
it. (95-100 Fahrenheit).
Avoid temperature extremes - do not use hot water
bottles or heating pads on your feet.
Wash your feet daily with warm, soapy water and
dry them well, especially between the toes.
 FOOT CARE GUIDELINE
Use a moisturizing cream or lotion daily, but avoid
getting it between the toes.
Do not use acids or chemical corn removers.
Do not perform "bathroom surgery" on corns,
calluses, or ingrown toenails.
Trim your toenails carefully and file them gently.
Have a podiatrist treat you regularly if you cannot
trim them yourself without difficulty.
 Essential Elements of a
PREVENTION ORIENTED FOOT
CARE PROGRAM
1) FOOT SCREENING and EXAM
2) Determination of risk factors.
3) Patient education on foot care, daily foot
inspection, potential problems and need for
early intervention.
4) speciality service and lab. Testing.
5) Used of modified foot wear, outcome and
custom shoes.
 Shoes and Orthotics for Diabetics
Footwear for people with diabetes should achieve
the following objectives:
1. Relieve areas of excessive pressure. Any area
where there is excessive pressure on the foot can
lead to skin breakdown or ulcers. Footwear
should help to relieve these high pressure areas,
and therefore reduce the occurrence of related
problems.
2. Reduce shock and shear. A reduction in the overall
amount of vertical pressure, or shock, on the
bottom of the foot is desirable, as well as a
reduction of horizontal movement of the foot
within the shoe, or shear.
3. Accommodate, stabilize and support deformities.
Deformities resulting from conditions such as
Charcot involvement, loss of fatty tissue, hammer
toes and amputations must be accommodated.
Many deformities need to be stabilized to relieve
pain and avoid further destruction. In addition,
some deformities may need to be controlled or
supported to decrease progression of the
deformity.
4. Limit motion of joints. Limiting the motion of
certain joints in the foot can often decrease
inflammation, relieve pain, and result in a more
stable and functional foot.
KASUT YANG SESUAI
 CONTOH-CONTOH
KASUT YANG SESUAI
 CONTOH-CONTOH
KASUT YANG SESUAI
 CONTOH-CONTOH
KASUT YANG SESUAI
 CONTOH-CONTOH
KASUT YANG SESUAI
KASUT BARU MELECET
KULIT
STOKING JENIS KAPAS
CONTOH-CONTOH KASUT
YANG TIDAK SESUAI
CONTOH-CONTOH KASUT
YANG TIDAK SESUAI
 KESAN BURUK
-AKIBAT DARIPADA KASUT YANG
TIDAK SESUAI
MEMAKAI MEMAKAI KASUT
SELIPAR JEPUN - YANG NIPIS -
TERSEPAK ZING TERPIJAK KACA
MEMAKAI SELEPAS
SELIPAR RAWATAN
JEPUN SELAMA 36 HARI
SEMASA
BERKEBUN
PREVENTION IS BETTER
THAN CURE