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Preventing Falls and Foot
Wounds in Diabetes
Don 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
Wound
1. Examine your feet
daily
3.5 Ways To Prevent A Foot
Wound
1. Examine your feet
daily
2. Wear correct size
shoes or diabetic
shoes
3.5 Ways To Prevent A Foot
Wound
1. 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
Wound
3.5. 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
don@worcesterfootcare.com
(508) 757-4003

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Preventing falls and amputation prevention april 2013

  • 1. Preventing Falls and Foot Wounds in Diabetes Don Pelto, DPM Central Massachusetts Podiatry, PC Worcester, Massachusetts To Learn More Visit www.DrPelto.com Diabetes Toolkit Preventing Falls
  • 2.
  • 3. Part 1: Preventing Falls • What is the leading cause of injury deaths among older adults?
  • 4. What is injured in a fall? • Hip • Head • Bones
  • 5. 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%)
  • 6. Risk Factors You May Have • Neuropathy – lack of feeling in foot • Ankle Instability – weakness in the ankle • Weakness – in muscles in thigh and legs
  • 7. • Vision Problems – macular degeneration, poor sight, glaucoma • Foot Deformities – bunion, hammertoe, painful feet
  • 8. Risk Factors Around You • Environmental Hazards – water, ice, rug • Obstacles – items on floor
  • 9. • Medications with side effects – high blood pressure, seizure, diabetes, emotional problems, pain • Improper shoegear and long clothing
  • 10.
  • 11. Fall Risk Plan • Assistive Devices • Physical/Occupational Therapy • Primary Care • Podiatric Evaluation
  • 12. Moore Balance Brace • Easy to put on • Light weight • Aid in foot clearance • Custom made to maximize somatosensory feedback • Eliminates abnormal motion
  • 13. 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?
  • 14. Part 2: Preventing Diabetic Foot Problems
  • 15. 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
  • 17. 3.5 Ways To Prevent A Foot Wound
  • 18. 3.5 Ways To Prevent A Foot Wound 1. Examine your feet daily
  • 19. 3.5 Ways To Prevent A Foot Wound 1. Examine your feet daily 2. Wear correct size shoes or diabetic shoes
  • 20. 3.5 Ways To Prevent A Foot Wound 1. Examine your feet daily 2. Wear correct size shoes or diabetic shoes 3. Have a professional trim your calluses
  • 21. 3.5 Ways To Prevent A Foot Wound 3.5. Take responsibility and learn more • Have yearly foot exam • Have doctor look at feet every visit • Diabetes Toolkit
  • 22. 4 Major Reasons Foot Wounds Don’t Heal Fast
  • 23. 1. Blood Sugar – Hemoglobin A1C
  • 27.
  • 28. To Learn More Visit www.DrPelto.com Diabetes Toolkit Preventing Falls Donald Pelto, DPM don@worcesterfootcare.com (508) 757-4003