Preventing Falls and FootWounds in DiabetesDon Pelto, DPMCentral Massachusetts Podiatry, PCWorcester, MassachusettsTo Lear...
Part 1: Preventing Falls• What is the leading cause of injury deathsamong 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%)– Hallway...
Risk Factors You May Have• Neuropathy – lack offeeling in foot• Ankle Instability –weakness in the ankle• Weakness – in mu...
• Vision Problems –maculardegeneration, poorsight, glaucoma• Foot Deformities –bunion, hammertoe,painful feet
Risk Factors Around You• EnvironmentalHazards – water, ice,rug• Obstacles – items onfloor
• Medications with sideeffects – high bloodpressure, seizure,diabetes, emotionalproblems, pain• Improper shoegearand long ...
Fall Risk Plan• Assistive Devices• Physical/OccupationalTherapy• Primary Care• Podiatric Evaluation
Moore Balance Brace• Easy to put on• Light weight• Aid in foot clearance• Custom made tomaximizesomatosensoryfeedback• Eli...
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...
Part 2: Preventing Diabetic FootProblems
Why Should I Listen?• 1-4% of people with diabetes get ulcers(sores, wounds) every year and 15-25%will get one in their li...
Patient Story
3.5 Ways To Prevent A FootWound
3.5 Ways To Prevent A FootWound1. Examine your feetdaily
3.5 Ways To Prevent A FootWound1. Examine your feetdaily2. Wear correct sizeshoes or diabeticshoes
3.5 Ways To Prevent A FootWound1. Examine your feetdaily2. Wear correct sizeshoes or diabeticshoes3. Have aprofessional tr...
3.5 Ways To Prevent A FootWound3.5. Takeresponsibility andlearn more• Have yearly footexam• Have doctor look atfeet every ...
4 Major Reasons FootWoundsDon’t Heal Fast
1. Blood Sugar – Hemoglobin A1C
2. Poor Circulation - PAD
3. Neuropathy
4. Infection
To Learn More Visitwww.DrPelto.comDiabetes ToolkitPreventing FallsDonald Pelto, DPMdon@worcesterfootcare.com(508) 757-4003
Preventing falls and amputation prevention april 2013
Preventing falls and amputation prevention april 2013
Preventing falls and amputation prevention april 2013
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Preventing falls and amputation prevention april 2013

Here is a presentation I put together about falls and preventing wounds. I put the video as the 2nd slide if you want to watch it.
Published on: Mar 4, 2016
Published in: Education      Health & Medicine      Entertainment & Humor      
Source: www.slideshare.net


Transcripts - Preventing falls and amputation prevention april 2013

  • 1. Preventing Falls and FootWounds in DiabetesDon Pelto, DPMCentral Massachusetts Podiatry, PCWorcester, MassachusettsTo Learn More Visitwww.DrPelto.comDiabetes ToolkitPreventing Falls
  • 2. Part 1: Preventing Falls• What is the leading cause of injury deathsamong older adults?
  • 3. What is injured in a fall?• Hip• Head• Bones
  • 4. Where do falls occur?• Inside the house(55%)– Bedrooms (30%)– Living Rooms (31%)– Kitchens (19%)– Bathrooms (13%)– Hallways (10%)• Outside but near thehouse (23%)
  • 5. Risk Factors You May Have• Neuropathy – lack offeeling in foot• Ankle Instability –weakness in the ankle• Weakness – in musclesin thigh and legs
  • 6. • Vision Problems –maculardegeneration, poorsight, glaucoma• Foot Deformities –bunion, hammertoe,painful feet
  • 7. Risk Factors Around You• EnvironmentalHazards – water, ice,rug• Obstacles – items onfloor
  • 8. • Medications with sideeffects – high bloodpressure, seizure,diabetes, emotionalproblems, pain• Improper shoegearand long clothing
  • 9. Fall Risk Plan• Assistive Devices• Physical/OccupationalTherapy• Primary Care• Podiatric Evaluation
  • 10. Moore Balance Brace• Easy to put on• Light weight• Aid in foot clearance• Custom made tomaximizesomatosensoryfeedback• Eliminates abnormalmotion
  • 11. 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 wallor furniture while walking?
  • 12. Part 2: Preventing Diabetic FootProblems
  • 13. 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
  • 14. Patient Story
  • 15. 3.5 Ways To Prevent A FootWound
  • 16. 3.5 Ways To Prevent A FootWound1. Examine your feetdaily
  • 17. 3.5 Ways To Prevent A FootWound1. Examine your feetdaily2. Wear correct sizeshoes or diabeticshoes
  • 18. 3.5 Ways To Prevent A FootWound1. Examine your feetdaily2. Wear correct sizeshoes or diabeticshoes3. Have aprofessional trimyour calluses
  • 19. 3.5 Ways To Prevent A FootWound3.5. Takeresponsibility andlearn more• Have yearly footexam• Have doctor look atfeet every visit• Diabetes Toolkit
  • 20. 4 Major Reasons FootWoundsDon’t Heal Fast
  • 21. 1. Blood Sugar – Hemoglobin A1C
  • 22. 2. Poor Circulation - PAD
  • 23. 3. Neuropathy
  • 24. 4. Infection
  • 25. To Learn More Visitwww.DrPelto.comDiabetes ToolkitPreventing FallsDonald Pelto, DPMdon@worcesterfootcare.com(508) 757-4003

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