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  • Procedure: Monofilament Testing For Loss Of Protective Sensation Of Diabetic/neuropathic Feet

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British Columbia Provincial Nursing Skin and Wound Committee Procedure: Monofilament Testing for Loss of Protective Sensation of Diabetic/Neuropathic Feet for Adults & Children Developed in collaboration.

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SSA-7161-OCR-SM 2004 MOM (WPD) 008 2014 DA 2142 1982 DA 4037-E 1996

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Monofilament testing is to be conducted for clients who have any of the following: o A diagnosis of diabetes with or without a diabetic foot ulcer. o A diagnosis of a neuropathic condition with or without a neuropathic ulcer. o Numbness, tingling, burning or a “crawling” sensations in one or both feet.

Touch the monofilament to the patient's arm or hand to demonstrate what it feels like. During the test, the patient should respond “yes” each time the pressure of the monofilament is felt on the foot. 2. Make sure the patient's feet are in a neutral position, with toes pointing straight up.

Show the monofilament to the patient and touch it to his/her hand or arm so that he/she knows it does not hurt. Use the 10 gram monofilament to test sensation at the indicated sites on each foot as shown. Apply the monofilament along the perimeter of and NOT on an ulcer, callous, scar, or necrotic tissue.

A monofilament test is done to test for nerve damage (peripheral neuropathy), which may be caused by conditions such as diabetes. The monofilament is a small strand of nylon attached to a plastic base. The provider uses this monofilament to check for loss of feeling on your foot.

Semmes–Weinstein monofilaments are a semi-quantitative test of sensory loss. The idea, developed by Josephine Semmes and Sidney Weinstein, was to measure touch-pressure in a standardized way by controlling the force of an applied stimulus to the skin [1].

Use a 3 step sequence that includes (1) touch the skin, (2) bend the filament, and (3) lift from the skin. Do not use rapid movement. The approach, skin contact, and departure of the monofilament should be approximately 1½ seconds duration.

Long nerves are affected first, with symptoms typically beginning insidiously in the toes and then advancing proximally. This leads to loss of protective sensation (LOPS), whereby a person is unable to feel minor trauma from mechanical, thermal, or chemical sources.

A Semmes-Weinstein monofilament is commonly used to assess protective sensation in the feet of patients with diabetes. This simple, cost-effective device consists of a nylon filament mounted on a holder. It is calibrated to bend at 10 grams of force, which is generally perceptible in a foot with protective sensation.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232