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Get Comprehensive Diabetes Foot Examamination Form
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How to fill out the Comprehensive Diabetes Foot Examination Form online
Filling out the Comprehensive Diabetes Foot Examination Form online is a crucial step in ensuring proper foot care for individuals with diabetes. This guide provides a detailed walkthrough of each section of the form, helping users complete it accurately and efficiently.
Follow the steps to complete the form online effectively.
- Press the ‘Get Form’ button to access the form and display it for editing.
- Begin by entering the patient's name and date at the top of the form.
- Indicate the type of diabetes by selecting either Type 1 or Type 2 with a check mark.
- Fill in the age at onset of diabetes and the patient's current age.
- In the medical history section, check all applicable boxes related to the patient's health conditions.
- For current history, respond to each question regarding changes in the feet, ulcers, and calf pain, selecting 'Yes' or 'No' as appropriate.
- Proceed to the foot examination section and mark any issues noted during the sensory exam, such as thick nails or foot deformities.
- Identify pedal pulses by filling in the blanks with 'P' for present or 'A' for absent.
- Measure and document the skin condition of the feet, using the specified key and foot diagram.
- In the risk categorization section, check the appropriate items to classify the patient's risk level.
- Assess the patient's footwear and note their need for inserts or orthotics.
- Document any past foot care education and self-care demonstrations by the patient.
- In the management plan section, check any applicable items for patient education and referrals.
- Lastly, ensure to enter the date and add the provider’s signature before finalizing.
Start completing your Comprehensive Diabetes Foot Examination Form online today!
Diabetic foot exams are performed by healthcare professionals trained in diabetes management, including doctors, nurses, or podiatrists. These providers focus on the feet's health to identify any early signs of complications. Utilizing a Comprehensive Diabetes Foot Examination Form can enhance the thoroughness of these exams.
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