Diabetic Foot Exam Form

Total 5 templates

Taking the time to complete a brief foot exam can help quickly detect a major health risk in a patient with diabetes. A comprehensive diabetic foot exam form includes past and current medical history and a visual and sensory foot exam. Key components of the patient's past history include amputation or foot ulceration while the current history goes calf muscle pains, active ulcers or any change in the overall condition of the feet. The doctor should carry out a careful inspection of the feet in a well-lit room and record all noted abnormalities in the screening form. The doctor then checks appropriate risk categorization, completes a footwear assessment and completes the foot examination form with a comprehensive management plan.

Medical Importance of a Diabetic Foot Exam

Although a thorough medical assessment is the main part of determining the medical situation, the foot exam remains one of the key components of this process. 371 million people around the world are currently living with diabetes. Closely monitoring your health, having a professional evaluate your condition via foot screening and helping raise awareness may reduce the physical and psychological impact of diabetes on the greater scale. A brief and simple diabetic foot exam form will help a doctor quickly assess the problem and refer you to a specialist if that is needed.

Diabetic Foot Exam Form Templates

Diabetes Foot Screen - Hrsa

pdf
4 page  |  Size: 5 MB  

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Annual Diabetes Foot Exam Form

pdf
1 page  |  Size: 110 KB  

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