Diabetic Foot Management in the Elderly

Impact of action cues, self‐efficacy and perceived barriers on daily foot exam practice in type 2 diabetes mellitus patients with peripheral neuropathy

“…Patients with reduced visual acuity should be instructed in how to check the foot by touching it with their finger and using a magnifying mirror (Plummer & Albert 2008). Patients with poor joint flexibility or obesity should be educated in feasible postures for checking the foot (Plummer & Albert 2008), such as lying on a bed and crossing the leg or putting the foot on a toilet lid. For patients who cannot perform foot care by themselves, their families or significant other also should be educated (Plummer & Albert 2008).…”

“…We suggest that, before teaching foot‐care skills, clinicians should evaluate the physical ability, including visual acuity and joint flexibility, of each patient to perform foot self‐care. Patients with reduced visual acuity should be instructed in how to check the foot by touching it with their finger and using a magnifying mirror (Plummer & Albert ). Patients with poor joint flexibility or obesity should be educated in feasible postures for checking the foot (Plummer & Albert ), such as lying on a bed and crossing the leg or putting the foot on a toilet lid.…”

Chronic foot pain in older people

“…However, large-scale epidemiology studies indicate that the most commonly observed and reported foot disorders resulting in foot pain in older people are keratotic lesions (corns and calluses), followed closely by nail disorders (particularly fungal nail infection) and structural deformities such as hallux valgus ('bunions') and lesser toe deformities (hammertoes and clawtoes) [7,18,26]. Systemic conditions most commonly associated with foot symptoms in older people include osteoarthritis [27], rheumatoid arthritis [28], gout [29] and diabetes [30]. Given that local and systemic factors often coexist, delineating a precise cause of foot pain in older people is difficult and requires a detailed systems examination in clinical practice.…”

The Influence of Age on the Management of Patients with Diabetes in the Israeli Population

“…*Data collected from interviews; **P value considered significant < 0.05; 1 Self-foot examination: counseling encouraging self-foot examination; 2 Physical activity: counseling and encouraging physical activity; 3 For patients who smoke. 16,23 Obesity is a common and growing problem in the elderly and is strongly associated with metabolic syndrome, DM, hypertension, hyperlipidemia, and cognitive dysfunction. [24][25][26][27][28][29][30] The literature regarding dietary interventions in elderly patients with diabetes is scarce.…”