Transcription of Screening Tool www.cawc
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Screening Tool www.cawc
60-second diabetic foot ScreenScreening Toolinlow Name: Clinician Signature:ID number: Date:Look 20 secondsScoreCare RecommendationsLeft FootRight Foot1. Skin0 = intact and healthy1 = dry with fungus or light callus2 = heavy callus build up3 = open ulceration or history of previous ulcer2. Nails0 = well-kept1 = unkempt and ragged2 = thick, damaged, or infected3. Deformity0 = no deformity2 = mild deformity4 = major deformity4. Footwear0 = appropriate1 = inappropriate2 = causing traumaTouch 10 secondsLeft FootRight FootCare Recommendations5. Temperature Cold0 = foot warm 1 = foot is cold6. Temperature Hot0 = foot is warm1 = foot is hot7. Range of Motion0 = full range to hallux1 = hallux limitus2 = hallux rigidus 3 = hallux amputationAssess 30 secondsLeft FootRight FootCare Recommendations8.
Interpreting Results Inlow’s 60-second Diabetic Foot Screen has been designed to allow the clinician to screen persons with diabetes to prevent or treat diabetes-related foot
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