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Exploring Diabetic Foot Exam Performance in a Specialty Clinic

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Listed:
  • Jesse Pocuis
  • Sam Man-Hoi Li
  • Mary M. Janci
  • Hilaire J. Thompson

Abstract

Detection of diabetic foot complications is key to amputation prevention. This study used survey and retrospective record review to examine the relationship between frequency and performance of clinician’s diabetic foot examinations on performance of patient home self-foot examinations. An additional aim was to assess clinician performance of annual foot examination per American Diabetes Association (ADA) guidelines in a specialty clinic. The relationships between demographic characteristics, diabetic foot ulcer beliefs, health literacy, HbA1c level, and foot self-exam performance was also examined. No relationship was found between the performance frequency of foot examinations by providers and patient self-examination ( N = 88). The presence of specific barriers to self-management was significantly higher in those patients who did not complete daily home self-foot examinations. Only 16% of patients’ charts reviewed met the ADA criteria for a complete annual foot exam. Motivational interviewing during patient visits could be a strategy to break down barriers to self-foot exam performance. Furthermore, the development of an Electronic Medical Record (EMR)–based diabetic foot exam template to improve provider documentation may improve compliance with ADA recommendations.

Suggested Citation

  • Jesse Pocuis & Sam Man-Hoi Li & Mary M. Janci & Hilaire J. Thompson, 2017. "Exploring Diabetic Foot Exam Performance in a Specialty Clinic," Clinical Nursing Research, , vol. 26(1), pages 82-92, February.
    • Handle: RePEc:sae:clnure:v:26:y:2017:i:1:p:82-92
    DOI: 10.1177/1054773815596699
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    References listed on IDEAS

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    1. Yen‐Fan Chin & Tzu‐Ting Huang & Brend Ray‐Sea Hsu, 2013. "Impact of action cues, self‐efficacy and perceived barriers on daily foot exam practice in type 2 diabetes mellitus patients with peripheral neuropathy," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(1-2), pages 61-68, January.
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