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  • Foot screening in a dialysi...
    Leo, Joan; Nicholls, Kathleen

    Renal Society of Australasia journal, 11/2015, Letnik: 11, Številka: 3
    Journal Article

    Background: Patients with chronic kidney disease (CKD) appear to be more prone to foot ulceration, with risk increasing as the kidney disease progresses. Patients on dialysis, even without diabetes mellitus (DM), are at high risk, but awareness of this risk for non-diabetic patients is low. Aims and objectives: A pilot foot screening program was established within one metropolitan Australian satellite dialysis unit. The key aims of the pilot were: 1) to identify factors necessary to sustain the program; 2) to determine the prevalence of risk factors for foot ulceration in patients on haemodialysis with and without DM; and 3) to provide real-life, individual professional education to podiatry students. Design and methods: A pilot screening program was initiated, utilising a customised screening and assessment tool. Patient consent to participate was obtained. Podiatry students undertook screening and assessment and the data obtained was analysed to inform the planning of an appropriate post-assessment clinical pathway. Results: A total of 25 patients (17 male, 8 female), mean age 69 14.94 (SD) completed screening. Of the 15 non-diabetic patients screened, 14 (93%) of patients had one or more risk factors for ulceration, but only 5 were seeing or had seen a podiatrist. Conclusion: A high proportion of patients on haemodialysis without DM had risk factors for ulceration. Foot screening and assessment within dialysis clinics has the potential to increase staff and patient awareness of risk factors associated with foot ulceration. Involving podiatry students in screening and assessment offers a broad professional and educational experience.