Focus on Falls The importance of vision in preventing falls.
Preventing falls and amputation prevention april 2013
-
Upload
dr-donald-pelto -
Category
Education
-
view
916 -
download
2
description
Transcript of Preventing falls and amputation prevention april 2013
![Page 1: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/1.jpg)
Preventing Falls and Foot
Wounds in DiabetesDon Pelto, DPM
Central Massachusetts Podiatry, PC
Worcester, Massachusetts
To Learn More Visit
www.DrPelto.com
Diabetes Toolkit
Preventing Falls
![Page 3: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/3.jpg)
Part 1: Preventing Falls
• What is the leading cause of injury deaths
among older adults?
![Page 4: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/4.jpg)
What is injured in a fall?
• Hip
• Head
• Bones
![Page 5: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/5.jpg)
Where do falls occur?
• Inside the house
(55%)
– Bedrooms (30%)
– Living Rooms (31%)
– Kitchens (19%)
– Bathrooms (13%)
– Hallways (10%)
• Outside but near the
house (23%)
![Page 6: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/6.jpg)
Risk Factors You May Have
• Neuropathy – lack of feeling in foot
• Ankle Instability –weakness in the ankle
• Weakness – in muscles in thigh and legs
![Page 7: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/7.jpg)
• Vision Problems –
macular
degeneration, poor
sight, glaucoma
• Foot Deformities –
bunion, hammertoe,
painful feet
![Page 8: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/8.jpg)
Risk Factors Around You
• Environmental
Hazards – water, ice,
rug
• Obstacles – items on
floor
![Page 9: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/9.jpg)
• Medications with side
effects – high blood
pressure, seizure,
diabetes, emotional
problems, pain
• Improper shoegear
and long clothing
![Page 10: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/10.jpg)
![Page 11: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/11.jpg)
Fall Risk Plan
• Assistive Devices
• Physical/Occupational
Therapy
• Primary Care
• Podiatric Evaluation
![Page 12: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/12.jpg)
Moore Balance Brace
• Easy to put on
• Light weight
• Aid in foot clearance
• Custom made to
maximize
somatosensory
feedback
• Eliminates abnormal
motion
![Page 13: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/13.jpg)
Questions to ask
• Have you fallen in the past?
• Do you often slip, trip or have near falls?
• Do you have a fear of falling?
• Do you drag your feet when walking?
• Do you have to touch or hold on to the wall
or furniture while walking?
![Page 14: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/14.jpg)
Part 2: Preventing Diabetic Foot
Problems
![Page 15: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/15.jpg)
Why Should I Listen?
• 1-4% of people with diabetes get ulcers (sores, wounds) every year and 15-25% will get one in their lifetime
• 15% of ulcers lead to amputation
• 85% of amputations start as ulcers
![Page 16: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/16.jpg)
Patient Story
![Page 17: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/17.jpg)
3.5 Ways To Prevent A Foot
Wound
![Page 18: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/18.jpg)
3.5 Ways To Prevent A Foot
Wound1. Examine your feet
daily
![Page 19: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/19.jpg)
3.5 Ways To Prevent A Foot
Wound1. Examine your feet
daily
2. Wear correct size
shoes or diabetic
shoes
![Page 20: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/20.jpg)
3.5 Ways To Prevent A Foot
Wound1. Examine your feet
daily
2. Wear correct size
shoes or diabetic
shoes
3. Have a
professional trim
your calluses
![Page 21: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/21.jpg)
3.5 Ways To Prevent A Foot
Wound3.5. Take
responsibility and
learn more
• Have yearly foot
exam
• Have doctor look at
feet every visit
• Diabetes Toolkit
![Page 22: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/22.jpg)
4 Major Reasons Foot
Wounds
Don’t Heal Fast
![Page 23: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/23.jpg)
1. Blood Sugar – Hemoglobin A1C
![Page 24: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/24.jpg)
2. Poor Circulation - PAD
![Page 25: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/25.jpg)
3. Neuropathy
![Page 26: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/26.jpg)
4. Infection
![Page 28: Preventing falls and amputation prevention april 2013](https://reader034.fdocuments.net/reader034/viewer/2022051513/547dc9f9b379596f2b8b5315/html5/thumbnails/28.jpg)
To Learn More Visit
www.DrPelto.com
Diabetes Toolkit
Preventing Falls
Donald Pelto, DPM
(508) 757-4003