personal footcare education programme sections 6 - 8 developed by the scottish government personal...
TRANSCRIPT
Personal FootcareEducation ProgrammeSections 6 - 8
Developed by the Scottish Government Personal Footcare Working Group, January 2013. With acknowledgment for the content of these slides to the Podiatry Services of NHS Dumfries & Galloway, NHS Lothian and Cardiff and Vale UHB.
Content of the ProgrammeContent of the Programme
This education programme contains 8 This education programme contains 8 sections:sections:
Section 1: What is personal footcareSection 1: What is personal footcare Section 2: Keeping feet cleanSection 2: Keeping feet clean Section 3: Skin care and Checking feetSection 3: Skin care and Checking feet Section 4: FootwearSection 4: Footwear Section 5: What to do if you spot a problemSection 5: What to do if you spot a problem
Section 6: Nail cutting and filing Section 6: Nail cutting and filing Section 7: Nail conditions Section 7: Nail conditions Section 8: Frequently Asked Questions (FAQs)Section 8: Frequently Asked Questions (FAQs)
Section 6: Nail cutting and filingSection 6: Nail cutting and filing
Consent, privacy and dignity for the Consent, privacy and dignity for the personperson
Wash your handsWash your hands Clean the feetClean the feet SeatingSeating LightingLighting Personal footcare equipment Personal footcare equipment Place paper towel under feetPlace paper towel under feet
Nail structureNail structure
Image courtesy of Cardiff &
Vale UHB Podiatry Service
Direction for filing nails
Cutting toenailsCutting toenails
If right handed use left hand to hold the If right handed use left hand to hold the toe and with the left thumb add tension toe and with the left thumb add tension to the pulp of the toe pulling the tip of to the pulp of the toe pulling the tip of the toe down away from the nail platethe toe down away from the nail plate
Check for vascular skin tufts under the Check for vascular skin tufts under the nail platenail plate
Filing toenails
Filing the nails Filing the nails should either be should either be side to side for side to side for thick nails or down thick nails or down across the free nail across the free nail edge edge
Image courtesy of NHS Lothian Podiatry Service
Bleeding points
Adopt regular ‘first aid’ proceduresAdopt regular ‘first aid’ procedures
Apply pressure to stop bleeding Apply pressure to stop bleeding Apply sterile plaster or dressingApply sterile plaster or dressing Keep plaster / dressing on for no more Keep plaster / dressing on for no more
than 2 days after which the area should be than 2 days after which the area should be checkedchecked
Record on the care plan Record on the care plan Contact Podiatry or the persons GP if Contact Podiatry or the persons GP if
concernedconcerned
Section 7: Nail Conditions
The next series of slides will show The next series of slides will show examples of toenails you may not examples of toenails you may not feel confident to attempt to cutfeel confident to attempt to cut
Deciding some toenails are beyond Deciding some toenails are beyond your capabilities can be the right your capabilities can be the right decision to make decision to make
Some of the following will require a Some of the following will require a referral to the podiatristreferral to the podiatrist
Nail conditionsThickened toenail Nails compromised by poor
circulation
Ingrown toenail Fungal nail
Images courtesy of NHS Dumfries and Galloway Podiatry Service
Challenging toenails
Most of the previous nails were examples Most of the previous nails were examples of nails requiring initial assessment by a of nails requiring initial assessment by a podiatrist or podiatry assistantpodiatrist or podiatry assistant
Tackle only those toenails that you feel Tackle only those toenails that you feel you are confident to cut and which have you are confident to cut and which have been assessed by the Podiatry Servicebeen assessed by the Podiatry Service
As a guide, the nails you should treat are As a guide, the nails you should treat are those which an individual would normally those which an individual would normally do themselves do themselves
Section 8: Frequently asked questions
When should we cut nails?When should we cut nails? How often do we cut them?How often do we cut them? What if they are too hard?What if they are too hard? Can we use scissors to cut toenails?Can we use scissors to cut toenails? How do we know whose nails to cut and How do we know whose nails to cut and
whose not to?whose not to? What to do if redness, pain, swelling or What to do if redness, pain, swelling or
pus is evident?pus is evident? Why doesn’t the podiatrist cut toe nails?Why doesn’t the podiatrist cut toe nails? Where can I buy footcare equipment?Where can I buy footcare equipment?
Review of Learning Outcomes
By the end of this programme you should be able to:
Explain the importance of good personal footcare Clip and file toe nails safely Recognise why feet need to be checked on a
regular basis Explain the importance of good skin care Describe the correct features of good fitting
footwear Be aware of the referral criteria/pathway to their
local NHS podiatry service and recognise when to make a referral
Local Contact Details
Trainer contact details
Local NHS podiatry service
Further information Feet for life:
www.feetforlife.org Age Scotland:
www.agescotland.org.uk
Diabetes UK www.diabetes.org.uk