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Shoe or not for diabetic with small wound

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I am a new nurse caring for a diabetic patient with a 1 inch cut just above his toenail. He hit it this morning, and now his toe is pink and warm. I am wondering if he should or should not wear shoes? It seems like a shoe might put undue pressure on his toe..
yet he would benefit from a shoe to protect his foot from further injury...
One reason people with diabetes have special shoes is to avoid pressure- a well-fitting pair of shoes would not put pressure on the toes. Shoes do protect the feet- but checking the feet daily is important as well.Other concerns are whatever degree of neuropathy this patient has and peripheral circulation. Remember too that hyperglycemia decreases the immune response.ETA: this is why I stress never going barefoot to our patients with diabetes.

Comment:
Is the patient currently seeing a podiatrist? Podiatry is awesome for assessing for properly fitting shoes and how they best work with wounds.
Author: peter  3-06-2015, 18:38   Views: 375   
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