Diabetes Foot Care Clinical Pathway

• Overview
• eLearning Module

Saving Limbs and Lives
PHC Portal

AHS staff should access the module via MyLearningLink to receive credit for it.

Step 1: Screening / Step 2: Assessment

• Diabetes Foot Screening Tool - identifies level of risk and risk factors
• Diabetes Foot Care Clinical Pathway Healthcare Provider’s Guide - guides the provider through the Diabetes Foot Screening Tool
• How to Perform a Foot Screen Video (YouTube)

Step 3: Referral / Step 4: Treatment / Step 5: Follow-Up

• Diabetes Foot Risk Assessment Triage Referral Form - assists in navigating the patient to the right service and treatment
• Diabetes Foot Care Referral Process Guidelines - provides an overview of the referral options
• Diabetes Canada Clinical Practice Guidelines, Chapter 32 Foot Care

Referral Criteria & Process

For information about referral criteria and process, contact the individual locations or visit the Alberta Referral Directory.

• High Risk Foot Teams (HRFT) – Accept referrals for patients at risk of a diabetic ulcer or with an ulcer/wound present.

• Wound Clinics (WC) – Accept referrals if the patient has a diabetic ulcer or wound.

Locations

North Zone

• Slave Lake Healthcare Centre - Family Care Clinic (HRFT)

Edmonton Zone

• WestView Health Centre, Stony Plain - Wound and Infusion Clinic (WC)
• Misericordia Community Hospital - Wound Clinic (WC)
• Royal Alexandra Hospital - Outpatient Department, Diabetic Foot Clinic (WC)

Central Zone

• Camrose, High Risk Foot Interdisciplinary Clinic (HRFT)
• Red Deer, Central Alberta Orthopedics (WC)
• Vegreville (HRFT)

Calgary Zone

• Peter Lougheed Centre - Diabetic Foot & Preservation Centre (HRFT)
• Sheldon M. Chumir Health Centre - Sheldon Chumir Wound Clinic (WC)

South Zone

• Brooks Home Care - Home Care Services (HRFT)
• Lethbridge Centre  - Home Care Services (HRFT)

Resources to enable self-care and to identify when to seek medical help for foot problems.

• Foot Care for People with Diabetes - describes risk levels and how to perform self-care
• Patient Handouts
  • Diabetic Foot Care for the Low Risk Foot
  • Diabetic Foot Care for the Moderate Risk Foot
  • Diabetic Foot Care for the High Risk Foot

Patient Information Insert
Developed in collaboration with the Alberta Pharmacy Association, this is a resource that informs and encourages patients to ask their healthcare provider for an annual foot exam.

For an electronic copy of the patient information insert, email diabetesobesitynutrition.scn@ahs.ca

Alberta Aids to Daily Living

• Therapeutic Footwear Vendors
• Recognized High Risk Foot Teams

Alberta Foot Care Nurse Services

• Foot Care Nurse list - private companies: Alberta - Diabetes Foundation: Resources, Site Links

Alberta Health Services

• Chronic Disease Management, Alberta Healthy Living Program - Patients
• Diabetes, Primary Health Care Resource Centre - Healthcare Providers
• Diabetes Information and Advice Line - Healthcare Providers

Ankle Brachial Pressure Index and Toe Pressures
 For arterial vascular lower leg assessments - contact local medical imaging providers

College of Podiatric Physicians of Alberta

• Find a Podiatrist

Primary Care Networks (PCNs)
Many PCN’s offer services to address patients at risk of developing a diabetic ulcer – PCN Services

Annual Foot Assessment

Why a Proper Foot Assessment is Important
Description: Illustrates why it is essential to have a foot screen/assessment every year by a health care provider as part of their overall diabetes management plan

Videos from Diabetes Foot Care Symposium June 2, 2017, Edmonton, Alberta

Saving limbs and lives in your community - Mariam Botros
Description: Recognizing the impact of foot complications that contribute to amputations and strategies that can lead to the prevention of amputations

The Diabetes Foot Care Clinical Pathway Project Overview - Petra O’Connell
Description: The Diabetes, Obesity & Nutrition Strategic Clinical Network with clinical experts from across Alberta developed a clinical pathway for diabetes foot care to increase diabetic foot screening rates and prevention of ulcers

Outcomes and Evaluation‐What the Alberta Evidence has Shown - Kathy Dmytruk
Description: Outcomes and evaluation metrics from the Alberta diabetes foot care clinical pathway initial pilot site

Footwear‐Finding the Proper Fit - David Loh
Description: Assessing and recommending appropriate footwear is the foundation for preventing diabetic foot ulcers

Foot Care Tips and Tricks for Self‐Management - Chris Rawlins and Karen Hardy
Description: Innovative ideas to support patients with foot self‐care