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Clinical Nurse Specialist:
Patients and Clients: Editorial

A CNS-Managed Diabetes Foot-Care Clinic: A Descriptive Survey of Characteristics and Foot-Care Behaviors of the Patient Population

WILLOUGHBY, DEBORAH PhD, RN, CS; BURROUGHS, DONNA MS, RN, CS

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Abstract

Lower extremity lesions are the primary cause of hospitalization for people with diabetes, resulting in enormous personal and financial costs. This study used a survey designed to describe the characteristics and foot-care behaviors of people with diabetes who attended a clinical nurse specialist managed foot-care clinic. Forty-eight patients who received care at the participating foot-care clinic completed a 21-item multiple-choice questionnaire designed to determine the presence of foot pathology and foot-care behaviors. Most of the patients were between 65 and 74 years of age, had concurrent illnesses, and had four or more primary care visits per year. Although 69% had existing foot pathology, only 44% reported inspecting their feet daily and only 54% reported that their primary care provider examined their feet on each visit. Twenty-five percent reported going barefoot sometimes and eight percent would either treat a foot lesion themselves or wait for it to get better.

© 2001 Lippincott Williams & Wilkins, Inc.

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