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1. CLIENT SPECIFIC:

Regular diabetes foot assessments and review appointments as recommended via the NDSS/Foot Forward Integrated Diabetes Foot Care Pathway

Regular medication updates & condition discussion

Regular reports to GP & other providers in the multidisciplinary team, referrals where required

Targeted patient education to prevent associated complications

2. PRACTITIONER SPECIFIC:

Know your rights and responsibilities in the workplace

Adjust workload to suit individual's condition, eg. regular scheduled breaks and flexibility in your day, length of day, number of patients

Ensure BGLs are well-maintained to prevent hypoglycaemic attacks

Organise emergency 'hypo' kit

Use sharps disposal container to safely dispose of any sharps

Take leave to attend personal appointments as required

Use an enlarged computer screen if vision impaired

Self-care is paramount! Must care for oneself before able to provide appropriate care to others.

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1. CLIENT SPECIFIC

Being aware of the type of arthritis.

Regular podiatric assessments to identify or address any concerns with arthritis in feet.

Regular medication updates and reviews.

Regular blood and pathology tests (if applicable).

Discussion around surgery. Eg Joint replacements.

Patient education to prevent complications.

Regular reports to GP and other healthcare providers in multidisciplinary team.

2. PRACTITIONER SPECIFIC:

See your GP with concerns.

Be aware of different treatment options including medications.

Stay active (if applicable to type of arthritis)

Adjust workload to suit to ensure fatigue is limited.

Utilise equipment and aids to make daily activities easier.

Avoid staying in one position for too long and use good posture.

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Client Specific

-          Effect Blood flow and nutrient supply to the lower limb and feet.

-          If a client has a wound, the healing process is going to be delayed, higher risk of infection.

-          Practitioner Must be more careful with the patient and their treatment.

-          Regular neurovascular assessments.

-          Using multidisciplinary teams, including vascular professionals and doctors.

-          Vascular testing (ABI)

-          Regular medication prescription and review (Statins).

-          Patient education for the holistic approach (lifestyle choices, nutrition, activity levels)

Practitioners

-          Limiting practitioner hours (clinic hours)

-          Knowing your rights and responsibilities.

-          Have adequate breaks.

-          Put time aside for your personal life (physical health).

-          Be careful with sharps.

-          Further education on current conditions.

-          Daily personal health checks (foot/lower limb check/ footwear).

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Client specific:

Make sure information is clear, concise, and free of medical jargon.

Get carers and family members involved in the management plan for the client, ensuring information is not forgotten between appointments.

Monitor mobility and falls, refer onto falls clinic if needed.

Target patient education the preventative strategies to avoid confusion.

Practitioner specific:

Writing and noting important information to ensure you don't forget it, shred confidential information at the end of the day/ between patients.

Take out anything that may distract yourself from the client and treatment.

Informing other practitioners and staff about the condition in case of medical emergency or help with treatment.

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1. client specific

referring to mental health professionals

consider mental health aspect in management plan

flagging any concerning behaviors in clinical documents

holistic care: checking in with both physical and mental health when seeing patient

if patient lived with neurodivergent condition ensuring that they understand what their management plan involves and finding strategies to ensure they will follow through with the same plan

checking that patient has a support system outside of podiatric care

awareness that not all patients will want to talk about this

2. practitioner specific

ensuring you know your limits and are not overloading yourself

put strategies in place to be able to cope with mental stress

taking breaks when needed

if practitioner is neurodivergent, putting tools in place to be able to offer best care for the patient and to be able to remember everything needed to be efficient

seeing health professionals outside of work and participating in self care

ensuring colleagues or superiors are aware and know how to help if needed