-          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).

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.

• 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