title: Prevent Wounds by Conducting a Comprehensive Foot Examination and Intervention.
abstract: Lower extremity wounds and falls are on the rise with the demographics and projected aging population. Diabetes and heart disease supersede cancer deaths. A basic foot exam-performed routinely on patients identified as high risk allows time for early intervention and prevention. A Certified Foot and Nail Care Nurse (CFCN) who evaluates clients on a regular basis, conducts a comprehensive lower extremity exam for loss of protective sensation (LOPS) and compromised peripheral blood flow is more likely to provide needed care in a timely manner. Why a nurse? Because nurses who have the level of education, expertise through acquired training, and are board certified are competent to assess, educate, provide intervention, and refer. Utilizing CFCNs is cost-effective and efficient. CFCN is utilized as a member of the multidisciplinary team. Nurses are educators and education is an effective method for prevention. Nurses, as the most trusted health care provider, communicate, establish rapport, and develop sustaining relationships. Utilizing the Wound Ostomy Continence Nurses' Credentialing Board (WOCNCB) CFCN raises the standard of care substantially and reduces overall costs to life, limbs, and dollars. This innovation in practice improves outcomes, patient satisfaction, and safety while reducing hospital admissions.
authors.affiliation: Health Science Building, College of Health, School of Nursing, University of Alaska Anchorage, #357, 3211 Providence Drive, Anchorage, AK 99508, USA. mrburdettetaylor@uaa.alaska.edu.
authors.forename: Michele Shelly
authors.initials: MS
authors.lastname: Burdette-Taylor
keywords: Certified Foot Care Nurse (CFCN); adult learning principles; amputation prevention; chronic lower extremity wound; comprehensive foot exam; prevention of wounds; proactive providers; self-care activities; type 2 diabetes