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Patient education regarding appropriate foot care and daily inspection of the feet received (CWC)

CPT4 code

Name of the Procedure:

Patient Education Regarding Appropriate Foot Care and Daily Inspection of the Feet

Summary

This procedure involves teaching patients how to take care of their feet properly and how to inspect them daily for any signs of issues. It includes practical advice and demonstrations on foot hygiene, choosing the right footwear, and recognizing early signs of problems.

Purpose

  • Medical Condition: Diabetic neuropathy, peripheral vascular disease, and other conditions that cause poor foot health.
  • Goals: Prevent foot complications such as infections, ulcers, and amputations by ensuring patients are knowledgeable about foot care and self-examination.

Indications

  • Symptoms: Loss of sensation, poor circulation, foot deformities, history of ulcers.
  • Patient Criteria: Primarily diabetic patients, individuals with peripheral vascular disease, or those with reduced mobility.

Preparation

  • Pre-procedure Instructions: No specific preparation needed.
  • Assessments: None required, though a general health and foot health assessment may be beneficial.

Procedure Description

  1. Introduction: Explanation of the importance of foot care and daily inspection.
  2. Foot Hygiene: Instruction on washing and drying feet thoroughly, keeping skin moisturized, and using antiseptic powders as needed.
  3. Footwear: Guidance on selecting appropriate shoes and socks that provide support and prevent injuries.
  4. Inspection: Demonstration of how to inspect feet daily for cuts, blisters, redness, swelling, or any abnormalities.
  5. Action Plan: Steps to take if any issues are found, including contacting a healthcare provider.

Duration

The education session typically lasts 30 to 60 minutes.

Setting

Performed in outpatient clinics, doctor's offices, or during hospital stays.

Personnel

  • Primary care physicians
  • Nurses
  • Diabetic educators or podiatrists

Risks and Complications

  • Risks: Minimal; primarily the risk of non-compliance or misunderstanding of instructions.
  • Complications: Rare, but improper foot care can lead to severe complications such as infections or ulcers if not adhered to.

Benefits

  • Expected Benefits: Reduced risk of severe foot complications, improved overall foot health.
  • Timeline: Patients might notice better foot health within a few weeks, provided they follow the guidelines.

Recovery

  • Post-procedure Care: Consistent application of foot care principles taught.
  • Recovery Time: Ongoing; lifelong practice to maintain foot health.

Alternatives

  • Other Options: Regular visits to a podiatrist for professional foot care.
  • Comparison: Professional care might be more thorough but less empowering for personal health management.

Patient Experience

  • During: Patients learn hands-on techniques and ask questions.
  • After: Patients may feel more confident in managing their foot health and experience fewer foot-related issues.
  • Pain Management: Not applicable, as the procedure is educational.

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