Diabetic Foot Assessment | Page 2

DIABETIC FOOT ASSESSMENT
Diabetic Foot Assessment Tool
CIRCULATION & PERFUSION ? ? ? ? ? ? ? Pedal Pulses (Palpated) Pedal Pulses (Dopler) Capillary Refill Time (CRT) Colour (e.g. cyanotic) Temperature (cold or hot) Hairy toes Previous amputations RIGHT LEFT RIGHT LEFT

SENSATION / NEUROPATHY ? Able to feel a 10gm monofilament?

? ?

Pain Burning sensation RIGHT LEFT

SKIN FEATURES & INTERGRITY ? ? ? ? ? ? Dryness Heel fissures Cuts / abrasions Thick callus Foot abnormality (e.g. bunion) Ulcers

Resources Best Practice Journal (2010) Screening and Management of “The Diabetic Foot” BPJ Issue 31. Available at http://www.bpac.org.nz/BPJ/2010/October/diabeticfoot.aspx Diabetic Foot Examination - OSCE Guide Diabetes Bites: Diabetic Foot Examination © Copyright 2012, Bill Deans Page 2