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© 1992 Oxford University Press

research-article

Can Elderly Diabetic Patients Co-operate with Routine Foot Care?

FIONA J. THOMSON and EWAN A. MASSON

Diabetes Unit, Hope Hospital Eccles Old Road, Salford M6 8HD
Department of Medicine, University of Liverpool PO Box 147 Liverpool L69 3BX

Foot care education is widely promoted as a preventive strategy for reducing foot ulceration in diabetes. We describe a simple method of assessing the ability of elderly diabetic patients to co-operate with foot care advice. Using small self-adhesive red spots, foot lesions can be simulated and patients advised and prompted to detect and inspect these ‘lesions’. Nineteen young non-diabetic volunteers and three groups of 14 elderly patients were assessed: diabetic patients with a foot ulcer, diabetic patients with no history of foot ulceration and non-diabetic patients. Eleven (39%) of the diabetic patients were unable to reach their toes and remove the lesions and only 6 (14%) of all elderly patients could respond to plantar lesions. It is therefore unlikely that unsupported foot care education can be effective in reducing the morbidity of foot problems in the elderly diabetic patient.

Received January 28, 1992;
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