The Western Australian Department of Health developed the High Risk Foot Model of Care in 2010. As part of the initiative we reviewed the trends in amputations for arterial disease or diabetes-related complications in Western Australia for the period 2000–2008.
Among those aged 25–49 years with diabetes, minor amputations were 27 times more likely, and major amputations 38 times more likely, in Aboriginal people (Box 1). Nearly all (98%) of the amputations in Aboriginal people were associated with diabetes.
There is ample evidence that simple interventions such as foot screening, education and appropriate footwear are cost-effective measures to reduce amputations in patients with Diabetes.
MMEx Diabetes Foot Check
An electronic Diabetes Foot Check has been developed in MMEx (https:mmex.gsmhn.com.au/) that allows health care professionals to complete the foot assessment and then the computer automatically generates the correct risk and recommendation based on the 2011 National Health and Medical Research Council’s (NHMRC) National Evidence-Based Guideline on Prevention, Identification and Management of Foot Complications. (Part of the Guidelines on the management of Type 2 Diabetes) (available at http://t2dgr.bakeridi.edu.au/)
WACRH obtained a Rural Health Continuing Education Grant for the High Risk Foot Project to delivery training workshops in rural and remote areas of WA to:
Increase awareness of high risk foot disease
- supply culturally appropriate diabetes foot care patient educational materials
- train health care professionals how to do a foot risk assessment
- supply health professionals with the necessary equipment to do a foot risk assessment
- provide ongoing High Risk Foot education
For further information, please contact Deb Schoen
M: 0405 390 063