Self care action packs for diabetic foot ulcers in the remote Kimberley region of Western Australia

Ms Amy Freeman1

1Boab Health Services, Broome, Australia

Aim: To investigate the change in self care behaviours in people with diabetic foot ulcers when provided with a Foot Care Action Pack containing basic foot health and wound care items and instructions.

Method: Every client who presented to Boab Health Podiatry with either 1. Active high risk foot ulcer or 2. Recent high risk foot ulcer healed within previous 6 months were offered the Foot Care Action Pack.  On provision of the pack each client was asked four “Pre-pack” questions regarding their own self care for their feet which were recorded on a sheet by the podiatrist. Five “Post- pack” questions were asked when the client presented for review a minimum of two weeks later to investigate the change in self care behaviours.

Results: Over a 5 week period 10 clients have been issued packs and completed the questionnaire. 9/10 clients were Indigenous. For the question “Do you feel like you have what you need to look to look after your feet at home” 10/10 clients responded No.

At this time two clients have presented for review. For the question “Do you feel like you have what you need to look to look after your feet at home” 2/2 clients responded Yes. For the question “Do you use your Foot Care Action pack?” 2/2 clients reponded “Two or more times” which is the most frequent choice.

*It is expected that by February 2017 there be 20-30 response to analyse and report at this conference.

Significance of the findings to allied health: Providing basic self care items and information to people with high risk foot ulcers living in remote areas may improve management and overall outcomes including presentation to remote clinics and hospitals.