what-when-how
In Depth Tutorials and Information
6
Assessment of shoe it is a combination of both objective and subject-
ive factors as detailed in the Footwear Suitability Scale (
Nancarrow 1999
)
(
Table 6.2
), which is a self-evaluation checklist that patients can use to
check their own footwear. The Footwear Suitability Scale also provides a
rationale that details why each aspect of the footwear is important.
Although developed for patients with diabetes, it is useful for any person
to check their footwear against. It is also useful for clinicians as a struc-
tured approach to checking footwear suitability.
summary
Assessment of footwear is a crucial component of assessing a patient's
foot health and should not be overlooked. Assessment of wear marks
can aid diagnosis of foot pathology in relation to function and gait. To
achieve this, a structured approach has been detailed that involves infor-
mation on assessing foot size and assessing footwear it. Footwear has
to be suitable in relation to its design, it and purpose, and these factors
must be addressed when deciding if footwear is suitable for good foot
health.
If the patient's existing footwear is deemed unsuitable, the practitioner
needs to be able to direct the patient to the appropriate type and style
of footwear. The next chapter deals with the options available to the
patient and the practitioner.
review questions
Reflection
1.
How do I include footwear in patient assessment?
2.
How do I assess the suitability of my patients' footwear?
Self-assessed questions
1.
What are the two main reasons for assessing patients' footwear?
2.
What are the main fitting points for checking the it of footwear?
3.
Describe the normal shoe wear pattern on the sole and heel.
4.
Describe what happens to the foot with an increase in heel height.
5.
Describe what happens with regard to shoe it if the heel to ball joint
measurement is long.
6.
Describe the normal shoe wear pattern on the heel and sole.
