Class Findings & Lavery-Armstrong
-Unable to safely care for own feet:
[ ] Uncontrolled DM (HbA1c > 8%)
[ ] History of foot wound/amputation (A)
[ ] Gait balance issue (non-ambulatory, use of cane/walker/wheelchair)
[ ] Blindness or low vision
[ ] Mental handicap
[ ] Loss of use of upper extremities/hands/fingers
[ ] Onychogryphosis or paronychia or onychocryptosis
-Lower extremity risk factors
[ ] Non-palpable DP pulse (B)
[ ] Non-palpable PT pulse (B)
[ ] Advanced trophic changes (at least three of following):
[ ] Loss of pedal hair (B)
[ ] Skin discoloration (B)
[ ] Pre-ulcerative callus (B)
[ ] Thin, shiny, trophic skin (B)
[ ] Rubor, or redness of skin (B)
[ ] LOPS (C)
[ ] Subjective paresthesia/burning (C)
[ ] Claudication/rest pain (C)
[ ] Edema (C)
[ ] Excessive distal cooling (C)
-Class findings:
[ ] Q7 (one A)
[ ] Q8 (two Bs)
[ ] Q9 (one B, two Cs)
-Assessment of Diabetic Foot Risk:
[ ] Lavery-Armstrong 0 (NV intact; no deformity)
[ ] Lavery-Armstrong 1 (LOPS, deformity)
[ ] Lavery-Armstrong 2 (PAD, deformity)
[ ] Lavery-Armstrong 3 (History of ulceration/amputation)