Question

You are caring for a client with diabetes. You notice that the client is forcing his shoes on over very swollen feet and the shoes are extremely tight. He denies any discomfort. Is this a problem? How would you go about the situation?

Answer 1

Swollen feet in a diabetic patient and wearing tight-fitting shoes can indicate potentially serious issues. A health care provider should assess for complications, educate the patient on proper foot care, and possibly refer them to a podiatrist.

Step-by-step explanation:

Diabetic neuropathy is a common complication of diabetes, which may cause an individual not to feel pain in their feet due to nerve damage. For a diabetic patient, swollen feet can indicate a serious problem, such as a diabetic foot infection or poor circulation. It is crucial for individuals with diabetes to wear properly fitting shoes to prevent complications such as skin breakdown or ulcers.

As a health care provider, one should approach the situation with concern and inform the patient about the risks associated with tight-fitting shoes. An assessment should be done to check for any skin breakdown, signs of infection, or ulcers. Education on foot care and the importance of proper footwear should be provided. If necessary, referral to a specialist, such as a podiatrist, may be warranted.