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- Author or Editor: AE Helfand x
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The author describes an effort that demonstrates a successful partnership between a professional education program in podiatric medicine, the Pennsylvania State Health Department, and the Professional Diabetes Academy, which served as the catalyst for health promotion, prevention, and education. Similar programs through adaptations geared to local resources could be developed as a demonstration of direct secondary prevention of the complications of diabetes in the older population and have the potential to help meet national goals to significantly reduce amputations.
Foot problems are common in elderly patients, and the relief of foot pain can increase the rehabilitative potential for patients with chronic diseases, impairments, or disabilities. The authors discuss the process of evaluation of older persons, physical modalities that can be used as part of a rehabilitation program, and special considerations for various disorders common to geriatric patients. They also present a detailed description of a technique for the clinical management of peripheral arterial insufficiency.
The authors report on a 3-year prospective program that included foot-health education and an initial assessment of foot problems in an older population. The program represents a cooperative effort by the Philadelphia Corporation for Aging and the Pennsylvania College of Podiatric Medicine to enhance the quality of life of older citizens. The results show that foot problems are prevalent among older patients. The program also refined a protocol that can be applied in other settings.
