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A First Evaluation of an Educational Program for Health Care Providers in a Long-Term Care Facility to Prevent Foot Complications

Department of Rehabilitation and Geriatrics, General Medical Rehabilitation Service, Loëx Hospital, University Hospitals of Geneva, zoltan.pataky{at}hcuge.ch

Alain Golay, MD

Department of Community Medicine, Service for Therapeutic Education for Chronic Diseases, WHO Collaborating Centre, University Hospitals of Geneva

Annick Rieker

Department of Community Medicine, Service for Therapeutic Education for Chronic Diseases, WHO Collaborating Centre, University Hospitals of Geneva

Raphaël Grandjean, PhD

Department of Rehabilitation and Geriatrics, General Medical Rehabilitation Service, Hôpital des Trois Chênes, University Hospitals of Geneva

Laura Schiesari, MD

Medical Directorate, Quality of Care Service, University Hospitals of Geneva

Hubert Vuagnat, MD

Department of Rehabilitation and Geriatrics, General Medical Rehabilitation Service, Loëx Hospital, University Hospitals of Geneva

Patients with diabetes and chronic neurological disorders are most commonly "at-risk" with foot problems. The identification of that population is therefore mandatory to prevent severe foot lesions. However, not all health care providers (HCPs) are involved in the screening process in institutions. The authors' aim was to develop and evaluate an educational program for HCP in the field of at-risk foot. All HCPs of the Loëx Hospital (Department of Rehabilitation and Geriatrics, University Hospitals of Geneva) participated in a longitudinal prospective study. Different professions of HCP (doctors, nurses, nursing aides, physiotherapists, occupational therapists, speech-language therapists, and psychologists) attended a structured educational program during a 1-year period based on a specific consultation that the authors developed. During the sessions, risk factors and therapeutic and preventive interventions are discussed with both the patient and care givers. A questionnaire was developed and used to evaluate (1) initial knowledge of HCP in the field of at-risk foot and (2) the impact of the program on the knowledge of HCP 12 months after starting the program. Twelve months after initiating the program, a significant knowledge improvement was noted in all groups of HCP except medical doctors. Nurses presented the most significant rise in knowledge score (P < .001). In conclusion, the consultation is an acceptable and effective form of long-term educational program for HCP in a hospital setting with a huge majority of patients suffering from chronic vascular and neurological conditions and loss of protective pain sensation at the lower limb.

Key Words: long-term care facility • at-risk foot • prevention of foot complications

The International Journal of Lower Extremity Wounds, Vol. 6, No. 2, 69-75 (2007)
DOI: 10.1177/1534734607302238


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