Indigenous Diabetes Health Circle “formerly SOADI” Circle of Care Program’s Wholistic Foot Care
IDHC’s Vision Indigenous peoples have the tools, knowledge and ability to make healthy choices and live free of diabetes, now and in future generations.
IDHC’s Mission IDHC will achieve the vision by supporting Indigenous communities, families and individuals by: • Promoting holistic wellness models; • Building on traditional teachings and best practices to develop and provide programs, education and resources; and • Building relationships and community capacity.
IDHC Services in Ontario Office Locations: Head Office: Thorold Northern Region: Sudbury, Eastern Region: Curve Lake First Nation, Southern Region, Hamilton, Western Region: Six Nations, Central location: Barrie
The Circle of Care Program and Holistic Foot Care Model Since February 2006 Our Model: Our holistic model supports a continuum of seamless foot care services based on education, screening, care, treatment, support and data collection. It strengthens local community collaboration.
The Circle of Care Program and Holistic Foot Care Model Since February 2006 Our Focus: To provide foot care services to Indigenous people that are affected by or at risk of diabetes and its complications. We strive to assist individuals through education, self-care resources, professional assessment and referrals. Healthy Feet are Happy Feet
Four Components of IDHC’s Circle of Care Program 1. Holistic Foot Care Events Outreach and Assessment Focus 2. Sustainable Foot Care Locations Self Care Programing and Ongoing treatment 3. Individual Foot Care Subsidies Access to include Home Visits; Ongoing Care and Support to those who do not qualify for other funding sources 4. Self Care and Prevention Resources Self Care DVD, Mirror, Diabetic Socks, and other foot care tools All services are accessed through the website www.idhc.life
Foot Care Events
Circle cle of Ca f Care Comm mmunity unity Ev Events nts Process for community members to be assessed, educated, and referred for follow up Reflexology # 1-25 seen in am Self Care Registration Education while Education Evaluation Resource Kit and screening Waiting opportunity # 25-50 seen in pm Chiropody/Foot Care Nurse
Chiropody Tools used are: Chiropodists like Podiatrists specialize in foot care. - They specialize in diagnosis, medical and surgical treatment of disorders of the foot, ankle, and lower extremity. Monofilament Nail File - Primary care includes: common foot conditions, foot infections, foot deformities, orthotic requirement and diagnosis of foot disease and disorders. - Diabetic Foot Assessments: check the general health of the feet which includes Nail cutters circulation and sensation. Ingrown nail file - IDHC Foot Care Clinic includes: full foot assessment, nail care, ingrown toe nails, corns, callus, plantar warts, skin care, and orthotic assessment. Doppler Callus Shaver
Foot Care Nurses Foot Care Nurses are registered nurses that have certification in Advanced Foot Care and are registered with the College of Nurses. - Primary care consists of: general health of the feet, assessments of circulation and sensation, non- invasive nail and skin care, and recognizing abnormalities. - Total foot care provided: nails, ingrown toe nails, corns, callus, and skin problems. Please note infections and planter warts are referred to a Chiropodist or Family Doctor. Referrals to appropriate health service provider.
Reflexology
Reflexologists Reflexologists: certified through regulated colleges such as Reflexology Association of Canada (RAC) What is Reflexology? Reflexology is a focused pressure technique, directed at the feet. It is based on the premise that there are zones and reflexes on different parts of the body. which corresponds to and relate to our body parts, glands and organs. There are approximately 7200 nerve endings on the feet, and these relate to various organs and glands within the body. A mirror image of the body has been mapped on the feet and pressure applied on Our ancestors used reflexology as specific reflex points on the feet can affect the corresponding part of the body. a part of their healing, and we continue in their footsteps.
Benefits of Reflexology Reflexology treatments provide deep relaxation, which reduces stress and tension that can aggravate diabetes. Enhances circulation: Blood and lymph circulation improves, blood supply to the cells is improved, and the release of toxins from the body is increased. Stimulates pancreas and liver / helps in maintaining blood sugar level / Reduces blood sugar fluctuations. Stimulates the nerves and encourages biofeedback Following a reflexology treatment it is important for the next few days to drink plenty of water and rest when ever possible.
Foot Care’s Self Care Resources • IDHC Circle of Care Program’s Self Care Resources are part of a tool bag that we provide that motivates and assist when practicing daily self care management. • Self care resources are important to use when practicing healthy foot care and preventative self care.
Foot Care’s Self Care Resources • These tools include: - Full size mirror, - Diabetic Socks, - Diabetic Pamphlet Series, - Foot care pamphlets, - First aid kit, - Soap & Foot Cream, - Foot File & Footsie brush, - Stone, - Magnet, - Pen, - Vinyl tool bag
Prevalence of Diabetes in Indigenous Communities • In 50 years, diabetes has become a significant health concern for Aboriginal people in Canada. • The prevalence rates are 3-5 times higher among Aboriginal people than in the general Canadian population. Communications Benchmark Study: Awareness and Knowledge Levels of Type 2 Diabetes Among Aboriginal Peoples in Canada, Ipsos-Reid - January 2002. Aboriginal Diabetes Initiative (ADI), Health Canada. .
Diabetic Foot Care Statistics • Up to 5% of all diabetics currently have a foot problem. • Foot complication is the number one cause of hospital admissions for diabetics. • Almost half (43%) of all diabetics have their first hospital admission associated with a foot ulceration/infection. • Most amputations begin with ulceration. (85% +) • One in 6 diabetics will develop an ulceration in their life time. • Mortality rate is higher post amputation or ulceration.
Diabetic Foot Care Statistics WHY??? Risk Factors: Sensation loss…undetected injury. Not Able to feel pain. Circulation loss… A 70 year old person with diabetes has a 70 times increased chance for gangrene versus a non-diabetic of the same age …200 times increased chance if also a smoker. Jonathon Clarke -RVH DMC Foot Clinic
Diabetes Foot Care Risks and Complications Why should people living with Diabetes take EXTRA care of their feet? Uncontrolled Decreased Diabetes feeling & Possible sensation in amputation feet Combination of loss Nerve damage and of blood circulation Neuropathy decreased blood and/or uncontrolled circulation infection Increase risk of Increase risk of injury infection Longer for Develop Prolong body to heal Continuous open Infections properly wound
Diabetes and Foot Care Prevention What you can do to prevent foot complications. • Eating regular balanced meals from each of the four food groups. • Drinking plenty of water. • Medications/insulin as prescribed. • Control stress levels. • Reduce: sugar, salt, white flour, high fat dairy and lard. Control Professional • Family Doctor for HbA1C every 3 months. Blood Sugar Foot Care • Check blood sugar regularly Regular Daily Love your Exercise feet daily
Diabetes and Foot Care Prevention What you can do to prevent foot complications. • Eating regular balanced meals from each of the four food groups. • Drinking plenty of water. • Medications/insulin as prescribed. • Control stress levels. • Reduce: sugar, salt, white flour, high fat dairy and lard. Control Professional • Family Doctor for HbA1C every 3 months. Blood Sugar Foot Care • Check blood sugar regularly • Look at your feet closely every day, use a mirror and IDHC foot care resources. Regular Daily Love your Exercise feet daily • Wash (Luke warm water mild soap), dry (between toes), moisturize feet but NOT between toes daily. • Look for changes daily (blisters, bruisers, red areas, open sores etc).
Diabetes and Foot Care Prevention What you can do to prevent foot complications. • Eating regular balanced meals from each of the four food groups. • Drinking plenty of water. • Medications/insulin as prescribed. • Control stress levels. • Reduce: sugar, salt, white flour, high fat dairy and lard. • Family Doctor for HbA1C every 3 months. • Check blood sugar regularly Control Professional Blood Sugar Foot Care • Look at your feet closely every day, use a mirror and IDHC foot care resources. Regular Daily Love your • Wash (Luke warm water mild soap), dry Exercise feet daily • Exercise stimulates circulation and blood flow. (between toes), moisturize feet but NOT between toes daily. flow and strengthens the heart. • Look for changes daily (blisters, bruisers, • Helps reduce stress build up in your body. red areas, open sores etc). • Be physically active and do things you enjoy.
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