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Podiatry Competencies - Feet For

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					COMPETENCIES FOR CARE PROGRAMMES



Competencies for basic footcare care programme.

The podiatrist should be able to:

      Demonstrate application of the basic footcare assessment form to
       appropriately triage patients
      Use appropriate basic footcare referral paperwork to demonstrate use
       of referral routes between podiatry assistants, carers and podiatrists
       assuring skill mix and seamless care for patients
      Demonstrate knowledge and understanding of the role as link person
       to carers who provide basic footcare in nursing and residential homes



Competencies for the biomechanics care programme:

The podiatrist should be able to:

      demonstrate knowledge of pathologies affecting the lower limb that will
       impact on ‘normal’ biomechanics of gait
      demonstrate ability to assess normal and abnormal foot and lower limb
       function and to record findings using the podiatry internal biomechanics
       assessment form and where orthoses are required using the
       biomechanics diagnosis and treatment plan.
      demonstrate understanding of triage and how to complete a referral to
       the biomechanics specialist as described in the biomechanics care
       programme
      demonstrate knowledge of and ability to use casting techniques
      demonstrate knowledge of orthotic materials and their properties
      demonstrate the ability to manufacture non complex orthoses and
       insoles and to complete the review process and and paperwork as
       outlined in the biomechanics care programme
      demonstrate knowledge and understanding of the risks of working
       within an orthotics laboratory.
Competencies of Chronic Foot Deformities care programme

The podiatrist should be able to:

   Demonstrate knowledge of pathologies affecting the lower limb that cause
    chronic foot deformity and the likely secondary tissue complications that
    may result
   Demonstrate use of the CFD assessment documentation as per CFD care
    programme
   Demonstrate knowledge of the management categories in the CFD care
    programme and be able to care plan based upon the categories
   Demonstrate the ability to write appropriate prescriptions for palliative
    orthoses using the appliance prescription form




Competencies for diabetes care programme


The podiatrist should be able to:


   Demonstrate knowledge and understanding of the basic pathophysiology
    of diabetes and the medical management of hyper- and hypoglycaemia
   Demonstrate knowledge and understanding of the factors that lead to the
    development of diabetic foot disease and the presenting signs and
    symptoms of diabetic foot disease
   Demonstrate the ability to assess a patients vascular and neurological
    status and assign them into the appropriate risk category using the
    diabetic foot assessment form as per diabetes care programme.
   Demonstrate appropriate referral patterns based on the risk category for
    patients with diabetes as outlined in the diabetes care programme
   Differentially diagnose the aetiology of foot ulcers and use the Ayrshire
    and Arran wound assessment form to document wound status and
    management
Competencies for Inflammatory Joint Disease care programme

The podiatrist should be able to:

   Demonstrate knowledge and understanding of inflammatory joint diseases
    and recognition of presenting signs and symptoms that may alert the
    Podiatrist to suspect IJD
   Demonstrate use of the IJD assessment documentation as per IJD care
    programme
   Demonstrate knowledge of the management categories in the IJD care
    programme and to be able to care plan based upon the categories.
   Demonstrate knowledge and understanding of the effects of medication on
    tissue viability and risk status


Competencies for PVD care programme

    The podiatrist should be able to:

   Demonstrate knowledge of arterial, venous and lymphatic diseases and
    how they manifest in clinical practice
   Demonstrate knowledge of how to differentially diagnose arterial, venous
    and lymphatic disease affecting the lower limb as outlined in PVD care
    programme
   Demonstrate the ability to assess and detect any deterioration in vascular
    status using appropriate tests, and to be able to record the findings with a
    view to referring the patient using the vascular referral and assessment
    form in the PVD care programme


Competencies for VP care programme

    The podiatrist should be able to:

       Demonstrate the ability to differentially diagnose V.P. from other
        pathological skin lesions and refer on where appropriate
       Assess and triage as per care programme in order to appropriately
        care plan and where appropriate to refer for electrosurgery using
        electrosurgery referral form.
       Demonstrate a safe and effective technique for using cryotherapy
        equipment on selected patients
       Use the literature and patient advice sheets for VP treatments in
        accordance with the VP care programme
Competencies for vulnerable patient care programme

The podiatrist should be able to:

   Demonstrate a non judgemental attittude to vulnerable patients
   Demonstrate knowledge and understanding of common mental health
    diagnoses and the potential impact on the patients abililty to self care
   Demonstrate knowledge and understanding of the range of learning
    disabilities and the potential impact on the patients ability to self care
   Knowledge and understanding of social disadvantage and addiction and
    the potential impact on the patients ability to self care.
   Demonstrate the ability to risk assess who is best placed to treat
    vulnerable patients with a podiatric need as per vulnerable patients care
    programme.
   Demonstrate an awareness of the key points of the mental health act
   Demonstrate knowledge and understanding of relevant medication and its
    potential impact on management of podiatric conditions eg use of mono
    amine oxidase inhibitors and nail surgery



Competencies for nail surgery care programme

The podiatrist should be able to:

   Demonstrate understanding of the process of triage as described in the
    nail surgery care programme
   Recognise complications of an adverse reaction to LA and know the
    appropriate steps to manage this condition
   Undertake a clinical risk assessment in the context of LA administration
   Calculate the maximum safe dosages associated with the use of LA
   Minimise cross-infection by practising within a sterile field.

				
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posted:8/12/2010
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