Implementation of a Comprehensive Diabetic Foot Exam Protocol in Rural Primary Care

Abstract

Background: Patients with type-2 diabetes mellitus have an increased risk for foot ulcerations and lower extremity amputations. Evidence-based practice guidelines recommend annual foot screening at least yearly for patients with type-2 diabetes. Comprehensive foot exams that include assessments for loss of protective sensation and peripheral artery disease prove beneficial in reducing morbidity and decreasing the incidence of diabetic foot ulcerations. Despite the known benefits of preventive screenings, a limited number of rural providers adhere to well-established treatment guidelines for patients with type-2 diabetes. Purpose/Aim: The purpose of this quality improvement project was to increase the number of comprehensive foot examinations for adults with type-2 diabetes mellitus in rural primary