GERIATRIC FOOT CARE: A MODEL EDUCATIONAL PROGRAM FOR MID-LEVEL PRACTITIONERS

Abstract

Studies have indicated that at least 80% of those over age 50 have at least one foot problem. Feet often reflect systemic disease conditions, especially since this population has a higher prevalence of chronic diseases such as atherosclerosis and diabetes. As a result of a needs assessment completed by nurse practitioners, the Appalachian Geriatric Education Center developed a model educational program in the area of geriatric foot care for mid-level practitioners. The program is designed to prepare the mid-level practitioner with the education and skills necessary to provide foot care to adults and elderly clients in the community. The program includes both didactic and clinical learning experiences with topics such as anatomy, physical assessment, management of minor conditions, and referral for specialty care. The total number of students who have completed the course is 72: 59 nurse practitioners; 12 physician assistants; and 1 physician. There was a significant difference in the pre- and post-test scores, with the post-test scores being significantly higher: t = -13.446, p < .000. In the follow-up evaluation, the majority of the participants said they incorporated what they learned into their clinical practices and have increased their referral base to podiatrists and orthopedic surgeons.