Diabetic Foot Risk Assessment & Care Planning
Stratify diabetic foot risk and generate evidence-based care plans in minutes
What You Can Do
You can rapidly assess diabetic foot patients using validated risk frameworks, identify neuropathy and vascular complications, and generate personalized, evidence-based care plans tailored to each patient's risk level. The skill integrates clinical screening protocols, prevention strategies, and documentation templates to reduce ulcer incidence and guide patient management decisions.
Features
Evaluates patients across Wagner classification, UT/IWGDF risk categories, and Texas classification to provide comprehensive risk assessment
Prompts for monofilament testing, vibration sense, ankle reflexes, pedal pulses, and skin temperature to detect peripheral neuropathy and vascular insufficiency
Generates risk-stratified care pathways including footwear recommendations, self-care instructions, monitoring frequency, and specialist referral criteria
Prioritizes preventive measures (offloading, skin care, education) and treatment options based on current clinical guidelines and patient risk profile
Creates tailored patient handouts on daily foot inspection, ulcer prevention, medication adherence, and when to seek urgent care
Structures assessment findings, risk scores, and care plan decisions into audit-ready documentation compliant with medical record standards
Recommends visit frequency, imaging intervals, and reassessment timelines based on risk level and complication history
Incorporates prior ulcers, amputations, infections, and hospitalizations to refine risk estimates and intensify preventive strategies
Example Output
Patient: John D., 58M with Type 2 Diabetes
Risk Assessment Result: HIGH RISK (Wagner Grade 2 equivalent)
- Severe sensory neuropathy (monofilament: unable to sense 10g at hallux)
- Diminished dorsalis pedis pulse (bilateral)
- Prior history of plantar ulcer (healed 2 years ago)
Care Plan Summary
-
Immediate Actions (this visit)
- Custom therapeutic footwear prescription → podiatry referral
- Daily foot inspection training + photographic documentation
- Pressure offloading insoles + rocker-soled shoes
-
Monitoring Schedule
- Return visit in 2 weeks to assess footwear fit
- Vascular labs: ankle-brachial index, toe pressures
- Endocrinology for glucose intensification
-
Patient Education
- Handout: "Daily Foot Care Checklist" (laminated, take-home)
- Instructions: Inspect feet twice daily, never use heating pads, moisturize between toes
- Red flags: warmth, redness, swelling, open sores → call immediately
-
Follow-Up
- Clinic visits: every 3 months
- Comprehensive foot assessment: annually
- Coordinate care: Podiatry, Vascular Surgery, Endocrinology
What's Included
- Risk Stratification Frameworks: Complete Wagner, UT/IWGDF, and Texas classification logic with scoring algorithms and threshold interpretation
- Clinical Assessment Protocols: Detailed screening checklists for neuropathy, vascular disease, skin integrity, mobility, and psychosocial factors
- Care Plan Templates: Pre-built templates for footwear prescriptions, self-care instructions, monitoring schedules, and specialist referral letters
- Patient Handouts & Education Materials: Ready-to-print materials on daily foot care, ulcer prevention, medication adherence, and warning signs requiring urgent evaluation
- Evidence-Based Guideline Reference: Current recommendations from ADA, ACFAS, IWGDF, and specialty societies for prevention, screening, and treatment
- Documentation Checklists: Audit-ready structures for recording exam findings, risk scores, diagnoses, care plan decisions, and patient education delivery
Who It's For
- Podiatrists and Foot Specialists
- Endocrinologists and Diabetes Specialists
- Primary Care Physicians
- Nurse Practitioners and Physician Assistants
- Certified Diabetes Educators and Care Coordinators
Best For
- Initial diabetic foot risk stratification at first encounter
- Developing personalized prevention and management care plans
- Creating patient education materials tailored to risk level
- Establishing monitoring schedules and follow-up protocols
- Documenting clinical decision-making for medical records and audits
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