Shoes. Talk to the therapist to request a custom made insert.
Peripheral vascular disease.
This 81-year-old female is allergic to CODEINE & ESTROGEN.
Surgery includes a femoral bypass on the right leg on 11/29/2000. She was recently hospitalized approximately 1 week ago with sores on her toes and the lateral arch of the right foot. She currently takes blood pressure medication and blood thinners. She is nonambulatory at this time unless the foot heals. She receives physical therapy each day. She walks with pressure only on the left foot. She has not worn any type of brace previously.
The patient's right foot is wrapped in gauze and she is nonweightbearing on this side. According to the patient, there are ulcers along the 1st and 5th toes as well as the lateral arch of the foot. There is no history of open ulcers on the left foot and the skin integrity looks good. There is a shiny appearance to the skin and it is cool to touch. She has poor protective sensation on the left foot. I requested that the therapist talk to the doctor regarding using an insert on this side to protect the foot against future ulcerations. The therapist stated that she will talk to the doctor and call us. Measurements were taken for extra depth shoes. An impression was taken of the left foot for a diabetic insert. The therapist was also informed regarding the healing boot for the right leg, which they might be interested in using for the patient. She stated that she will see the doctor on Saturday and contact us.
Once we are notified by the therapist regarding this matter, we will order the shoes as well as fabricate an insert as indicated.
Evaluation, measurement and impression.
