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PODIATRY MANAGEMENT OF THE ELDERLY

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A range of nail conditions present in older people, however, the most common include thickened and fungal nails. Additional problems include limited toe joint function, overlapping of toes due to bunion formation and/or hammertoes; nail infections, which may increase the risk of cellulitis, tissue breakdown, ulceration, and bacteremia. 

Repeated minor trauma/pressure due to thickened toenails from footwear may cause the skin under the nail plate to breakdown or ulcerate. To prevent this, we ensure that the thickened nail is reduced.

RISK FACTORS ASSOCIATED WITH FALLS IN OLDER PEOPLE

The risk factors identified include poor balance, visual impairment, Parkinson, stroke, gait abnormalities, use of assisting devices, depression, cognitive impairment, environmental factors, mobility impairment, reduced activity poly-pharmacy, muscle weakness, low body mass, arthritis, impaired activities of daily living.

Walking Aid
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INAPPROPRIATE FOOTWEAR

Inappropriate footwear is a significant factor with respect to falls. An investigation into footwear worn at the time of falls-related hip fractures revealed that slippers were the most prevalent shoe style worn.

THE IDEAL FOOTWEAR STYLE FOR AN OLDER PERSON

Evidence suggests that the key features to consider are tread of the sole of the shoe and heel height. Many older people do not base their footwear selection on the premise of safety but rather base their choices entirely on comfort. We stock a range of medical orthopedic footwear designed and manufactured in Spain, Italy and Denmark which offers both comfort and safety whilst not compromising on style and quality.

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Podiatry Management of the Elderly: Publications
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