Beyond 20,000 Days Campaign
Feet For Life
Viliami Tutone, Catherine Tracy, Roger Grech, Shannon & Gina Wetere, Sally
Fox, Pauline Sanders-Telfer, Rowena Scofield, Fakaola Otuafi, Jubedah Shah,
Frances Reid, Babu Ramalingam, Lawrence Kingi,
Anthony Ng, Penny Wilkings, Ian Hutchby, Jacqueline Schmidt-Busby
Podiatrist led wound care team
 Renal Physician and nurse
 Diabetiologist and nurse
 Vascular surgeon
 Orthopaedic surgeon
 Radiologist
 Plaster nurse
 District nurse
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43 year old male patient on dialysis
Type two diabetic with a 10 year duration
Hypertension - dyslipidaemia
Dense Peripheral Neuropathy
History of Foot ulceration
Right foot Cellulitis and Right toe gangrene
Multiple cutaneous infections
Chronic Osteomyelitis – septic arthritis
Recurrent foot trauma
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Plastic surgical debridement
Vascular surgical debridement
Orthopaedic surgical debridement
IV therapy maximum of 6 weeks
18 outpatient clinics June 2011 to Oct 2013
50% DNA
Total 28 days admission between 2011 and 2013
Admission Cost per day $850
Total Cost $23,800
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Average 2-6 week referral process for
Diabetes Foot clinic
Diabetic patients only with active wounds
Multiple appointments
Clashed with dialysis or unwell
Transport - family support & around work
Unaware of Primary Podiatry Care
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577 renal patients
Immediate access to a podiatrist
ALL renal patients have access
Reduced outpatient appointments
Care that fits in with patients
Knowledge of Primary Podiatry Care
Extensive foot care education provided