High-risk foot care in private practice

Abstract

Many rural areas of New South Wales, Australia, have limited access to community podiatry and no high-risk foot (HRF) clinics. Private practitioners in these areas develop their own multidisciplinary teams (MDT) involving local professionals of different disciplines to provide evidence-based care for their patients. This case study shows co-ordinated care in a rural setting for a disunited navicular fracture in a patient with diabetes T2, familial neuropathy, a history of osteomyelitis and previous minor foot amputations. It explores the difficulties of wound care when treating complex cases without access to immediate consultations across all the specialties and highlights the need for better access to MDT HRF clinics for those clients with complex care needs.