Lisa has been nursing since the age of 19 years old and has worked in all areas of nursing from the emergency room to community nursing, medicine to cardiac, acute
care to geriatric care. Lisa felt she needed to know all areas to be the best nurse she could be.
[0:00] Welcome to Artful aging with your host Amy are you a senior or a caregiver of a senior looking for support and Direction best-selling author educator and expert in Senior Living Amy Friesen is here.
With the help you need while providing you with an important and valuable support network so now please welcome the host of Artful aging Amy Friesen.
[0:30] Good morning everyone I'm Amy Friesen and this is Artful aging with Amy we are on Bold Brave TV and today we're going to be talking,
all things feet with my guest Lisa Garland who is a nurse and teacher and the owner of tired Soul Foot Care.
Did you know that the average person walks up to about 160,000 kilometers or 115,000 miles in their lifetime which is about four times around the Earth.
[0:57] Lisa has been nursing since the age of 19 and has worked in all areas of nursing including the emergency room and Community nursing and as well as acute and geriatric care.
Lisa felt that she needed to know all areas of nursing to be the best nurse that she could welcome Lisa thank you so much for joining us today.
Thanks Amy thanks for having me,
I'm really happy to have you here I was telling Lisa before the show that I've been doing all this research about foot care and Lisa and and I have my own concerns now Lee so we're going to have to address so Lisa can you tell us a little bit,
so why you have chosen to work in nursing and specifically with feet and as you say everything below the waist,
I can have to change that may be leveling you know legs like thighs calves Shins.
[1:48] I think the latter part of my 28 years of nursing I worked in community.
[1:54] And I work doing wound care and I loved it with my first love out of everything nursing,
what was happening is I was seeing diabetics non-diabetics and a lot of lower limb,
William so all sirs on toes feet I saved toes from falling off I've had toes fall off in my hand like where do you put those like where I don't know if it's in the biodegradable like bin like it was just.
So fascinating to me that I didn't know what to do with it and for me holistically I wanted to be able to refer these patients to someone but there wasn't anybody
who did foot care so A co-worker and I decided that we would go and take some Foot Care courses.
She was too busy at the time I ended up doing it I wasn't sure exactly what I wanted to do with it but just that I felt that I needed to know more I needed to know where to direct these patients.
[2:50] But when I took it I the instant reaction of these volunteers of relief.
And they were just so terrified of whatever their element was and I was able to relieve it it just was instantaneous and it just made me feel so good.
And so then I took the Educators class right after and I've been teaching ever since 2014 and it's been amazing and it's just evolved into something.
Huge huge.
Absolutely I think that when you find the love of what you do right it's just like what you're saying is like one second you didn't know it and the next seconds like that's it and it was the same for me
going into retirement living and it was just like one course in University and it was it and then from everything else I've made decisions based on that so yeah I totally love that
do you do you think that we need more care for our feet as we age Lisa.
[3:46] It really depends I mean I don't want to use age as an excuse for anything but generally.
As you age your you know your Mobility,
is not as good as it was when you were younger so if you're unable to get to your feet or there's arthritic hands a lot of rheumatoid arthritis your aren't able to cut your toenails,
so when that you're going to need more care if vision is declined you're not going to be able to see,
if there's an injury so generally I guess yeah if once you age there's just mobility issues that can't get you to your feet and you need someone to look at them or you're not as,
you know flexible as you once were you can't put your feet to your eyes so that you can see the bottoms of your feet right so
there's people that need more assistance as you age.
[4:40] To help make it I think it's yeah I Think It's Tricky I mean like even you know everyday kind of for anybody right you know just paying attention,
to your feet I said in our little blurb for the show you know they're all the way down to the bottom right and it's just something that's not.
We don't talk a lot about Foot Care generally speaking it's not like an everyday conversation for us,
you know it's something that like yes it's a part of our body but it's at the very bottom that you know we walk with them we do all sorts of stuff but you know how do you care for them properly right.
Would you say that like sorry so many people would go to their family doctor they're having foot issues.
Our problems with feet something that a family doctor would be able to flag effectively or what kind of happens because you had just said as well that there's not very many.
Foot Care nurses right like I only know a handful and that's just because I do what I do and I.
You know I run tea and toast and so that's how I know a lot of people but you know generally people will move their doctor.
[5:44] They there's not I mean we get theirs,
a lot of difference of opinions because people will go to the doctor and the doctor has no clue and so then they're faxing us a referral to deal with whether it be a war to an ingrown,
they think that they can help with corns and calluses but they don't have the right instruments nor do they have the right,
the chemicals to use and they end up injuring the person so it really depends we don't need a doctor's referral if you want to cover it under Extended Medical then a doctor's referral is great.
Sun Life really needs one other insurances.
Sometimes request them but when you go to the doctor they you know they generally know bits and pieces of little things.
[6:39] And you need someone that knows everything fee whether you go to a chiropodist a podiatrist stupid or cyst or a foot care nurse.
You need someone that knows directly that seen time and time again different elements and know how to help you with it I think that you know,
generally what I'm trying to do with our fully aging is Empower our audience to understand you know from our guest pieces of a lot of different things and foot care today is the piece that I want them to understand and,
it's okay that you know if you're going to your doctor and so say you're not in our area,
and you're watching us from another Province from the US or whatnot it's okay to go to the doctor how things look that and then be knowledgeable that you know specialists.
Do nest in this and ask the doctor you know do you know any footcare Specialist or
can you refer me somewhere else if they're you know if they're unfamiliar in their own area right by people can ask right and people are afraid to ask the doctor because a lot of
a lot of folks feel that the doctors kind of the bln doll which you know a lot of doctors do terrific work so don't get me wrong.
[7:48] But often what happens is that you know with our senior population specifically they've been going to their family doctor for so many years for so many ailments but
the thing is that as people age just generally things change and then we're in this area where we didn't know what before right and we hadn't had a deal with it so,
let's continue this conversation in a couple of minutes after the break,
Lisa and I are going to be discussing diabetic foot care so come back in a couple of minutes you're watching Earthly aging with a neon bulb Rave TV we'll see you soon.
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Download your free copy today at ten toes to dot c a forward slash medical Dash planner to get started.
[8:45] Welcome back we've been talking all things feet with Lisa from tired so let's jump right back in,
Lisa I'm curious do you find that I know that we've talked about seniors having some more issues with their feet because of different reasons so let's revisit that so,
we're talking about some of the different reasons because I want to to blend it into our diabetic talk that I'm going to have in a second so
mainly what it'd be like you said arthritis bending over kind of getting to the feet or those kind of the main issues that you would see with seniors.
[9:20] Preparing sorry for caring for yeah and also circulation is a huge one like you said your feet are at the bottom so gravity is really pulling,
it's really pulling that blood flow in that oxygen to the bottom of your body and if you don't have proper circulation to bring it back up again.
Then things are going to happen with your feet they're going to gets or they're going to get a key your legs are going to get sore and achy and it's as simple as.
Trying to help out with that circulation and the Aging population obviously there's more heart issues there's more circulatory issues or arterial issues.
Then they have problems with their.
Diabetics and non-diabetics it happens to the best of us generally and you just need to know what to look for yeah.
Fair enough so can you talk to us a little bit more about foot care for those who have diabetes and my experience it seems as though it's much more important
bass you know I've been like I said I've been working with seniors for almost 20 years so based on my own experience can you tell me is that true and tell us a little bit more about it.
[10:23] So with diabetics they have a heightened.
[10:26] Ability to have lower-limb amputations which is why I say kind of tired Soul below the belt and.
[10:35] They don't have the ability to feel so you have your general nerves where you can feel something really really quickly like a feather.
And diabetics depending on how their diabetes is managed if you've always had high blood pressure
that gives complications to your kidneys it gives complications to different organs and it also gives
complications to your nerve and nerve endings and so when you have the problem with those nerve endings and we'll get my trusty little foot hear you you can't feel,
anything,
around these areas so what the nurses do is they get a little it's like a fishing line and they test 10 different areas on the foot to see how well a diabetic could feel,
now it's not surprising to have a mark of like five out of ten and generally they can't feel anything up in this area and when you're walking you're hitting.
Right at this area first right so there could be huge huge huge problems in this area they won't feel a callus or a corn or an open area a lot of times in here these digits,
they have some blisters they have pain and they just don't know what to do with it and it's more dispersed around the whole foot.
And it's as simple as maybe getting a pair of compression socks.
[12:00] And that will help with circulation they we always ask our diabetics to wear white socks and would you know why they would do that Amy.
[12:11] I've done some research so now I might know but I would prefer that you tell them because you know what could you in the hot seat so you don't have a tree don't tell me more
okay so it's wild because you have patients come in and guys wear black socks it's generally what they do and we're like you know I think.
You can't feel anything on your foot so if you're wearing black socks and you put your shoe on and there's a little tiny.
Purple in there and you've been wearing your shoes over a month with the friction now you've caused a little open area but you can't see that because you can't reach your feet nor can you.
Put your feet up above your hips to be able to see underneath.
[12:50] Then you're wearing it again and now you're feeling a little bit of pain but you're still not understanding what it was well it's probably infected at this point,
because you didn't know it was there in the first place as it gets infected you finally get someone to see it if you're smart enough to get someone to see it,
and this is where the amputations happen because you've got less circulation
less blood flow less oxygen the body can't heal that as quickly as it would for somebody who's more athletic doesn't have any circulatory issues if it can't heal
after a little while it turns dead because this skin isn't getting that blood flow in the oxygen like a plant doesn't get water and sun it's the same thing,
in a way so it gets infected it goes into chronic which means it gets.
Dead like the tolls I was mentioning before and then they end up sending certain things through the body that isn't good for the body and you can end up going septic so what they do is they remove.
That part of the foot and that's how the amputations happen so if you wear white socks.
[14:03] Then you can see the blood on your socks so the black wouldn't the dark wouldn't so we try to get everybody to wear white socks that Pebble with the little tiny bit of blood when you're taking off your sock you can see.
That all it's leaving somewhere I better figure this out quickly.
When you say that it goes septic because I'm a bit familiar but not as much right so I've seen what I work with various people I've seen amputations and we help people
find you know retirement living for a specific thing so I see a lot of amputations from the knee down more as opposed to the toes or Peaks,
generally speaking but when you say something goes septic can you explain that just a little bit for our audience like you saying it sends what up the body like what happens.
[14:51] The body produces these like a cellular I don't know like down and like lame and turns so that I use proper terminology but when something is dead,
it gives off certain things that go into the bloodstream so when something is black,
when you'll see a foot and the toes are like a blue-black there's no circulation getting there and if that opens there's no way that it can heal so that black.
Stays there and if it's not taken care of then it shoots out certain things into the bloodstream that cause.
And infection and it generally would get to the heart so whether it be cellulitis and it's getting into the cells it's all that bacteria that the necrotic tissue can carry,
not only outside of the body but the bacteria is inside the body as well and that travels through the bloodstream and the lymphatic.
System and can get to the heart so surgeons and doctors they don't want that so generally depending on where that issue is they'll amputate below the knee they'll amputated the toes they'll amputate at the foot
it really really depends but it has very quickly.
[16:07] For sure and obviously I would assume the amputation would be the you know last resort but basically when you're getting an amputation stage
nothing else can be done this is the only thing we have to get rid of this or else is going to affect the rest of our body basically yeah bacteria gets in you don't want it to get to the heart,
no we say yeah I so I always say to patients that are coming in and we realize that they have arterial like heart issues.
Or their veins aren't pumping the way that they should you'll see like varicose veins are popping out of their legs or these little tiny,
patches of like dark areas that almost look like age spots and some of my older clients would be like oh I was.
Tottering on the roof and it's just a permanent tan it's nothing wrong with that I'm like well all of those veins
there's problems with them and all of that pigment is because the veins have collapsed and they're not working anymore and so we've got to be able to get that circulation going and which is where a compression sock would come in and where
we want to make sure it's full care nurses that were knowledgeable unlike an aesthetician we're knowledgeable of everything lower limb,
plus your feet so you want to be able to make sure that you're able to assess your own legs and feet to be sure that you don't have these problems and.
[17:32] I say to them like if you've got these little tiny veins that are going down your leg and you've got this huge.
[17:40] This huge aorta this pump so so quickly but the little tiny veins have to make it up after it pumping so quickly so you need assistance with that and that's where the compressions come in for.
[17:53] Interested in well I will talk a little bit more about the next one of the next segments but let's take a quick break
there's lots of think about today after the break we're going to find out why it's important to dry between your toes because this is my new thing that ever since I've been doing the research so if you don't know how to think on it and we'll come back in a couple of minutes
you're watching our people aging with Amy will see you soon.
[18:19] Artful aging with Amy is currently looking for gas and show ideas for our next season drop us a line at hello at Artful aging with a me.com and let us know what you would like to learn about in our upcoming season.
[18:32] Hello welcome back to Artful aging with Amy as I prepared and research for today's show almost everyone,
on the internet which is how we do a lot of our research these days says to make sure you dry between your toes thoroughly and don't put cream between your toes,
so
I don't know that I've had much thought about this more likely because I've been fortunate and I haven't had a lot of feet issues but also like I was saying to Lisa like before
Lisa we don't really talk about feet and everyday conversation which is you know it doesn't come up so,
Lisa can you tell me why is it so important to make sure the in between of your toes are dry and specifically not to put any Moisturizer in between.
[19:15] It's really as simple as,
moisture so depending on let me get my little foot here depends foot wow how close people's toes are,
so some people have quite the space in between their toes but a lot of people don't and their toes are really really tight together and if you have any sort of swelling issues during the day,
this all swells in through here so now if you're really.
[19:43] Really sweaty person a lot of people perspire on their feet when they're nervous when they're scared when they're busy.
And it just gets really really damp in between here and if you were to open up these toes and everything's been damp and dark.
What happens when we've got dark and moisture you get a fungus or Yeast.
And that breaks down and will often cause blisters or a breakdown in the skin when their skin breaks down you end up with a wound then you've got a wound and you can't feel it and it just goes on and on,
especially for a diabetic who can't really see it so you have to make sure we always tell people to get like a towel and put it on the floor put your that's not the nice part of the foot
your towel on the floor here grab the edge of the towel and just go through each digit,
each toe drying them and making sure that there's nothing in there athlete's foot hides in there all the time,
and it gets really dry and peely and through here and it's a fungus because you've been sweating and bacteria has gotten in some way somehow.
And then everything sort of breaks down it gets very very itchy it burns and they don't see the light of day anything with.
Enter digit right they don't see any light so there's so many problems that can hide in between there if you put skin in there it's not.
[21:08] If you bit cream in there it's not going to absorb.
[21:11] Right because it's so tight and then you're putting it in your sock and so now it's the moisture is just staying right on the tips of your of your feet right and then it's just it's going to break down and then it's going to be itchy and then you're going to have a problem.
[21:25] So really you know I hear you loud and clear and I've started doing this again since I started researching everything I've basically towel like towel floss your toes tell us your feet.
Back at ya.
I'm claiming that one Lisa yeah and you know what you can go on Google and there's devices that you can get that can do that as well,
and it's it helps our senior population be independent,
and not having to you know sometimes they don't have someone that can check underneath their foot or help them with their foot care so this way it leads the senior population to be to keep that Independence and to keep that care with their adl's that they can,
I'm do that for themselves and it's just as simple as getting a towel and flossing their tone.
Flossing so you know so based on kind of weave you've given us some tips but what tips do you have for daily care for a few if I was just like you know give me a couple of top tips for our audience what would you say.
[22:25] I would make sure that your shoes fit properly everything happened it seems with friction.
So when someone's we get a huge influx of people coming in the winter because now they're starting to wear their boots,
and all of a sudden they've got blisters and calluses and corns so really research your shoes go to someone if you're prone to foot issues go to a cadore thing.
Who these people can measure your feet they can they can check for the Bony areas and the bony prominences that would actually.
Have friction on the sides of your boot so just make sure that you have great Foot Care.
That you look whether you get a mirror or you sit down on a couch with a big mirror in front of you that you look at your feet and you examine your feet every single day,
to make sure that there is no open areas or that there isn't any red going on then you know that there's something that could be starting and you need to change your shoe,
and look at the nails look at your nails making sure that they're not discolored or they're chipping or they're cracking because that can cause issues as well bacteria can get in if you've got an open area.
[23:35] And just making sure that all around that your feet are pink and they're they're not super hot to touch or they're not super cool to touch so you want to see the color of your feet as well so good shoes color,
and making sure that you've got someone to look at your feet for you at the bottom and always check your shoes like.
[23:56] Check and make sure there's no rocks and put your hand in your boots and make sure there's nothing in there because if I let him he led it could cause a problem.
For sure I think I've been paying a lot more attention to feet because I'm in charge of Eva's feet at the moment right she's four.
And so I spent a lot of time on feet at these days right and she actually had a sore in between her pinky toe that we were able to resolve but you have to catch it right so yeah.
So can you tell us what the difference between a spa,
pedicure and Foot Care by a nurse is because there's a lot of people that will go to the spa to get a pedicure thinking that
you know things might have been addressed because some of the times you go to a spa and they'll say oh I've noticed this x y and Zed or whatnot which is great information for sure but there's definitely a difference can you just tell us a little bit of the difference.
[24:45] Well first of all we're nurses so a lot of nurses take foot care as a specialty.
So we've been nursing a long long time and we've got those assessment skills.
So we're able to see things before they happen because of general information that we get just looking at your legs and your feet which an esthetician.
[25:07] Wouldn't notice if you have a blood clot or you have some sort of issue in your leg would be able to catch that and we've caught it multiple times.
And we just know more of the assessment skills and the knowledge to be able to see things before they happen.
We also as a foot care nurse we abide by like gold standard practice so for full care nurse we autoclave all of our tools so they come in all these little packs and you'll see some esthetician places,
have them in this but they need to be autoclaved and the need to turn color so.
[25:44] Can't really see it on here but there's these little arrows here that turn black they were blue and they turn black when they're autoclaved so if you go into an esthetician and this ball you have to make sure that these little pink areas.
Turn black and you know that they're completely autoclaved so they're sterile.
[26:03] Right before you get here we're opening them right when you're here so they're completely Sarah we could they pass Five tasks.
To make sure that these are completely sterile and we have to auto place here doing that and you know that you're not going to get an infection here
for sure we're 100% that these tools aren't we can do heart surgery with the amount of test they have to pass with an esthetician,
I believe that they want to do pretty it's to make
you know everything pretty and to look good we want everything to be safe they want you to be able to walk we don't want you to be able to fall because of foot pain we want to make sure that everything is safe for you because.
[26:46] Sometimes I will.
[26:49] You know like you have to remove things that you shouldn't really be removing which a nurse would have remove and their harsher on your feet then we would be and.
We just have that knowledge of that power right they you have to be able to,
clean everything of bacteria don't want to get any infections in there could be infections depending on where you go especially if you shave your legs or you've got eczema there's a portal right there where infection can get in when you're soaking and we don't soak,
do a drawing a dry pedicure for sure so really it's kind of like you know for a top top tier functional versus aesthetic is kind of where we're lying okay.
Fair enough so let's let's take a break least and we're going to talk about prevention after the break so again you're watching Artful aging with me Amy we're on Bold Brave TV we'll see you in a.
[27:42] Are you watching us on YouTube but would rather listen to us in the car or on a walk no problem Artful aging with Amy is also available as a podcast.
Head over to Artful aging with a me.com for the links.
[27:57] Hi and welcome back Today's Show is all about foot care so let's discuss prevention.
Like anything else it's usually better to take steps early to avoid more serious issues if you've been with us and watching my other shows I'm all about prevention I'm all about planning I hope that you you've seen that by now but according to.
Ontario chiropodist there are about 250,000 sweat glands in the feet.
And the average person loses about a cup of moisture through the feet a day let me tell you when I read that Lisa my feet feel so sweaty constantly because now I like,
I'm acutely aware now so.
That in itself I believe would require some sort of preventive measures did you know that when you're stressed you can you're also more susceptible to viruses that causes warts in the foot,
listen maybe we can start by talking about what we do in our everyday like everyday life with our General Health that could have a positive effect for foot health.
[28:59] For me I would think you know when our little humans have extracurricular activities,
you know you want to make sure whether you're going into ballet class or you're going into Kung Fu or your kids are doing that to make sure that you clean the bottom of your feet before you put them into your shoe.
So a lot of activities require no shoes and no socks.
So one preventive measure that I've come up with we have like a chlorhexidine spray and we spray everybody's feet after they've been to class,
because you want to make sure that your that your shoes are clean because if you have that bacteria at you are walking in a pool,
and you're not wearing your flip-flops it's the skin around the wart that peels off when it's so damn.
That causes it to spread to other people and to spread yourself so if you know that you have sweaty feet or you know,
that you need to go somewhere without putting shoes on you're going to have to use like your flip-flops or clean them properly before you put them in your shoe,
if you put them in your shoe prior to that it's going to Harbor all that bacteria and you put your feet in that and then it's dark and then you're sweating and there's going to be an athlete's foot or wart happening,
so just make sure to keep clean shoes and if you know that you're sweaty and you have that problem with sweaty feet there's lots of powders out there that you can use to help absorb it and we tell people just to put it in their socks.
[30:27] And that'll help huge and it helps huge between the toes as well because as you're walking the powder will just lay in between your toes and that helps with friction as well.
And so you've just got to find yourself a good powder we have a really good one but Germany stopped it.
So we're having an issue right now getting stock but they've got some good powders out there that's got like an antifungal or an antibacterial.
And you can do that where your clean socks make sure you never wear dirty socks,
always be changing your socks when you get home take them off let your feet are and just always make sure that you've got someone if you can and you can't see your feet if you can have someone look just make sure that you're always looking at your feet every day,
and see if there's a change in your legs to right if you drop something or you you know the corner of beds or they're very hostile some beds.
And you know even bowls,
falling down right like things are just hostile these days even Alexis got an attitude so you just you know you just have to make sure that you're aware to look and I find we had a question talking about Eva,
we had someone send me a photo yesterday of their little girl and their feet are peeling everywhere and it's generally because the kids are so sweaty that they'll get that and so you need to be able to catch it like you said,
and prevent anything else happening and get a powder in there.
[31:55] And collection of you just yeah so just keep an eye on your feet keep an eye on the nail conditions that they don't change color they don't you know some medications make them brittle,
so if you notice a change you don't find someone that can help you with that because it's going to be difficult for you to trim them or you'll cause a cut.
Especially if you're cutting for your loved one don't do that send them over here for sure.
No sir I know I know but and so you know don't pick up virus hitchhikers is what I'm going to Proclaim from this segment yes.
Yeah it happens.
So easy and you just people coming through time and time again they're like this never happened before this never happened before and you're like you know things happen the more stressed you are the more elements you have from head to toe,
your blood supply doesn't really get the the the.
[32:51] I can't forget the word a time but I want to get but it doesn't get the notification that there's a Warder there's some sort of issue with your foot because there's so many other things that your body is trying to figure out and it's going to find the most important thing first.
And a little wart or a little paper cut on your on your foot isn't one of the important things your body things right or important things that your body thinks.
To help me out with so that's why these warts stay forever because the virus isn't there's not enough of it in your bloodstream for your body to heal it so you need to try to prevent it and take care of it if it happens.
Interesting well and we touched on we touched on compression socks earlier stockings,
so through working with seniors specifically there's been a lot of talk in my world about compression stockings and there's also a lot of talk about how hard these
can be to put on I know my sister even was using compression stocking when she was,
when she was working earlier right is all about circulation so what are some of the reasons to look into wearing compression stockings and are there other ways to make them easier specifically for seniors to put on but really anybody at that.
[34:02] Yeah there's you know multiple reasons why
you should wear compression socks and I'm not one of those ones you know especially nursing for 28 years they're always like the nurses need to wear them the nurses me to wear them and you never do and people always think that they're like oh what are they trying to sell me now but these are a medical device.
And they are life changing I have to tell you their life changing for the simplest element sometimes you can just have pains in your legs and cramps at the end of the day well if you had more circulation and blood flow and oxygen going through there,
they're going to feel very lightweight you're going to be more awake because there's going to be more oxygen and blood flow to your brain it's like a,
it's a no-brainer so people of all different ages,
you know have different reasons to wear compressions that if you have a circulatory issue for sure for sure you need to have compression because you need to have like my trusty little.
Look how pretty they come they're just so nice so there's multiple different ones but you have to be able to know that,
if there's any swelling if there's any pain a compression would be right for you now depending on the strengths are really hard to get on and we can talk about that after the commercial but it there's very.
Different reasons why you could wear them in a lot of athletes now are wearing them and this company actually changed.
[35:31] To like CP and they changed for more running towards the runner and the athlete,
so there's lots of different kinds are not just tan-colored anymore well let's well like you said Lisa let's do the commercial now we'll pick it up though after the commercial cause we'll talk about if there's a way too easy for easier to put it on.
I can't find my words either so let's think about we all need more coffee so we'll be back in a couple of minutes you're watching our full aging with.
[36:00] Ian welcome back we've been speaking with Lisa all things foot care and feet.
Before the break we were talking about compression stockings so I wanted to just go back there for one more minute Lisa can you show us contraption that you have in tell us about ways that are make it a little bit easier for compression stockings,
so there's a couple of donning AIDS on the market this one is our favorite it's by jokes you could look it up online you take your sock and you weave it through,
and until the heel pops up here and then you literally I don't know if I can do it you might not be able to get ready.
[36:36] Pull it up like that so you don't have to yank and you know people have arthritic hands and you can't pull them up this you literally just pop your foot in there pull this up and boom it on,
that's so helpful I've seen a lot of people use them.
Regular socks as well it doesn't need to be compression if you're having problems with just socks in general yeah I've definitely seen people have a lot of issues with it so something like that is awesome,
yeah so fun fact Lisa did you know that the world record for the largest feet belongs to a guy named Matthew who wears us who wore US size 28 and a half.
And the average men's size is 10 and a half so I thought that was pretty interesting is the world record holder and.
So Lisa how about we switch a little bit to talking about how often we should get our feet looked at by a professional and is it the same for someone in their 40s as a verse like in you know
looking at someone in their 80s as well is it the same or is it different.
[37:39] It's you know if someone has a element with their feet they need to have it checked regularly so generally we say every four to six weeks.
When it's winter time the nails drone don't grow as quickly as it would when you're in flip-flops and that vitamin C and D is shining through,
so everyone will like draw back to like every six to eight weeks in the winter and every four to six.
It's in the summertime if you have problems with ingrowns or a nail condition or a skin condition you really want to get that preventative,
care and have it regularly followed through with in four to six.
[38:17] If you're a senior and you can't reach your toes and you can't see them will you generally should be in somewhere to have someone every four weeks take a look at your feet.
Whether you're a man or a woman the elements are exactly the same now if you're a professional let's say the football players that will come here.
You know they're rougher on their feet right the little humans that we we make their rougher on their feet depending on what sport the rig was getting a huge influx of,
little people coming in because of hockey issues and soccer issues so.
Look every single day at your feet and if you aren't able to do that make sure that you go and see a professional every four weeks.
And for the seniors who are watching whether you're in my area or just watching from another area a lot of times.
Foot Care comes in Moberly a Lisa I know that you guys.
Work mobile as well so if you're in a residence or if you can't get out maybe that's an option and might not be an option everywhere but I know an Ottawa it is a lease oh yeah generally there's a lot of nurses were the only.
Foot Care Clinic that I'm aware of that does clinic and mobile.
So a lot of nurses are just mobile so you should be able to hopefully find someone in your area if you're able to Google or even ask the doctor they but a lot of references.
To foot care or even the Lynn they have a list as well for folk hair and the way it's wrecked you to some good foot care that they ought to play than everything.
[39:45] And you did mention that you know it's not necessary to have a referral to go for foot care but.
Someone wanted to get a referral is the doctor who they go to and then also how do people generally pay for Foot Care.
[39:57] So the doctor would be the one to get the referral from of course.
If you have Extended Medical then you probably will need that if you don't then you can go to your foot care provider and you can write that off as a medical expense.
Is on your taxes and generally I mean the fees are very very different.
For us for mobile foot care you can pay cash credit.
Check each transfer and it's eighty dollars for us and $50 to come into the clinic and payment is the same it's very easy.
And then you can claim that at your extended Medicals and if you're a veteran and you have a k number where registered with Veterans Affairs and it ends up being like $13 because they get some good coverage.
[40:42] That's terrific just before we go today Lisa and thank you again for joining me today can you tell us a little bit more about the course you teach I know that people might be interested in foot care as a career can you just tell us a little bit about the course.
[40:56] My little pamphlet so.
[41:00] Once I started educating after I took the Foot Care course I loved it so much so now I teach Advanced Foot Care,
there's no national standards in Ontario which is actually kind of frightening so anybody can do foot care you need to make sure that you hit,
the proper you know standards for a foot care practitioner or a foot care nurse so we teach the National Standard that has come out that we're trying to get all around Ontario so we hit.
And touch on everything for caring even lower limb modalities,
and so every nurse that I have working here actually I've taught myself they've taken the class,
and they came and they work with us so when seven years we started with two nurses and now we have 16 and three admin's so it's grown exponentially,
and it's great when I know exactly what they know and it's there's that continuity of care that everyone's going to get the exact same care because there's no national standards so it's.
It's great that I can offer this course to any nurses or psws that are in the area it's even online so you do online and you just four days hands on and we get a group of huge group of volunteers.
And so they see between five and eight people during the day and our volunteers usually get about 50 volunteers for the day and that fills up in under 7 minutes.
[42:25] Wild people after 10 years or now you know waiting for that free foot care clinic but they get a lot of Hands-On care they get a lot of training.
[42:35] Course infection control right so I'm huge on infection control so you know what you're getting when you're getting a tired Soul nurse for sure.
That's amazing well thank you for sharing that with us Lisa and thank you again for joining me today is very nice to see you so much it's amazing to see you I haven't seen you in a long time.
Well well well catch up so after the break we're going to sum up the top tip today again you're watching are pledging with a neon bold Brave TV I'll see you in a few minutes.
[43:04] Welcome back I'm your host Amy and you've been watching our flea aging with Amy and again today was all about what care and how to properly care for a feet.
I don't know about you and maybe after the show it will be the same but ever since I read that stat about sweat glands and her feet my feet have been extra sweaty I don't know if it's always been that way but you could definitely feel,
feel the difference and it could be just similar to when you're buying a car and you see all the same car that you want to buy I wonder if that's what it is but let's look at the top tips from today,
so that if you're caring for your own feet you're caring for your child's feet are a loved one's feet then these are some things you can implement.
So top tip number one would be wear white socks always when you're out and walking.
And so as Lisa said that's really to prevent anything that you can't see like pebbles or things like that in your shoes so that you know if something has been affected,
and your foot is bleeding and you don't see it then the white sock will show it for it show it to you really quickly and it won't start to fester and start to develop and something you don't want.
Number.
[44:13] Check your shoes before you put them on again Pebbles and things get in your shoes so give them a little empty or put your hand in there to make sure that there's nothing in there affecting it.
Check for swelling number three is check for swelling in your feet and your legs we talked about compression stockings,
there's definitely things that make putting compression stockings on easier like Lisa was showing a lot of people do get help.
From home care providers and our governmental home care providers help with compression stockings I've seen
quite a few seniors with that it's because they have to be so tight to get things moving so if you're having trouble and you've tried it before and it's too much to put them on and you know you've had a bad experience
maybe look into trying something it's not another type of sock or something else to put them on.
[45:02] Tip 4 would be used mirrors and check your feet so just have it available even if it's on the side of your wall and you put your foot up on your legs or so you can have a look to make sure that nothing is in the way
or a thing is on the bottom of your feet,
and then step 5 or 25 would be lotion and water daily so make sure that you're getting enough water make sure that you're putting lotion on your feet
not in between your toes as Lisa had pointed out so that we don't keep moisture in there and I'm going to throw a tip sick tip 6 which is toe floss which is now my new saying so that's it for today on.
On next week's show we will be speaking about how to fight Parkinson's with boxing,
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[46:38] That's it for today so thank you so much for joining us again this is Artful aging with Amy on Bold Brave TV I hope that you have a wonderful Wednesday.
[46:51] You've been listening to Artful aging with host femi many folks just like you feel they're alone in their journey and helping a loved one or.
So tune in each week and let a me show you that help is around the corner and it's just one conversation away here on Artful Aging with Amy.