'They might not be good for me but they're comfortable!' usually footwear related problems and would rather wear their own instead of hospital footwear Question 17: This free text box is for you to add any additional comments or information that you feel is relevant and has not been addressed by this survey. Thank you. Re timing, foot health education is important in early diagnosis but patients are often overwhelmed with new information at this time and therefore foot health education is perhaps best delivered as part of a staggered education approach by the team. A barrier to the importence of foot health education is the foot involvement in RA is not given the same priority (by the MDT) as other aspects of care. Working in the private sector I have to refer them into the NHS anyway, it would be immoral not to. FHE in RA is a long-term investment. Podiatry and NHS Trust managers only see the end of the current financial year. Perhaps a survey to pod managers to ask how much resource they allocate to the above might be an area to look at, as 50% of the positive responses in this survey have been achieved by my own dedication, commitment and unpaid work!!! I don't think that enough effort has been made to offer people with altered foot shape desirable custome-made footwear; neither is the current fashion accommodating the called- 'deformed feet'. I work in private practice. RA patients I see are already managed within the NHS. My role as I see it is to reiterate health care advice and refer to medical/nursing practitioners as required Patient education can be a challenge depending on age, duration of disease, previous foot surgery and level of pain etc. In my experience, Pain can be generally a good motivating factor for patients to listen to advice and education. foot heath foot ed can give "worse case" scenario, can sound like "threat". To give info to eg. JIA like that is very negative. Little bytes are better that big chunks!! Too foot focussed? No mention of the systemic impact of RA and for example cardiovascular and peripheral vascular risks. as podiatrists we perceive foot health education as a need at first diagnosis. If there are no evident visual or symptomatic foot problems at this stage it is difficult to
'They might not be good for me but they're comfortable!' usually footwear related problems and would rather wear their own instead of hospital footwear Question 17: This free text box is for you to add any additional comments or information that you feel is relevant and has not been addressed by this survey. Thank you. Re timing, foot health education is important in early diagnosis but patients are often overwhelmed with new information at this time and therefore foot health education is perhaps best delivered as part of a staggered education approach by the team. A barrier to the importence of foot health education is the foot involvement in RA is not given the same priority (by the MDT) as other aspects of care. Working in the private sector I have to refer them into the NHS anyway, it would be immoral not to. FHE in RA is a long-term investment. Podiatry and NHS Trust managers only see the end of the current financial year. Perhaps a survey to pod managers to ask how much resource they allocate to the above might be an area to look at, as 50% of the positive responses in this survey have been achieved by my own dedication, commitment and unpaid work!!! I don't think that enough effort has been made to offer people with altered foot shape desirable custome-made footwear; neither is the current fashion accommodating the called- 'deformed feet'. I work in private practice. RA patients I see are already managed within the NHS. My role as I see it is to reiterate health care advice and refer to medical/nursing practitioners as required Patient education can be a challenge depending on age, duration of disease, previous foot surgery and level of pain etc. In my experience, Pain can be generally a good motivating factor for patients to listen to advice and education. foot heath foot ed can give "worse case" scenario, can sound like "threat". To give info to eg. JIA like that is very negative. Little bytes are better that big chunks!! Too foot focussed? No mention of the systemic impact of RA and for example cardiovascular and peripheral vascular risks. as podiatrists we perceive foot health education as a need at first diagnosis. If there are no evident visual or symptomatic foot problems at this stage it is difficult to