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May 2007

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Best foot forward for pharmacy

Customers are more likely to enquire about foot care during the summer months. Hannah Pike (editor of Retail Round-up) reports on a new campaign focusing on the advice pharmacists should be giving these customers


Pharmacy advice

Advice for pharmacists to give customers

“Foot first”training module

Identifying opportunities

Foot facts

Further information about the “feet for life” campaign is available at www.feetforlife.org

Liv Friis-larsen/Dreamstime.com

Feet

Next month is the Society of Chiropodists and Podiatrists (SCP) annual “feet for life” month. This year’s theme is “working feet” and one of the key messages is that neglecting your feet can affect your career and lifestyle.

The SCP, in conjunction with Daktarin, has launched a new campaign specifically targeting pharmacists, highlighting their role in foot care.

Speaking at the launch of the campaign, Lorraine Jones, a podiatrist and member of the SCP, explained the impact of not treating common foot conditions such as athlete’s foot, cracked heels, onchomycosis, veruccae, bunions and corns. If these problems are neglected and progress to a stage where they affect mobility, this can have a considerable impact on a person’s independence, employment and well-being.

Foot pain also alters your gait, impacting on other muscle groups and thus adding to the demand for other NHS services such as physiotherapy, she explained.

Miss Jones said that much foot care can be classed as “social” care, such as dead skin removal and toenail cutting. If this is not routinely carried out then it can become a medical problem. Miss Jones said that the need for podiatry services would be reduced by about 50 per cent if the population’s foot hygiene were to improve.

Pharmacy advice

One of the Government’s objectives for community pharmacists is that they promote public health messages about diabetes, smoking, obesity and CHD. Patients with these conditions are at a high risk of developing foot problems, Miss Jones explained.

As part of the campaign the SCP has put together seven pieces of advice that pharmacists should give to customers who enquire about foot care. These are listed in the panel below.

Advice for pharmacists to give customers

The following pieces of advice appear in the Society of Chiropodists and Podiatrists plan for foot health:

• Wash Wash your feet every day with warm soapy water (do not soak because this might destroy the natural oils). Dry thoroughly, especially between the toes.

• Moisturise Apply cream all over the foot, apart from between the toes.

• Prevent Use an antifungal cream regularly. Use an antifungal spray inside shoes to prevent reinfection. Wear flip flops in communal changing rooms and swimming pools.

• Remove Remove hard skin with a pumice stone, unless it is over a bony area or joint (in which case a podiatrist should be consulted).

• Trim Trim toenails regularly, using nail clippers. Cut straight across to avoid in-growing nails.

• Wear Wear the right shoe for the job. Avoid high heels when standing for long periods of time.

• Contact Contact a podiatrist or chiropodist if your feet are painful.

Miss Jones added that health care professionals need to work together to provide the best care for patients with long-term conditions, and that podiatrists need to communicate better with GPs and pharmacists.

“Foot first”training module

Foot First pharmacy of the year 2007A new foot care training scheme and competition for community pharmacy staff has been launched this month by Thornton and Ross.

The “Foot first” training module, designed by a podiatrist and a community pharmacist and aimed at pharmacy counter staff, covers common foot ailments and their treatment. On completion of the module entrants will receive a pack containing promotional posters, badges and window stickers.

Pharmacy teams can also nominate themselves for the “Mycota foot first pharmacy of the year 2007” competition, where a prize will be awarded to a team whose work has improved foot care in the local area.

For further details or to apply for the training module visit www.mycota.co.uk or telephone 01484 842217

Identifying opportunities

Dotun Adebayo, a community pharmacist from John Bell and Croyden pharmacy in London, explained how initiatives such as the minor ailments schemes are gradually moving foot health up the agenda.

She said that patients might not be aware that common foot conditions can spread and cause complications if not treated, especially in patients with other medical conditions. For example, untreated athlete’s foot may lead to an ulcer.

At John Bell and Croyden there is an instore chiropody service, so many patients with foot problems come to the store, but Miss Adebayo pointed out that all pharmacists have a role in identifying patients at risk of foot problems. She recommended that pharmacists consider the following “four Rs”:

Reassess Reassess current foot health advice. “It is not just the products you sell, it is the advice you give,”she said.

Realise Realise your opportunities when a customer asks about foot care products, foot health or related conditions.

Research Ask the customer relevant questions such as how long they have had the symptoms and ask about any medical conditions they may have.

Recommend Know your products for both treatment and prevention. Give appropriate advice or refer to local foot specialists.

Foot facts

• The average adult takes over 18,000 steps per day.

• Our feet carry us the equivalent of five times round the earth in an average lifetime.

• There are 250,000 sweat glands per square inch on our feet (more than anywhere else on the body) and the average pair of feet produces about half a pint of perspiration per day.

• Between 75 and 80 per cent of the adult population have some form of foot problem.

• Women have about four times as many foot problems as men.

• One in five people think that their feet are the most unattractive part of their body.

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