Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

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What should be done for a patient with diminished sensation and/or severe deformities regarding footwear?

Wear regular shoes
Referrals to a pedorthist
Use custom insoles only
Choose any comfortable shoe

The correct answer is: Referrals to a pedorthist

For a patient with diminished sensation and/or severe deformities, referrals to a pedorthist are crucial because a pedorthist is a specialist trained in the therapeutic use of footwear and orthotic devices. They can assess the patient's specific needs and provide customized solutions that accommodate any physical deformities and enhance stability, comfort, and mobility. Regular shoes may not provide the necessary support or protection needed for someone with reduced sensation or deformities, which can lead to further complications or injuries. Custom insoles alone might address some issues, but without the proper footwear to support them and accommodate foot shape, the overall benefit may be limited. Choosing any comfortable shoe could lead to the selection of inappropriate footwear that does not adequately support the unique challenges presented by the patient’s condition. Therefore, engaging a pedorthist ensures a tailored approach that prioritizes both health and functionality, effectively addressing the needs of the patient.