Have a question? Don't be afraid to ask!

Below is a list complied of frequently asked questions


What is the difference between a pedicure and medical nursing foot care?

Why you should consider medical nursing foot care instead?

Definition of Pedicure:

A pedicure is to improve the appearance of the feet and toenails. The word pedicure refers to superficial cosmetic treatment of the feet and toenails. They are popular throughout the world, specially among women.


What is medical nursing foot care?

A foot care nurse is a registered nurse or a licensed practical nurse that has taken specialized training in foot care. They work along with a team of health care professionals such as family doctors, diabetic clinics, podiatrists, and others to keep a person mobile and decrease the risk of developing foot complications. Nurses also assess feet and lover extremely for circulation, sensation, swelling and skin condition.

The expense of foot care can be tax deductible if the receipts has the licensed NURSE’S registration on the receipt. Many health insurance plans also covers nursing foot care. Medical foot care is a dry, meaning there is no foot bath like the ones associated with many pedicures. Medical foot care is performed by trained and qualified foot care nurses -Registered Nurse or Practical Nurse not cosmetologists. Foot Care Nurses provide diabetic foot care assessment, documentation, lover limb assessment, sensory testing, health teaching, treat skin conditions, nail and foot conditions and can advise you on preventative treatment.

The Medical Foot Care Nurse looks at the overall health of the feet, including diagnosis and treatment of various foot problems such as ingrown toenails, fungal infection, Athlete’s foot, warts, psoriasis etc. Medical foot care is provided in a clean, professional environment. All tools are fully sterilized,( Autoclave) instruments sealed, packaged and unique to each individual. Prior to treatment the skin is softened with antibacterial solution in order to remove dry and dead skin, shaping, buffing the toenails. During the session the feet are diagnosed and treated for nail or skin damage. Spa pedicures “sterilize” instruments between use by placing them in bright blue barbicide or a similar product. However medical foot care nurses use both fully sterilized and one-time only tools such as blades, which come from sealed packages. Also because it is performed on dry feet there is no risk of infection arising as from a shared foot bath. Everything is extremely hygienic whereas hygiene or sanitation standards cannot always be guaranteed in popular nail salons.

What specialized education does a foot care nurse have?

Your Foot Care Nurse may be trained in one or all 3, basic, advanced and diabetic foot care. To acquire this, nurses must complete continuing education courses in this specialized field, which offers theoretical and practical training in non-invasive care of the feet from a recognized community college, private educator, or private education facility. It is also recommended that nurses network with their colleagues through nursing foot care associations, conferences, and independent practice groups. The College of Nurses of Ontario requires all nurses to obtain a minimum of 8 hours of on-going education annually in their field of practice.

Many Foot Care Nurses have also continued their education in wound care and are members of CAWC (Canadian Association of Wound Care), as well as complementary therapies.

What type of foot care nurse do I need? Basic or advanced?

Although you do not need a referral to see a Foot Care Nurse, patients are often referred by their physicians to see a Foot Care Nurse for ongoing care of their feet.

Basic foot care is usually limited to nail care (e.g., trim, file, cleanse, and massage the foot and ankle). This provider holds entry level competency.

Advanced foot care is more comprehensive and may involve completing a full assessment, creating a treatment plan (including client goals and health education), and treating ingrown nails, thickened (fungal) nails, callous & corns and other complications from diabetics, heart problems, circulatory problems, infections, and arthritis. All nurses working to their full Scope of Practice and in private practice are mandated to hold advanced nursing Knowledge, Skill and Judgment to ensure safe practice, competency and ethics.

Wound care (in conjunction with foot care) is an intervention that assists clients by facilitating and managing skin abrasions, ulcers and injuries to promote healing and prevent infection and other complications.

Is foot care covered under insurance?

Foot Care is not always covered under provincial health care systems. Reimbursement from an employee’s insurance plan may be possible. Please contact your benefit provider.

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Are foot care nurses insured?

Liability insurance is mandatory. A nurse may be insured through her/his employer however, if in private practice, liability insurance is obtained through the provincial Nursing association or a personal broker.

Do I need a referral to see a foot care nurse?

You do not need a referral from a doctor to see a Foot Care Nurse, but a prescription may be required for 3rd party insurance or veteran’s coverage.

Do I need an appointment?

Yes. We will give you a convenient time slot that will be sufficient to cover the assessment and treatment necessary.

Where are services offered?

Services are performed are mobile service to various locations: privacy of your own home, long term care facilities, residential facilities and hospitals

Can I have a one-time only appointment? 

Certainly. There is absolutely no obligation to the services.

What can a client expect on a first visit and subsequent visits?

The initial visit usually lasts 45 - 60 minutes depending on your individual case.

Consent

Your Foot Care Nurse should follow the HCCA (Health Care Consent Act) that requires consent for any treatment. The consent should include: the nature of treatment, expected benefits, material risks and side effects, alternative courses of action, and consequences of not having treatment. Treatment fees are often stated on the consent form. Any additional costs for products or services are discussed with the client during the visit.

Foot Care nurses in independent practice charge a fee directly to the client for the treatment they perform. The client can then seek to obtain a reimbursement of those fees through their employer’s insurance plan, private health care plan or Veteran’s Affairs.

Health History

Your Foot Care Nurse will complete a health history. This incorporates, your chief concerns and expectations of foot care, which includes relevant current, past, social & family history. This assists the nurse to identify risk factors that may be relevant to the outcome of the treatment. Knowledge of previous foot care treatments and/or experience information assists with what has worked or not worked in the past. You should bring a current list of prescriptions, including over-the-counter medications. It is always a great idea to take the actual bottles on first visit or have them available if having a home visit.

Physical Assessment

Your Foot Care Nurse will undertake a physical examination that will include: condition of skin and nails, range of motion, bony prominences, circulation, and sensation. The nurse will want to assess your socks, shoes and gait. It is a good idea to wear, or bring the shoes you use most of the time for a better assessment.

Documentation and Privacy

Your Foot Care Nurse is required to keep your client file confidential, current, complete and secure. Your personal information may be shared with other health team members (e.g. physician). A client has the right to view that which is documented about them and withhold or withdraw consent to the sharing of his/her personal health information at any time.

Plan of Care

Using a nursing diagnosis, (APIE – assess, plan, implement, evaluate), your Foot Care Nurse will create a plan of care with your cooperation. This may include ongoing treatments booked in monthly or 6 to 8 week intervals or sooner for high risk patients, client/caregiver teaching, and added complimentary therapies or products. The plan of care may include referring you to a physician, chiropodist/podiatrist, shoe specialist (pedorthist), massage or physical therapist, a diabetic nurse educator/clinic, or wound specialist.

New technology is also used by many advanced Foot Care Nurses. Lasers and light for healing/pain therapy and fungal nail treatment, peripheral neuropathy detection and treatment devices, though scientific advances and the theoretical foundation of Nursing.

Sterilization, Infection Prevention and Control

Your Foot Care Nurse must adhere to strict safety rules pertaining to their equipment use. Tools must be sterilized, preferably autoclaved and pouched prior to use for each client. Hands must be washed before and after any treatment even when gloves are used. All non-reusable items must be discarded after each client. Personal protective equipment must be used to protect the client and the nurse. All Foot care equipment and treatment areas must be disinfected between each client to reduce cross-contamination. It is highly recommended that the nurse review and record her/his reprocessing policies and procedures on an on-going basis to comply with disinfection and sterilization processes.

Disinfection processes should follow the principles of infection prevention as set out by the Public health Agency of Canada.

What does a foot assessment include?

• Assessment of the lower legs, feet and general health status

• Loss of protective sensation testing for high risk feet (Diabetics)

• Toenail trimming and filing

• Reduction of corns and callouses

• Treatment of immediate concern

• Skin care

• Wound assessment, treatment and referral if required

• Foot care health teaching


A personalized client- centred foot care plan is developed between the nurse and client for ongoing foot care as required.

Referrals are made to appropriate Health Care Professionals when indicated.

Why does the foot care nurse have to take a history/assessment? 

As nurses, we understand that there is a connection between the health of the feet and the health of the body as a whole. Poor circulation and nerve function in the feet affect skin condition, and the ability of the feet to recover from open wounds and infection. Certain medications affect the condition of the nails and skin, causing them to become brittle, fungal, thickened, discoloured, difficult to cut. In addition, some medications decrease the body’s ability to fight infection resulting in fungal infections of the feet. A properly trained certified foot care nurse will be able to satisfactorily explain the correlation between health, medications and feet.
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How do I prepare for a mobile/ home visit from a foot care nurse?

Choose a comfortable chair that you would like to sit in for the duration of the treatment. A recliner works best as does a chair with a footstool. If neither is available, the certified foot care nurse can improvise, creating a suitable area to place the feet. One or two fresh towels are useful also. There is no need to soak your feet just before or during the visit.

Will you teach me how to care for my feet between visits?

An important part of quality professional nursing care includes thorough health teaching. A properly trained, certified foot care nurse should be able to provide appropriate guidelines for self-care of nails and skin between visits. The nurse will also be able to determine if further medical treatment is needed and advise seeing your doctor.

How do you sterilize your equipment?

Sole Rejuvenation Foot Care uses stainless steel instruments for foot care.

Sole Rejuvenation is proud to have a contract with the Sterile Processing Department at a local hospital, Northumberland Hills Hospital located in Cobourg, where all instruments are put through the highest quality sterilization process, individually packaged and sealed for the client's protection.

To ensure they remain sterile to the point of use, all instruments used during a foot care session are opened in front of the client.

To eliminate the risk of cross contamination, all surfaces and treatment areas are cleaned and disinfected between clients.

One time use equipment is used when necessary.

What product line do you use?

Sole Rejuvenation Foot Care uses Footlogix Pediceuticals products.

Each product used is specifically chosen to assist individuals based on their foot concerns. Footlogix Pediceuticals products are also safe for diabetics.

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Do you use laser therapy?

Unfortunately, no, not at this time.

Do you offer Ankle Brachial Index (ABI) Testing? What is ABI Testing?

*Physician Referral Required

A non-invasive , objective measurement of the ratio of ankle systolic blood pressure to arm systolic blood pressure.

The test is used to check your risk of peripheral artery disease (PAD). Peripheral artery disease is a condition in which the arteries in your legs or arms are narrowed or blocked, therefore, increasing your risk of circulatory problems, leg pain, and possibly causing heart disease or stroke.

What methods of payments are accepted?

Cash, Cheque or E-transfer are accepted