Date of Conferral



Doctor of Nursing Practice (DNP)




Dr. Eric Anderson



Development of Assessment and Screening Tool

to Assist with Prevention and Identification of Charcot Foot in Type 2 Diabetics


Louise Wade MSN, RN

MS, West Texas A&M University, 2010

BS, West Texas A&M University, 2010

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

August 2016


According to the World Health Organization, up to 50% of type 2 diabetic patients

develop neuropathy, which may cause major infections, amputation, and Charcot foot due

to impaired sensation. Early recognition and care is essential for treatment of Charcot

foot and prevention of further injury. Due to the complexity of this potentially life

threatening complication, assessment is challenging, especially when practitioners who

treat adult diabetic patients may not be familiar with Charcot foot. The purpose of this

scholarly project was to develop an assessment, screening tool, and algorithm for

detecting Charcot foot; an additional goal was to develop practice guidelines for

practitioners to assist in the early recognition, treatment, and referral of adult diabetic

patients at risk for Charcot foot. Lippitt's theory of change was used to guide the project.

An interdisciplinary team of stakeholders was assembled to guide development of the

tool, algorithm, and practice guidelines. Products were developed in accordance with

evidence in current peer-reviewed literature and American Diabetes Association

recommendations for Charcot foot diagnosis, treatment, and referral. Content was

validated using a scale content validation instrument process to obtain input from experts

in the care of Charcot foot. An implementation plan was developed to guide introduction

of the products into practice, and an evaluation plan created to determine the extent to

which intermediate term outcomes are met using these products. The project may

contribute to social change by identifying patients at risk for Charcot foot prior to the

onset of the complication, therefore preventing further injury, deformity, or amputation in

populations that are often unable to afford quality healthcare.

Included in

Nursing Commons