ACFI

aged care

ACFI 2: Mobility

We review the care plan and provide podiatry relevant evidence through documentation that supports the mobility assessment and ACFI claim related to the resident’s lower limb locomotion and level of assistance required. 

ACFI 3: Personal Hygiene

We provide documentary evidence relevant to the dressing and undressing component of personal Hygiene. We report at each visit if we were required to assist with removing and application of stockings/socks and footwear (which is often the case) 

ACFI 7,8 & 9 Behaviour domain (Wandering, Verbal Physical)

We document any behaviours that occur during the podiatry consultation. Our podiatrists document these behaviours in the appropriate place as per the facility policy i.e. behaviour charts/progress notes.  

 

When describing the behaviours our podiatrists are trained to ensure their descriptions meet the ACFI user guide requirements for an accurately identified behaviour.

 

Our behaviour documentation not only assist during the ACFI assessment time but ongoing documentation supports the existing ACFI claim and assists the facility when undergoing an ACFI validation visit. 

 

We do not work outside our scope of practice by assessing behaviours, we provide ACFI support by documenting what we see/hear. 

 

agecare

ACFI 10 Depression

We document any statements regarding depression symptoms therefore supporting ACFI depression evidence. We do not assess for depression or work outside our scope of practice however as a second set of eyes and ears we are able to report statementsand signs that may indicate depression.

ACFI 12 Complex Health Care

As Allied Health professionals we are able to write directives relevant to the foot and ankle for; 

 

ACFI 12.3

 

“Pain management involving therapeutic massage or application of heat packs AND Frequency at least weekly AND Involving at least 20 minutes of staff time in total. 

 

This could include therapeutic massage or heat pack applications for heel pain or ankle joint osteoarthritis.

 

ACFI 12.10

 

“Management of chronic wounds, including varicose and pressure ulcers, and diabetic foot ulcers.” 

 

We work with the GP to gain a diagnosis and write a directive for ongoing wound management for residents with a chronic wound. 

 

ACFI 12.12a  

 

“Management of arthritic joints and oedema related to arthritis by the application of tubular and/or other elasticised support bandages.” 

 

We work with the GP to gain a diagnosis of arthritic joints or arthritis related oedema and measure the resident for elasticised support of the foot/ankle/lower leg. 

 

ACFI 12.12b 

“Management of;

 

• non-arthritic oedema OR deep vein thrombosis by the fitting and removal of compression garments and/or compression bandages, OR

 

• chronic skin conditions by the application and removal of dry dressings and/or protective bandaging.”

 

We work with the GP to gain a diagnosis of non-arthritic oedema, DVT or chronic skin conditions of the foot/ankle/lower leg. We are able to measure the resident for compression stockings or provide advice for protective dry dressings.