Footwear - HCPA

Risk

If footwear is loose it will not support the ankle or heel properly.
It can also slip off.
If footwear is too tight it can cause blisters oedema and circulatory problems.
If footwear is worn incorrectly (e.g. slippers with the backs trodden down), it may come off causing the person to trip).
If fastenings are not secure, the footwear may come off or the fastenings may cause a trip hazard.

Ensure footwear fits well, is worn correctly, is suitable for the task and the floor surfaces, and that it is comfortable for the wearer.
The heels of shoes should be low and broad, to provide maximum stability.
The grip of the shoes should be checked to ensure that there is no excessive wear.
Footwear should always be worn over socks.
Shoe fastening should be secure and appropriate for the person. It should provide a substantial amount of support and have no laces or fastenings hanging as these may cause a trip hazard.
If your feet feel painful, swollen, or tingly please speak to your GP.

It is important that the individual’s capacity to make decisions around this specific area is considered and documented.
Individuals who have capacity regarding these decisions can make choices about their footwear. You need to document their ability to make this decision, as well as what they chose to do every time is it relevant.
You may need to inform them of the benefits and risks, if they are not aware, or you may need to remind them if they have difficulty remembering things.
If the individual is assessed as not having capacity regarding these decisions, this needs to be documented appropriately and interventions need to be implemented and documented as part of a Best Interests Decision, using appropriate paperwork.