When performing foot care on patients with diabetes, what should an NA never do?

When performing foot care on patients with diabetes, it is crucial to avoid clipping or trimming nails. The reason for this is that individuals with diabetes often have compromised circulation and may experience neuropathy, which can limit their sensation in the feet. This reduced sensation can increase the risk of injury during nail trimming, such as accidental cuts or ingrown nails, which can lead to infections and serious complications.

Keeping the nails well-groomed is important, but it is often safer for trained professionals, such as podiatrists, to handle nail trimming for diabetic patients to minimize the risk of injury. Instead, the role of the nursing assistant typically involves providing basic foot care, including washing the feet gently and checking for any signs of skin issues, rather than performing tasks that require precise skills to prevent harm.

In contrast, washing feet with hot water, using lotion between toes, or checking for skin redness, when done carefully, can contribute positively to foot health in diabetic patients.