The role of certified foot and nail care nurses in the prevention of lower extremity amputation.

The primary purpose of this article is to outline the role, opportunities, and benefits of the certified foot and nail care nurse (CFCN). Current demographic trends toward an aging population and associated health issues such as diabetes mellitus, arthritis, peripheral arterial disease, dementia, and loss of visual acuity hinder self-care of the feet and nails. The resulting foot and nail care needs create opportunities for CFCN to promote health and prevent adverse outcomes such as infection and limb loss. Routine foot and nail assessment, clinically appropriate care, and individualized patient education are essential for achieving positive outcomes. Until recently, individuals had limited options for obtaining needed care and have relied on nonclinicians or podiatry appointments that may not be covered by insurance and, thus, may not be affordable. Through the CFCN certification process, nurses gain knowledge and skills to provide the care that can improve foot health for an aging population.