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Foot Care and Why PSWs Never Cut Diabetic Toenails

๐Ÿ“… June 26, 2026 ✍️ By Piewy Team

For many clients — especially those with diabetes — good foot care prevents serious complications. It's also a clear scope-of-practice topic.

Daily Foot Care

  • Wash with warm (not hot) water and mild soap.
  • Dry well, especially between the toes.
  • Lotion on dry areas — not between toes.
  • Check for redness, blisters, cracks, sores.
  • Clean dry socks; well-fitting shoes.

Diabetes and the Feet

Diabetes reduces feeling and blood flow, so small injuries go unnoticed and can become serious infections.

What PSWs Do NOT Do

  • Never cut a diabetic client's toenails — a nurse or foot specialist does this.
  • No sharp tools, corns, or calluses.
  • No medicated products without an order.

What to Report

Report any sore, blister, color change, or swelling right away.

๐Ÿ”‘ Key Takeaways

  • Dry between toes and inspect feet daily.
  • Diabetes reduces feeling and blood flow.
  • Never cut diabetic toenails.
  • Report any sore or color change at once.
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About the Piewy Team

Piewy study guides are written and reviewed by Canadian healthcare educators and experienced PSW instructors. Our content is based on the NACC PSW competency framework and current best practices in personal support work.