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With the growing number of aging adults reaching new records, senior care specialists are in higher demand than ever before. By earning board-certified accreditations in specialty areas like foot care, nurses are able to set themselves apart from the rest in a competitive field. If you are interested in providing foot and nail care to seniors in a clinical setting, Rainier Medical Education is able to help. We offer a wide variety of online tools and in-person classes geared toward expanding your knowledge of foot care nursing.

In this section, you will find several videos covering topics that involve the examination, assessment and treatment of the lower extremity. Each video provides foot care CEUs for nurses at only $25 per CE credit and meets AFCNA and WOCNCB certification prerequisites. Earn diabetic wound care certification credits, identify dermatological foot conditions, learn to treat lymphedema and more. Whether your goal is to learn to identify and treat peripheral neuropathy, learn effective nail & callus care, meet AFCNA requirements for wound care certification or simply to find general education regarding foot care, Dr. Julia Overstreet's videos are designed to help you succeed.

Scroll down for detailed program descriptions and to purchase your videos now. All of our video programs below qualify for Nursing Continuing Education (CE) credits after successful completion and help satisfy the didactic prerequisites needed to apply for Foot Care Nursing Certification through and

We're here to help. If you have questions about any of our programs or can't find what you're looking for, contact us, and we'll be happy to answer any questions you may have.

**Our NEW Foot Care CE Training Videos**

1. Examination & Care of the High Risk Foot - 3.5 Nursing CEs $87.50
2. Factors that Influence Healing of Lower Extremity Chronic Wounds - 2.0 CEs
3. Foot Care for Older Adults - 6.5 Nursing CEs $250.00
4. Infection Control In Foot Care - 2.0 Nursing CEs $50.00
5. Lower Extremity Physical Examination - 2.0 Nursing CEs $50.00
6. Lower Extremity Wound Care Basics - 2.5 Nursing CEs $62.50
7. Lymphedema & Lipedema of the Lower Extremity - 2.5 Nursing CEs $62.50
8. Minor Procedures on Feet and Nails - 3.5 Nursing CEs $87.50
9. Pedal Dermatology - 2.5 Nursing CEs $50.00
10. Peripheral Neuropathy - 2.5 Nursing CEs $62.50
11. Shoes, Socks & Inserts for High Risk Feet - 2.5 Nursing CEs $62.50
12. The Diabetic Foot - 3.0 Nursing CEs $75.00

Non-CE Videos: These do NOT satisfy WOCN or AFCNA prerequisites.

13. The Business of Foot Care (no CEs) $100.00
14. Marketing Your Foot Care Practice (no CEs) $50.00

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Only $25.00 per CE

Program Descriptions

Video # 1. Examination & Care of the High Risk Foot - 3.5 Nursing CEs - $87.50


1. Objective and subjective exam findings with venous and arterial disease
2. Tests of peripheral vascular disease including temperature, pulses, Doppler, ankle brachial index, toe brachial index
3. Demonstration and description of the Ankle Brachial Index, it's indications, it's interpretation and it's drawbacks
4. Subcategories of peripheral neuropathy and their effect on the patient
5. Testing for peripheral neuropathy, including 5.07 monofilament & vibratory
6. Other findings with peripheral neuropathy such as burning feet, their cause and possible treatment options
7. Important skincare issues for patients with damage skin from peripheral neuropathy changes
8. Treatment options for damaging skin changes which might result from peripheral neuropathic disease, Including macerated inner spaces, tinea pedis, heel fissures, etc.
9. Description and evaluation of musculoskeletal deformities including, bunions, hammertoes
10. Treatment protocols and options for pathologies resulting from musculoskeletal abnormalities
11. Medications, padding, strapping, bracing and appliances commonly used to minimize are correct musculoskeletal deformities
12. Evaluation and exam findings for fungal infection on toenails and skin
13. Why lower extremity compression is importance with findings of edema or lymphedema
14. Compression protocols and options for treating lower extremity edema and lymphedema in high risk patients


1. Describe the basic arterial examination of the lower extremity and foot
2. Describe how to perform an ankle brachial index test and discuss it uses and pitfalls
3. Describe the clinical findings which would lead you to believe that the patient has lower extremity venous insufficiency
4. Describe three types of peripheral neuropathy and how they manifest on the lower extremity
5. Describe appropriate hygiene and medications which are beneficial for the feet and legs
6. Describe bunions and hammertoes and treatment options for those and similar foot deformities
7. Discuss the etiology and treatment options for hyperkeratotic lesions, such as corns and calluses on the feet
8. Describe the etiology and treatment options for fungal toenails

Video # 2. Factors that Influence Healing of Lower Extremity Chronic Wounds - 2.0 Nursing CEs - $50.00


1. Understand the imbalanced molecular environments in the tissue of chronic wounds
2. Evaluate comorbidities and social issues which delay wound healing
3. The effects of increased bio burden and critical colonization which delay wound healing
4. Topical products and wound dressing choices which can reduce wound bioburden
5. The effect of biofilms on wound healing and literature based approaches to reducing their impact
6. Advanced wound dressings which improve the physiology of the wound, including improvement in MMPs, biofilm, nitric oxide levels and growth factors
7. Specific nutrients and nutritional issues which play a part in tissue regeneration
8. Vascular pathologies & protocols including testing, surgery, compression therapy


1. Discuss physiological changes in tissues which delay wound healing and create chronic wounds
2. Discuss major cell types and their roles in wound healing
3. Discuss the effects of bio burden including critical colonization and its impact on wound healing
4. Discuss various types of modern wound dressings which can impact the wound environment in beneficial ways and promote healing
5. Discuss obstacles to repair wounds, including medications, autoimmune problems, diabetes, nutritional deficits, vascular issues

Video # 3. Foot Care for Older Adults - 6.5 Nursing CEs - $250.00


1. Lower Extremity Neurologic and Vascular Disease: Physical Assessment and Diagnostic Testing
-Assessment of Arterial and Venous Disease
-Assessment of Peripheral Neuropathy
-Ankle-Brachial Index (ABI), Non-Invasive Neurological Testing
2. Biomechanical and Physical Assessment of the Foot
-Anatomy and Biomechanics of the Foot
-Musculoskeletal Evaluation Including Foot Function, Gait Cycle, Range of Motion, Deformities
-Risk Assessment for Foot Ulceration and Amputation
-Proper Footwear Assessment and Modification
3. Pedal Skin Conditions: Assessment and Treatment
-Diagnosis and Treatment of Warts, Blisters, Tinea Pedis
-Paronychia and Maceration
-Pathophysiology and Treatment of Hyperkeratotic Lesions
4. Toenail Assessment and Care
-Diagnosis and Management of Onychomycosis, Trauma, Ingrown Toenails, Other Common Nail Conditions
-Infection Control for Patients and Clinicians
-Cleaning and Sterilization of Equipment


1. Describe the physical changes to the skin that indicate long-standing vascular insufficiency
2. List three musculoskeletal deformities of the feet, their etiology and treatment options
3. Name the four directions that a foot is moved at the ankle to test range of motion
4. Describe noninvasive vascular tests that are commonly performed in the foot and lower extremity
5. Discuss the etiology and treatment options for fungal toenails
6. Discuss the use of topical and oral antifungal medications and their efficacy for fungal toenails
7. Discuss the etiology and treatment options for plantar fasciitis
8. Discuss the use of devices and pads that can be used effectively to relieve pain and prevent injuries resulting from foot deformities

Video # 4. Infection Control In Foot Care - 2.0 Nursing CEs - $50.00


1. Standard precautions and personal protection equipment
2. Blood & body fluid precautions, contact precautions, airborne precautions and droplet precautions
3. Centers for Disease Control recommendations for foot care instrument cleaning
4. Protocols for cleaning, disinfecting and sterilizing instruments and equipment
5. Types of products used for intermediate and high level disinfection of foot care instruments
6. Checklist for instrument cleaning to ensure effective sterilization and disinfection
7. Unacceptable methods of disinfection and sterilization for foot care instruments
8. Cross contamination issues related to foot soaks
9. Literature involving respiratory hazards from toenail sanding dust


1. Discuss the disinfection and sterilization recommendation of the Centers for Disease Control relative to instrument used in routine foot care
2. Discuss the steps and processes in cleaning and appropriately disinfected instruments and equipment used in routine foot care
3. Discuss effective and ineffective methods of disinfection and sterilization
4. Describe the issues of personal protection related to the dust which can be caused by mechanical sanding of toenails
5. Discuss methods that can be used to protect the patient and the foot care nurse from respiratory issues during sanding of thickened toenails

Video # 5. Lower Extremity Physical Examination - 2.0 Nursing CEs - $50.00


1. General principles of a lower extremity examination
-What parameters are you evaluating?
-What are the general principles of the evaluation?
-Fifteen abnormal findings you are evaluating
2. Dermatology Examination
-Recognize common conditions: tinea, verruca, hyperkeratosis, porokeratosis
-Recognize important pathologies: asteototic, eczema, atrophy blanche, mechanically induced lesions & heel fissures
-Toenail Pathology: pathologic nail discolorations (dark lines), onychomycosis, onycholysis, subungual hematoma, clubbed nails, Mee's lines
3. Musculoskeletal Examination
-Joint examination: range of motion, strength, passive vs reactive
-Common deformities: hammertoes, bunions, overlapping toes, metatarsalgia, hallux abducto valgus
-Gait Examination
4. Vascular Examination
-Objective signs of Lower Extremity Vascular Disease
-Non-invasive testing demonstrations: Doppler, ABI, TBI, temperature, capillary refill and pedal pulses
-Objective signs of Venous Disease
-Common pathologies: stasis dermatitis, thrombophlebitis, pitting and non-pitting edema
5. Neurological Examination
-Non-invasive testing: Semmes-Weinstein 10gm/5.07 Monofilament, DTRs, Vibration
-Proprioception, fine touch
-Motor, sensory & autonomic neuropathy


1. Describe the physical changes to the skin that indicate long-standing vascular insufficiency
2. List three noninvasive vascular testing modalities for the lower extremity
3. List three noninvasive neurological tests which can be performed on the leg and foot
4. List three musculoskeletal foot deformities

Video # 6. Lower Extremity Wound Care Basics - 2.5 Nursing CEs - $62.50


1. Phases of tissue healing in chronic wound repair
2. Modern wound healing protocols versus inappropriate wet-to-dry protocols
3. Appropriate wound care, including proper cleansing, frequency of dressing changes, and infection control
4. Clinical appearance of a chronic wound and the identification and description of tissue types present in the wound and how they affect treatment options
5. Debridement of chronic wounds including indications and choice of methods in a given wound
6. The role of advanced dressings in wound care, including dressing categories, primary and secondary dressing choices for various wound issues
7. How to choose the appropriate dressings for a wound based on moisture control, bio burden, delayed healing, debridement issues
8. The importance of compression therapy in wound healing and a review of choice of compression modalities based on presence of vascular disease, neuropathy, and other comorbidities


1. List and describe the three phases of wound healing
2. Discuss why "wet-to-dry" dressing protocols delay healing and increases the risk of infection
3. Discuss appropriate wound cleansing products and protocols
4. Recognize and name the tissue types found in a chronic wound such as slough, granulation tissue, epithelial tissue
5. Describe different categories of wound dressings and their benefits in solving problems that the wound may be experiencing
6. Discuss importance of compression therapy in wound healing
7. Discuss various methods of achieving compression during wound care

Video # 7. Lymphedema & Lipedema of the Lower Extremity - 2.5 Nursing CEs - $62.50


1. Causes and pathophysiology of lymphedema
2. Incidence of lower extremity lymphedema from various cancers, knee surgery, liposuction, and obesity
3. Development and stages of lymphedema
4. Common physical findings including skin changes with chronic lymphedema
5. Review of lymph system anatomy and physiology
6. Basics of treatment of lymphedema, including Manual Lymphatic Drainage and Complete Decongestive Therapy
7. Medical compression bandaging during treatment of lymphedema and garments used for long-term management
8. Use of pneumatic compression pumps for treatment and management of lymphedema
9. Differential diagnosis of lymphedema and lipedema of the lower extremity


1. Discuss the types of lymphedema and their causes
2. Explain components of Complete Decongestant Therapy, including Manual Lymph Drainage, compression bandaging and compression garments
3. Describe the anatomy of the lymphatic system and the basic principles initial and long term treatment protocols

Video # 8. Minor Procedures on Feet and Nails - 3.5 Nursing CEs - $87.50


1. Procedures common to foot care and performed by nurse practitioners, podiatrists and other physicians are covered in this program
2. Procedures include: local anesthesia injections, corticosteroid injections, skin biopsies, wart treatment and excision, matrixectomy, nail avulsion
3. While foot care nurses may not perform these procedures, it is an excellent idea for them to be familiar with the procedures so that they can understand and can be helpful to their patients by recommending and describing the procedures when indicated


1. Understand the distribution of nerve pathways in the foot in order to choose the right location for a local anesthetic injection
2. Understand the physiology of problems such as plantar fasciitis and Morton's neuroma in order to understand the appropriate injection sites for steroid injections
3. Describe the proper way to do a digital block for procedures such as Matrixectomies, ingrown toenail removal
4. Explain various treatments for plantar warts, including liquid nitrogen, curettage, and excision
5. Explain various methods for skin biopsy including excisional biopsy, shave biopsies, punch biopsy
6. Describe the procedure to perform a full or partial matrixectomy

Video # 9. Pedal Dermatology - 2.5 Nursing CEs - $62.50


1. Etiology, physical findings, differential diagnosis and treatment of tinea pedis and onychomycosis
2. Etiology, physical findings and treatment protocols for macerated inner spaces, heel fissures, corns and calluses, plantar warts
3. Skin changes secondary to lymphedema, arterial disease, venous disease, psoriasis
4. Medications and skin care which can be beneficial with damaged skin of the legs and feet
5. Toenail pathologies including lytic nails, subungual granulomas, subungual hematoma, subungual exostosis, including treatment options and patterns of regrowth
6. Changes to the appearance of toenails which can be associated with and diagnostic of systemic disease


1. Identify three categories of the appearance of onychomycosis on toenails
2. Discuss topical treatments for onychomycosis
3. Discussed how macerated inner spaces and heel fissures can lead to bacterial infection
4. Describe some of the skin changes which occur with chronic venous disease
5. Give examples of changes to toenails which could indicate the presence of systemic disease

Video # 10. Peripheral Neuropathy - 2.5 Nursing CEs - $62.50


1. Risk factors other than diabetes which can lead to peripheral neuropathy
2. Analysis of current literature regarding the pathogenesis of peripheral neuropathy
3. Signs and symptoms of peripheral neuropathy
4. Neurological testing and recommended bloodwork when evaluating the possibility of a diagnosis of peripheral neuropathy
5. Nerve conduction studies, epidermal nerve biopsies and other specific procedures to help diagnose peripheral neuropathy
6. Possible pharmacologic treatments for peripheral neuropathy
7. Modalities which are shown in the literature to benefit patients with peripheral neuropathy but that are seldom used
8. New literature information on the pathophysiology of Charcot Neuroarthropathy
9. Predisposing conditions for acute Charcot besides diabetes
10. Clinical presentation and differential diagnosis for patients presenting with symptoms of acute Charcot
11. Developmental stages of acute Charcot Neuroarthropathy
12. Acute, intermediate and long-term treatment for Charcot Neuroarthropathy


1. Give examples of the risk factors and comorbidities that can lead to peripheral neuropathy
2. Describe the presenting symptoms of a patient who may have peripheral neuropathy
3. List the physical examination tests and the recommended bloodwork that should be performed if the patient is presenting with symptoms which may indicate peripheral neuropathy
4. Discuss the importance of complete midfoot immobilization in a Total Contact Cast in order to prevent long-term deformity from Charcot

Video # 11. Shoes, Socks & Inserts for High Risk Feet - 2.5 Nursing CEs - $62.50


1. Evidence-based categories of high risk feet
2. Evaluation of three categories of peripheral neuropathy and the damage they can cause to the feet and lower extremities
3. Different parts of a shoe and their function to create foot protection and stability
4. Specific shoe designs features which are appropriate for high risk feet
5. Modifications, which can be made to shoes which make them more appropriate for protection, stability and fit
6. Shoe design such as "rocker bottom soles" and various types of materials for the sole of the shoe
7. Methods to test and evaluate shoes that patients may bring in for your evaluation of the appropriate fit and function for them
8. Understand the design and materials of socks which makes them appropriate for diabetic and other high risk patients
9. Evaluation of orthotics and insoles and the features which make them appropriate for accommodation of foot deformities
10. The design of corrective types of inserts versus accommodative inserts and evaluating their benefit to the patient
11. Different types of lacing techniques which can be helpful to relieve pressure at bony prominences, nerve pressure and to improve the fit of shoes


1. Identify the parts of a shoe and their function
2. Discuss why a stable "heel counter" and a stable midsole of the shoe can help to protect patients from injuries and falls
3. Explain different ways that a shoe can be modified to more appropriately fit and protect a high risk foot
4. Discuss the features and materials of socks that can help them protect diabetic and high risk feet
5. Discuss various types of shoe inserts and which features make them appropriate for accommodation and protection versus correction of deformities

Video # 12. The Diabetic Foot - 3.0 Nursing CEs - $75.00


1. Discuss the biology and pathophysiology of diabetic foot disease, including neurogenic and vascular changes
2. Describe the risk classifications for foot pathology including the definitions and examples of low, increased, and high risk feet
3. The effects of vascular disease and neuropathic changes including autonomic, motor and sensory neuropathic pathologies and their role in increasing foot risk
4. The medical evaluation of the patients, including comorbidity control, nutritional deficiencies, polypharmacy, and social risk factors
5. Subjective and objective signs of arterial disease, including reported history and physical examination with noninvasive vascular testing
6. Dermatology evaluation including palpation, inspection and testing. Specific derm changes on visual inspection and their importance and implications in the high risk foot
7. Toenail deformities in the high risk foot and treatment options, including the risks of the deformities themselves as well as the treatment options for the high risk patient
8. Basic interventions including treatment of heel fissures, macerated inner spaces, bony deformities
9. General risk management and patient education for the high risk patient


1. Discuss risk classifications as well as exam findings and evaluations in each category
2. Describe how vascular disease and peripheral neuropathy play a role in creating increased risk assessment
3. Describe subjective and objective findings as well as diagnostic testing for arterial, venous and neuropathic abnormalities
4. Recognize and identify changes to the skin which can create a high risk situation
5. Describe the procedures for avulsions and matrixectomies, their indications and contraindications
6. Discuss important patient education issues which can empower patients to prevent and have early recognition of problems which are common with high risk feet

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