Before starting a new exercise program, people with diabetes should obtain well-fitting and appropriately supportive footwear. They should examine their feet after every exercise session. This can be difficult; a study by Thomson and Masson demon strated that only 12% of elders could both see the plantar surfaces of their feet and reach far enough to remove 0.5-cm red dots from these surfaces. Determining the ability of older patients to see and reach the plantar surfaces of their feet should be a routine part of nursing assessment. A handheld mirror or one on an extended, flexible handle can help people inspect their feet. Peripheral neuropathy, a history of stroke, and arthritis can
decrease mobility and increase disability.