the main result of this study show that RNs in municipalities' home nursing project the feet of patients with diabetes by working through others:educating HCAs, leading and evaluating their work, and by avoiding sending patients to hospital unnecessarily. the RNs are dependent on competent HCAs perform the nursing process. this situation has been described by Gustafsson et al. as being interdependently dependent. the RNs reported diabetes foot ulcers as uncommon, that they treated few foot ulcers, and that foot ulcers mainly originated form hospital stays.this is in contradiction to results form Annersten Gershater et al, who found that 21% of home nursing documentation mentioned ongoing foot ulcers, and Prompers et al. concluding that 17% of new patients at 12 European foot clinics were known as home nursing patients.