Conclusion
There is a need for an improved structure in preventive work on dia- betic foot ulcers. Home nursing organisation needs more long-term care planning, rather than acute interventions. The interviewed RNs work mainly through HCAs. They are informal leaders, educating the HCAs to assess patients’ feet, report deteriorations, and perform off- loading actions. Obtaining footwear and chiropody is delegated to HCAs. Evaluation of foot ulcer preventive interventions is not systematically done. There should be substantial economic savings for the municipali- ties to be made with structured diabetic foot ulcer prevention.17 Maintaining undamaged feet until the end of a patient’s life is in line with working to promote health and alleviate suffering and, to reduce future workload, the RNs’ foot ulcer preventive work should be acknowl- edged in home nursing.