In conclusion, the risk assessment tool for DFU among DM patients has been developed and has good psychometric properties. Nurses who work with DM patients can use the tool to assess and detect risk for DFU and provide early interventions tailored with risk factors, to lower risk and prevent DFU. Further study should develop appropriate foot care assessment tool to use as part of the tool. Another study should examine predictive validity of the tool and other study should aim to develop nursing intervention which is comprehensive and appropriate with risk levels of DFU.