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so, pt came in with trauma to toe nails having had a bit of trouble at work (police officer). the trauma can be dealth with but prevention is always better than sure in my opinion. further discussion revealed that she is usually at the desk but on occasion goes out on duty where there is a risk to injury. as she is not involved in things like riot policing (PSU = public support unit), there is a policy that prevents steel toe caps (just in case the police accidently kick the offender) from being used. so anyone got any ideas on what else could be used to help prevent her getting further trauma to the nails/feet?
I have 3 police and prison officers, all with Plantar fasciitis/osis which I believe was caused by their boots. I know this is not nail problem. However when speaking to them, they seem to have the option of a better quality boot, however they were all trying to be cost conscious, they also had a boot budget, so if they brought their own they could claim back a certain amount. So may be worth speaking them about what their force can offer.
It would depend greatly on what the definition was regarding the footwear but if it actually stipulates no STEEL toe caps then your patient might get away with composite toe caps such as these COFRA ones.
The composite is every bit as protective as the steel for the kind of incidents you refer to but is not actually steel. might be a possibility?