By Vincent D’Silva

JOHOR BAHRU: A tiny blister, a seemingly harmless cut or a patch of numbness beneath the foot can easily be ignored.

For a person living with diabetes, however, what begins as something barely noticed can sometimes become a wound that refuses to heal — and, without timely attention, develop into a far more serious complication.

It was this quiet but important health risk that brought members of the Malaysian Red Crescent Society (MRCS), their families and friends together for a morning of learning when Voluntary Aid Detachment (VAD) No. 1 of the MRCS Johor Bahru Branch organised its Diabetic Foot Awareness and Wound Care Health Talk on Sept 13.

A Malaysian Red Crescent Society volunteer conducts a 10-g monofilament screening, gently testing a participant’s foot sensation to identify possible nerve damage and the early risk of diabetic foot complications.

Far from being confined to medical theory, the programme placed practical knowledge into the hands of ordinary people, teaching participants how to recognise warning signs, understand diabetic foot screening and appreciate the importance of choosing appropriate wound dressings.

VAD 1 Social Media Leader Lau Yi Lin said the programme reflected the detachment’s belief that health education should begin before a medical problem becomes a crisis.

“Awareness is one of the first steps towards prevention. Sometimes a wound may appear small, but for someone with diabetes, it should never simply be overlooked,” she said.

“Through programmes like this, we hope participants will understand the importance of checking their feet regularly, recognising changes early and seeking proper care when something is not right.”

The first session centred on diabetic foot awareness, highlighting how diabetes can affect the feet, particularly when reduced sensation makes it difficult for a person to feel pain, pressure or minor injuries.

A speaker shares the fundamentals of effective wound care management, guiding participants through the crucial steps of controlling bleeding, preventing infection and promoting proper healing during the health talk.

Participants were reminded that wounds, blisters, changes in skin colour and other abnormalities should not be dismissed simply because they do not hurt.

The message was straightforward but potentially life-changing: look closely, look regularly and act early.

The programme then moved into diabetic foot screening, where participants were introduced to tools used by healthcare professionals to assess sensation.

A practical demonstration showed how a 10-gram monofilament can be used to assess protective sensation in the feet, while a 128-Hz tuning fork can help determine vibration sensation.

For many participants, the demonstration revealed that diabetic foot assessment involves much more than examining the skin for an obvious wound.

Changes in sensation can develop silently, making regular screening an important part of preventive care.

The third session turned attention towards wound care theory and practical management.

Hands-on learning in action: Participants put theory into practice during the Wound Care Practical Session, gaining essential skills in proper wound assessment, cleaning, dressing selection and safe wound management.

Participants were introduced to fundamental principles of caring for wounds and to modern approaches aimed at creating suitable conditions for healing.

Different wound-care products and techniques were demonstrated, allowing those present to see how treatment can vary according to a wound’s condition and individual needs.

Rather than viewing every wound in the same way, participants learnt that effective management requires observation, assessment and appropriate care.

The final session dealt with another crucial aspect — selecting the right dressing for the right wound.

Participants were introduced to different dressing options, including hydrocolloid dressings, and were shown how the characteristics of a wound influence the choice of dressing.

A practical demonstration further illustrated how dressings should be selected and applied appropriately instead of relying on a one-size-fits-all approach.

Lau said the hands-on component was especially valuable because it transformed technical health information into knowledge participants could better understand and remember.

“Health education becomes more meaningful when people can see how something is done and understand why it matters,” she said.

Lau Yi Li (left) presents a certificate of appreciation to Medical Assistant Ahmad Fahmi Sanusi of the Wound Care Unit, Hospital Sultanah Aminah (HSA), in recognition of his contribution to the diabetic foot awareness and wound care programme.

“The purpose is not only to provide information for one morning, but hopefully to encourage people to become more attentive to their own health and to the wellbeing of family members around them.”

At the conclusion of the programme, certificates of appreciation were presented to the three speakers in recognition of their contribution, professional knowledge and practical guidance.

The morning ended with speakers, organisers, volunteers and participants gathering for a group photograph — a simple moment capturing the spirit of a programme built around knowledge, care and prevention.

VAD No. 1 also expressed its appreciation to the speakers, volunteers, participants and supporters who helped make the health talk possible.

For an organisation accustomed to responding when help is needed, the programme represented another side of humanitarian service — preventing suffering before an emergency begins.

And perhaps the most important lesson of the morning was carried home not in a medical kit or certificate, but in something much simpler: the understanding that the human body often whispers before it cries out.

A numb toe, a small blister or an unnoticed wound may seem insignificant today.

But with awareness, regular screening and timely care, that small warning may be enough to prevent a much larger battle tomorrow.

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