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My father has no problems w/ his feet except the thick toenails. He cannot trim them himself and we're looking for someone to come to his assisted living facility occasionally to provide care for this.

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Rehab facilities often have arrangements with certain doctors to treat patients; it might be that the AL facility does as well. You could ask the Director of Nursing if this is so.

However, I assume if your father is in AL that he's able to get out to go to a podiatrist's office, where he could get better and more extensive treatment simply b/c of what's available in the office.

After going through a few podiatrists who just did nail trimming - snip, snip, snip and goodbye, (or snip, snip snip...whoops! sorry I cut your skin!), I found one who's a model for any physician. Dad and I feel she's an outstanding doctor, and she is.

The office is the most beautiful medical office of any I've seen. There are personal mementoes and photos of the doctor's children, beautiful artwork provided by one of the doctors' very talented mother, and top notch medical treatment.

Dad's podiatrist ALWAYS checks for pedal pulse and skin integrity, making recommendations if appropriate. Her assistants prep the foot with little gauze pads between the toes, doctor does the trimming and scraping of any excess growth on the top of the nails, then the assistant does some lotion application, etc.

It's more like a spa treatment than just toenail clipping, but the very special and critical aspect is checking pedal pulse and skin integrity. She's the first one who's ever done that.

If you do decide to go to a doctor's office, ask what services accompany the nail trimming. For older feet, I think it's always a good idea to check for pedal pulse and circulation issues.

What I did when we were searching for a new podiatrist was get lists of all the podiatrists at the hospital we use, then call them one by one with my checklist. Most of them were quickly eliminated. We were very fortunate that this practice happened to be in the area.
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Some of the Senior Centers in the area (Edmonds, Issaquah) offer this service.
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This should be done by a podiatrist.
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The podiatrists we've called said they don't do *just* nail trimmings. One place had a nurse on staff who would do it, but she has since left and we're looking for a new provider. Either one who can come to his assisted living place, or is close by for a quick appointment.
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Thickened nails indicates nail fungus. Get it treated, not just clipped.
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