A Brief Note On Diabetic Foot Prevention And Early Identification Of Complications

Wound management is one of the cornerstones for nursing care however, effective wound care extends far beyond the application of the wound itself. Nurses may be required to assess, plan, implement, and evaluate wound care; therefore, order to fill these roles it’s critical to have an understanding of the several different areas of wound care such as, integumentary system, classification of wounds, wound procedures, and documentation. Knowledge in each of these areas will allow nurses to make well informed decisions about wound care, and as a result play an active part in wound healing.

I chose this objective since it is important Tina stay off the foot to allow healing and since she is a fall risk while ambulating with crutches. This objective would be designed to state: By the completion of home activity instruction, the patient will be able to relay two (2) reasons to limit ambulation and three (3) ways to reduce the risk of injury in the home. Offloading the diabetic foot ulcer is the key treatment to healing the ulceration (Piaggesi, Goretti, Iacopi, Clerici, Romagnoli, Toscanella, & Vermigli, 2016. The teaching method I would use is handouts for healing the diabetic wound and safe ambulation which the patient would be able to take home. Additionally, I would discuss with the patient ways to gather necessities to keep close by and limit the need to ambulate. The barriers I would anticipate are lack of wound healing knowledge and reluctance to limit ambulation. I would assess the patient learning by having the patient write out the answers, consequently this would include having the patient write a list of items they use often and should keep close by. I chose the handout and written test since Tina is educated well enough to read and having the handout and test would be a good reminder for her. These are teachings I use in the wound center when I come across a patient who has every excuse why they can’t offload a foot wound. My goal with the patient is to find a way to discount every barrier they hand me. The hardest barrier to overcome is the patients need to work. We offer to supply disability justification for work, along with continued support should the patient not be able to miss

Nursing interventions play an important part in the reduction of pressure ulcers. A nurse can help to reduce the risk of pressure ulcers by promoting activity, carrying out skin inspections and assessments, and by using pressure relieving devices (Lynn, 2005). Some patients may fear being dropped when moved using equipment (Rogers, 1999), thus it is important for the Nurse to communicate with the patient, this way the Nurse can explain how the equipment works and the patient can express any concerns that they may have. It is important to remember that not all patients like lifting equipment and

Roles of the Registered Nurse (RN) are ever changing where it is key to continue to educate for the protection and well being of the patient. Pressure ulcers have become a main issue in healthcare in an attempt to lower cost as well as prevent further morbidities and complications for the patient. According to the National Institute of Health (NIH) a pressure ulcer is defined as an area of skin that breaks down when something keeps rubbing or pressing against the skin. An increase in immobile and elderly patients has increased the risk for the development of pressure ulcers. The education and prevention of pressure ulcers should be implemented as a key goal for a nurse during the care of a patient.

This essay will discuss the nurse’s role in giving holistic care to patients and their family members and also promoting a healthy life style. It will give a brief description of the pathophysiology of type 2 diabetes and its impact on individual and their family across their lifespan. In addition the determinate factors that plays a major role, with increasing the risk of an individual to become type 2 diabetics will be addressed. A conclusion will follow summarizing with aids, especially form the governing body for nurses which advocates their role, contribution and the professional responsibilities to individual’s with type 2 diabetes and their family members/careers according to (NMC, 2008).

venous leg ulcers and diabetic foot ulcers. Canadian Association of Wound Care (CAWC) has published

The goal to treat an ulcer in a diabetic patient is to heal the wound faster to prevent infection, pressure has to be take off the area by “offloading” the foot, remove dead tissue by the process of debridement, apply to dress per doctors order, and focus on managing the patient’s blood sugar effectively to promote healing. In addition, to prevent infection, the patient must keep the dressing clean, cleanse the wound daily and change the bandage and dressing, the patient must also avoid walking on barefoot.

The recommendations for change to practice at the level of the provider would include first treating the underlying problem that Mrs. Smith was admitted for. According to the literature, a progressively worsening diabetic foot ulcer involves implementing a multitude of strategies to prevent amputation of the limb. This allow for decreased rates in mortality and can increase quality of life. Adequate wound management such as debridement, and offloading techniques should be instilled. Furthermore, education by the provider would be of critical importance for Mrs. Smith in terms of consistent foot care and management of her disease process (Yazdanpanah, Nasiri, & Adarvishi, 2015). Due

Pressure ulcer prevention is a major task of direct care personnel in hospitals around the world. Even with evidenced-based polices currently in place at many facilities, patients still continue to develop pressure ulcers. Patients with pressure ulcers require the care of a multi-disciplinary team, ranging from nursing assistants to nutritionists to wound care physicians. Pressure ulcers are expensive to treat, can lead to infections and other illnesses, and sometimes cost patients their lives. A literature search was conducted of five articles related to pressure ulcer prevention in order to find a solution to implement on a medical-surgical unit at a local hospital. The proposed change was selected using Lewin 's Change Theory. The proposed solution was to train nursing assistants in assisting registered nurses (RNs) with monitoring patients ' skin and providing care to prevent the development of pressure ulcers. The pros and cons of this solution, required resources, costs of implementation, education required, and evaluation of the change were all discussed.

Pressure ulcer prevention has been the nursing worry for many years. Florence Nightingale in 1859 wrote, “If he has a bedsore, it’s generally not the fault of the disease, but of the nursing” (Nightingale, F). People may think pressure ulcers associated with poor nursing care. Prevention of pressure ulcers is a multidisciplinary responsibility; however, nurses have a primary role. Patient participation in prevention of pressure ulcers (pup) care has been shown to result in improved patient safety and satisfaction with care ((Weingart, S.N., Zhu, J., Chiappetta, L., Stuver, S.O., Schneider, E.C., Epstein, A.M. 2011). Purpose of the study includes the nurses and patients partnering together with prevention of pressure ulcers (pup) may be an effective strategy for reducing pressure ulcers (PU) among at-risk individuals. So the research team developed a pressure ulcer prevention care bundle (PUPCB) targeted at both patients and nurses, encouraging patient participation in PUP care with three simple evidence-based messages: 1) Keep moving; 2) Look after your skin; and 3) Eat a healthy diet. Messages were provided to patients with a poster, brochure and DVD. Nurses had training regarding how to be companion with patients in pressure ulcer prevention (Roberts et al. 2016).

This study evaluates the decision making of nurses in relation the prevention and management of pressure ulcers. There are many assessment tools create to help nurses assess the level of risk a patient have, and from there, they can create a plan of care in pressure ulcer prevention.

Juvenile Diabetes Research Foundation Continuous Glucose Monitoring Study Group, Tamborlane WV, Beck RW, Bode BW, Buckingham B, Chase HP, et al. Continuous glucose monitoring and intensive treatment of type 1 diabetes. N Engl J Med. 2008 Oct 2;359(14):1464-76. Epub 2008 Sep 8.

After identification of a patient teaching need the next step in the teaching process is establishing a measurable goal. “Teaching goals are broad in scope and set down what is expected as the final outcome of the teaching and learning process” (Wilkinson & Van Leuven, 2007, p. 538). In order to achieve a high level of standard, teaching goals need to be specific, measurable, attainable, realistic and timely. For our example, the teaching goal for J.L. and his diabetic foot care is as follows: Client is able to state five things he can do to prevent diabetic foot complications by the end of the teaching session implemented on Sunday January 24, 2012. Specifically, the five items J.L. will identify are to monitor and manage his diabetes, inspect feet daily, wash feet with warm water while drying between toes and apply moisturizing cream to feet daily (not between toes), avoid walking barefoot or with unfitted shoes, and calling the doctor should he notice any changes in his feet.

Working in a healthcare domain means providing the most effective and beneficial care for the incompetent patients. Particularly, to those who needs intimate nursing assistance such as dressing, bathing, eating, toileting and skin care activities ( Wurster 2007).This is especially true if the person is mentally, emotionally, and physically dependent like the clients in nursing homes. Nurses, health care assistants or support workers and other health care providers ought to educate themselves for improving quality of care and exceeding specific benchmarks in regards to pressure sores ( Wurster 2007). All the same the basic

They have diminished inflammatory response even when extreme soft tissue and bone infection are present. Identification of foot infections in the patient with diabetes mellitus requires vigilance because the signs of infection may not be present ( Baranoski and Ayello, 2003,p.327). The most common bacteria found in non-limb threatening infection are Staphylococcus and Streptococcus. These infections should be treated with oral antibiotics. If the limb is threatened with the infection, parenteral antibiotics and surgical debridement of necrotic tissue needs to be executed. Most limb threatening infections are polymicrobial. Staphylococcus aureus, group B atreptococci, Enterococcus, and facultative Gram-negative bacilli are the major pathogens involved in these types of