Evaluation Of A Person With An Acute Diabetic Foot Problem

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Student Number: 0962380 Diabetes and the Foot PC903 Module for MSc in Diabetes Submitted: July 2015 Assignment Option 1 Evaluate care for a person with an acute or chronic diabetic foot problem, detail clinical presentation and discuss assessment, diagnosis, classification and treatment choices. Assess the need for medical and/or pharmacological management, justify your decisions using current guidelines, recommendations and literature. Further consider the role of the multidisciplinary foot team and discuss referral at the most appropriate stage of each intervention. Word count: 3920 Introduction 3 Methodology 3 The case 3 Background 5 Assessment and Diagnosis 6 Osteomyelitis 9 Classification of diabetic foot ulcers 11…show more content…
The literature will be found from search engines such as medline, Embase, Google scholar and the reading list supplied. I will also be looking at the current NICE guidelines and other government guidelines. The findings will be discussed and critically evaluated. The case Joseph MacAdie (names have been changed to protect patient confidentiality) is an 87 year old gentleman who first presented in Accident and Emergency following a review from the community occupational therapist and district nurse as he was complaining of a painful left knee and decreased mobility. During the assessment the district nurse checked Mr MacAdie’s blood glucose as he had a known history of type 2 diabetes and his blood glucose was found to be 22.0 mmol/l. Due to this elevated blood glucose Mr MacAdie was advised to attend A&E. It was during this admission that following assessment Mr MacAdie was found to have an infected left great toe paronychia with left foot swelling and erythema. An X-ray of the foot was taken, which showed potential osteomylitis, and it was planned for this to be reviewed in the Endocrine department radiology meeting. Mr MacAdie was reviewed by the Endocrine team and received antibiotics to treat the infection consisting of a stat dose of 2g IV Ceftriaxone and he was discharged with oral Co-amoxiclav 265mg tds to continue until he was followed up at the diabetic foot clinic. To lower his
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