Foot Ulcers: The Efficacy Of Diabetic Foot Care

The management of diabetic foot ulcers remains a major therapeutic challenge, which implies an urgent need to review strategies and treatments in order to achieve the goals and reduce the burden of care in an efficient and cost-effective way. Questions remain as to which types of intervention, technology, and dressing are suitable to promote healing, and whether all therapies are necessary and cost-effective as adjunctive therapies. Prevention of diabetic foot ulceration is critical in order to reduce the associated high morbidity and mortality rates, and the danger of amputation. It is essential to identify the “foot at risk,” through careful inspection and physical examination of the foot followed by neuropathy and vascular tests. Regular

Roughly 25% of diabetic patients experience Diabetic foot ulcer infection during their lifetime due to poor blood glucose control. Diabetes mellitus is a major non-communicable diseases and public health problem [1]. According to the International diabetes federation, approximately 69.2 million people affected nationwide and worldwide 415 million people having diabetes [2]. The risk factors of foot ulcer are 10 times more predominant in diabetic patients as compared to without having diabetes [3]. Foot ulcer infection in patients with one or more of this risk factor which help to the development of wounds that can be poor to heal and predispose to other infection. Diabetes is the complex disease in which various factors such as

Diabetic Peripheral Neuropathy (DPN) is one of the most common microvascular complications in diabetes and can result in foot ulceration, ampuation and an impaired quality of life(Carrington AL, et al 2002,Boulton AJ,et al 2004). The reported prevalence of diabetic peripheral neuropathy ranges from 16% to as high as 66%2 and its prevelance is believed to increase with the duration of diabetes and poor glucose control.(Boulton AJ.et al 2000) It’s accounts for 50–75% of non-traumatic amputations in diabetic patients.(Holzer SE, et al 1998, Boulton AJM, 1998,Malay DS, et al 2006)

The discussion revealed that diabetic mellitus and diabetic foot ulcer affects the people with increasing age, sex, occupation, type of food consumption, economic condition, hereditary factors, history of diabetes etc. The economic burden on the patient with DFU needs to be eliminated. There is urgent need for alternative management of diabetes and DFU with herbal formulation.

Diabetic foot ulcers are considered one of the most problematic developments in diabetics (Shokoh, Mahvash, and Mohammad, 2013). The deterioration of the foot has been proven by research to be associated with the debridement of skin tissue and impaired blood circulation to the lower extremities (Huether & McCance, 2012). With

This article is about the intervention to reduce plantar pressure, heal and prevent foot ulcers in people with diabetes. People who use insulin are at higher risk of developing foot ulcers, even people who have other diseases including kidney disease, eye disease, or heart disease. Use of alcohol and tobacco, and being overweight play a key role in the development of foot ulcers. Ulcers form due to the combination of different factors, including poor circulation, foot deformities, irritation (friction or pressure), trauma, and lack of feeling in the foot. People who had diabetes for many years can develop neuropathy, a reduced or complete lack of ability to feel pain in the foot due to the nerve damage caused by the elevated glucose levels over time. Redness and swelling of the foot may also be associated with ulceration, and if it’s progressed significantly, an odor may be present.

The diabetic foot should be inspected carefully on regular basis is one of the easiest, least expensive and most effective activities that prevent the foot problems. The patients with high risk of getting DFU should be identified and assess the neurological and vascular deficits. The heal care personnel must carry out careful physical examination and foot examination and appropriate history collection to avoid unnecessary amputations. (Armstrong, 2000).

There are over twenty-nine million people in the United States who have diabetes and it is the seventh leading cause of death (CDC National Data). Diabetes is a life changing disease that challenges multiple aspects of a patient’s health and quality of life. A life threatening complication of this disease is diabetic foot ulcers (DFU) that can be incapacitating, cause undue suffering and cost billions of dollars annually to treat (CDC National Data). As the prevalence of diabetes rises, so does the incidence of DFU and looking for ways to decrease them and improve patient outcomes are crucial. Many clinicians try to reduce the incidence of DFU with the use of medications and appliances, but these interventions are costly. Clinicians must find

Diabetic neuropathy is the most common factor in almost 90% of diabetic foot ulcers [9, 10]. Nerve damage in diabetes affects the motor, sensory, and autonomic fibers. In patients with peripheral diabetic neuropathy, loss of sensation in the feet can cause further damage such as repetitive minor injuries that are undetected at the time and may subsequently prompt foot ulceration. In addition, structural deformities and abnormalities of the foot further increase the risk of ulceration. Other risk factors include a previous history of foot ulceration or amputation, visual impairment, diabetic nephropathy, poor glycemic control, and cigarette smoking. This may increases the chance of infection to the ulcer. Lack of wound healing, systemic sepsis,

Since the symptoms of diabetic nueropathy vary a great deal among different persons that here at Innovative Physical Therapy that only an individualized plan will work. All new clients receive an extensive evaluation to help determine which treatments will work to help speed the healing process for your exact

Foot problems are a big risk in diabetics therefore diabetic patients must constantly monitor their feet or face severe consequences, including amputation. With a diabetic foot, a wound as small as a blister from wearing a shoe that's too tight can cause a lot of damage. Because diabetes decreases blood flow, injuries are slow to heal as new blood often doesn’t flow freely to the injury. When wounds do not heal in a timely fashion, they are at risk for infection meaning that infections in the feet of diabetic patients spread quickly. If you have diabetes, you should inspect your feet every day. Look for puncture wounds, bruises, pressure areas, redness, warmth, blisters, ulcers, scratches,

According to Healthy People 2012 there are more then 800,000 new cases of diabetes each year, with the numbers on the rise. With this in mind, Healthy People 2012 has identified diabetes as their number five focus area. In order to reach their goal of improving the quality of life for people with diabetes they have identified diabetes teaching as their number one objective. Furthermore, in order to reduce the number of complications of diabetes, Healthy People 2012 has identified foot ulcers as their ninth objective. Through patient education Healthy People 2012 hopes to reduce the number of foot ulcers in people with diabetes, as diabetes is the number one cause of nontraumatic amputations in the United States. In order to

Generally our population sees diabetes as a disease for people that can’t eat sugar, but, those with diabetes know it comes with some life changing events. Diabetes effects an estimated 29.1 million Americans each day. Diabetes develops in one of two forms, Type one and Type two. Type one is insulin dependent diabetes, where the body lacks production of insulin (Ignatavicius & Workman, 2013). Type two diabetics are insulin resistant, affecting mostly adults (Ignatavicius & Workman, 2013). Diabetes is a chronic illness that accounts for many comorbidities and complications to those suffering from the disease. Diabetes is the seventh leading cause of death from conditions including, hypertension, dyslipidemia, cardiovascular disease, heart attacks, stroke, blindness, kidney disease, and amputations (American Diabetes Association, 2016). Management of these complications can occur with proper education, health promotion, and prevention from the patient. Foot care and ulcer prevention can reduce or eliminate complications suffered by diabetics; leading to infections requiring hospitalization and the most serious amputations. Teaching this population or any population about their healthcare needs and requirements can be difficult. Establishing the best way to education will be explored within this paper. Throughout this paper the author will take a look at daily foot care and prevention of ulcers. The paper will

Diabetes has become an epidemic in today’s society. Diabetes affects almost every system in the body, and with an estimated 346 million people in the world with diabetes, healthcare has been heavily affected by the disease (Ramasamy, Shrivastava, P., & Shrivastava, S., 2013). One of the biggest issues for healthcare workers when it comes to diabetes, is that it is such a complicated disease. With so many different systems being affected, medical professionals have had to learn how the disease process works, what causes diabetes to work through the systems, and the best treatments to address all these issues. Through much research, the healthcare system has grown very knowledgeable on diabetes. One important aspect of treating diabetes has been in the introduction of diabetic education. In the past, nurses and dieticians had been responsible for educating patients on diabetes, but now that role is also extended to other people in the healthcare team, including the patient (Tomky, 2013). In fact, patients taking an active role in the education process, including learning to self-care has now become a priority in diabetes treatment. The following paper will discuss diabetic education, the importance of self-care and how this affects a patient’s compliance.

As future nurses, it is of great importance to be involved in the prevention and early identification of complications that diseases could cause. In the teaching plan, we mainly discussed foot care due to the high risk that the client was at for developing foot complications. Diabetic foot care is when there is special care for the feet that needs to be carried out everyday in order to prevent foot complications. Lower limb amputations have increased worldwide as a result of diabetes due to poor foot care related to factors such as improper footwear, poor maintenance of blood glucose levels, and lack of proper diabetic teaching (RNAO, 2014) which are factors that this client is experiencing and why we chose this topic of teaching. According to the journal called “Nurses’ role in diabetic foot prevention and care” (2012), it says that “the most common cause of hospitalization in diabetic patients is the foot problems and it is one of health system concerns”. Therefore the nurses’ primary goal is to identify which clients are at risk in order to prevent foot ulcers through early detection. The risk identification is important for successful preventive management of the feet in diabetic clients. Our group wanted the client to understand the complications that diabetes can cause to the feet, proper foot care, and the appropriate footwear for diabetics in order to help improve the client’s well-being and quality of life while living with diabetes.