The Treatment Of Diabetic Foot Ulcers

805 Words Oct 27th, 2015 4 Pages
BACKGROUND:
It is estimated that chronic leg ulceration affects 1% of the population at some point in life and the incidence goes up to 3.6% in patients older than 65 years.1 Leg ulcers significantly impair patient’s quality of life and place enormous burden on the already drained healthcare resources. To put that into perspective, the direct cost of managing diabetic foot ulcers is around 150 million USD per annum but the impact is far beyond the healthcare cost.2, 3 In a study by Phillips T et al. 68% percent of patients reported that the ulcer had a negative emotional impact on their lives, including feelings of fear, social isolation, anger, depression, and negative self-image.4
Any disruption in the normal physiological response to an insult may cause the wound to stall in a constant state of inflammation without progressing to the next phase and become chronic. The management of chronic wounds largely revolves around identifying and controlling the factors that interfere with the normal healing process.5Four main factors namely, local tissue hypoxia, bacterial colonization, repetitive ischemia-reperfusion injury, and an altered cellular and systemic stress response in the aged patient, are responsible for keeping the wound in the chronically inflamed state. While the principles of standard wound care are applicable to all wounds, identification and treatment of the impeding factors, is a necessary part of the patient assessment and plan of care.5
In this paper, we…
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