Development of Assessment and Screening Tool to Assist with Prevention and Identification of Charcot Foot in Type 2 Diabetics

Wade, Louise S.

doi:10.15226/2374-6890/4/4/00186

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…A fundamental factor impacting best practice that cut across all themes was a delay in timely assessment, diagnosis and management. This delay could be related to a patient's lack of awareness of the condition resulting in delayed presentation to an appropriate service, lack of health professional knowledge of CN and applied management skills, lack of patient proximity to services and access, and health service protocol on the management of CN [1, 3–7, 14–38, 40–43].…”

Section: Resultsmentioning

confidence: 99%

“…Confusion around what type of diagnostic tool is effective in diagnosis and monitoring was highlighted in nine articles, with the choice of imaging modality and thresholds for diagnosis influencing timely diagnosis, commencement of management and cessation of offloading [6, 7, 16, 18, 20, 28, 30, 38, 40]. Whether to utilise x‐ray or MRI and the difficulty of differentiating between osteomyelitis and acute CN was regularly identified [16–18, 20, 24].…”

Section: Resultsmentioning

confidence: 99%

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Factors impacting the evidence‐based assessment, diagnosis and management of Acute Charcot Neuroarthropathy: a systematic review

Diacogiorgis

Perrin

Kingsley

2021

Journal of Foot and Ankle Research

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Background Acute Charcot Neuroarthropathy (CN) is a destructive condition that is characterised by acute fractures, dislocations and joint destruction in the weight-bearing foot. The acute phase is often misdiagnosed and can rapidly lead to devastating health outcomes. Early diagnosis and management of CN is imperative to attenuate progression of this condition. Consequently, timely evidence-based assessment, diagnosis and management of acute CN is imperative. Objective To identify the factors that impact the delivery of evidence-based care in assessment, diagnosis and management of people with acute CN. Method Systematic searches were conducted in four databases to identify studies in English that included factors that impact the delivery of evidence-based care in the assessment, diagnosis and management of people with acute CN. Articles and consensus/guideline documents were assessed for inclusion by the researchers and disagreements were resolved through consensus. Additionally backward citation searching was used to source other potentially relevant documents. Information relevant to the research question was extracted and thematic analyses were performed using qualitative synthesis. Results Thirty-two articles and four additional consensus/guideline documents were included for data extraction and analyses. Information related to the research question was of expert opinion using the National Health and Medical Research Council (NHMRC) Levels of Evidence guidelines. Themes explaining practices that deviated from evidence-based care in assessment, diagnosis and management of acute CN centred around patient, health professional and health organisation/environmental. Delay to diagnosis is particularly influenced by the patient’s knowledge of when to seek help, practitioner knowledge in knowing how to recognise and refer for appropriate immediate care, confusion in imaging and offloading and geographical and local health service resources to appropriately manage the condition. Conclusion Individual and health professional awareness and geographical barriers are key challenges to the effective delivery of evidence-based assessment, diagnosis and management of people with acute CN. Acute CN represents a medical emergency warranting the need for expedited assessment, diagnosis and management by appropriately trained health professionals in the appropriate.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Factors impacting the evidence‐based assessment, diagnosis and management of Acute Charcot Neuroarthropathy: a systematic review

Diacogiorgis

Perrin

Kingsley

2021

Journal of Foot and Ankle Research

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Pengembangan Protokol Pengkajian Sirkulasi Kaki Pada Pasien Diabetes Melitus

Azhar

Suza²,

Ariani³

2019

Jurnal Perawat Indonesia

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Kaki diabetik merupakan komplikasi akibat gangguan sirkulasi dan neuropati. Pasien diabetes melitus memiliki resiko mengalami gangguan penyakit arteri perifer merupakan komplikasi makrovaskuler dan mikrovaskuler mengakibatkan terganggunya sirkulasi pembuluh darah. Diagnostik awal dapat melakukan pemeriksaan pengkajian sirkulasi kaki pasien diabetes. Tujuan penelitian yaitu pengembangan protokol pengkajian sirkulasi kaki pasien diabetes mellitus. Desain penelitian menggunakan action reseach yang dilakukan satu siklus di Rumah Sakit Umum Mitra Medika Tanjung Mulia Medan, dengan teknik purposive sampling. Instrumen penelitian in-depth interview, focus grup discussion, kuesioner pengetahuan perawat tentang pengkajian sirkulasi kaki pasien diabetes melitus. Partisipan terdiri dari 45 perawat ruangan. Hasil penelitian menghasilkan 4 tema: 1) Strategi penerapan protokol pengkajian sirkulasi kaki pasien diabetes melitus, 2) Manfaat dalam penerapan protokol pengkajian sirkulasi kaki pasien diabetes melitus, 3) Hambatan dalam penerapan protokol pengkajian sirkulasi kaki pasien diabetes melitus, dan 4) Teknik dan penerapan protokol pengkajian sirkulasi kaki pasien diabetes melitus. Hasil analisis kuantitatif tingkat pengetahuan perawat sebelum kegiatan penelitian 86,66%, dan meningkat menjadi 100% setelah kegiatan penelitian. Direkomendasikan pelaksanaan pengkajian sirkulasi kaki pasien diabetes melitus sesuai standar prosedur sehingga dapat mengidentifikasi sirkulasi kaki pasien diabetes melitus, memperbaiki kualitas pelayanan keperawatan, meningkatkan kompetensi perawat. Kata kunci: Protokol, pengkajian sirkulasi kaki, diabetes melitus Abstract Development of protocol assessment of feet circulation in diabetes melitus patients. Diabetic foot is complication caused by circulation disorder and neuropathy in patients who have the risk for peripheral artery disease which is the complication of macro-vascular and micro-vascular which can eventually cause the incidence of circulation disorder in blood vessels. Initial diagnostic can be done to prevent peripheral artery disease by using circulation studying examination on the feet of diabetic patients. Therefore, it’s necessary to develop studying protocol of foot circulation in diabetes mellitus patients at Mitra Medika Hospital, Medan. The research instrument was interviews, in-depth interviews, guidance for focus group discussion, self-report of nurses’ knowledge of studying on foot circulation diabetic patients. Participants from 45 nurse practitioners, taken by using purposive sampling technique. The data were analyzed qualitatively and quantitatively. Qualitative data were analyzed by using content analysis while quantitative data were analyzed by using descriptive statistic test. The result of the research showed that 4 themes: 1) strategy of implementing studying protocol of foot circulation diabetes mellitus patients, 2) the benefit of studying protocol of foot circulation diabetes mellitus patients, 3) obstacles in studying protocol of foot circulation diabetes mellitus patients, and 4) technique and implementation of studying protocol of foot circulation diabetes mellitus patients. The result of quantitative analysis showed that nurses’ knowledge in pre-research of was 86.66% and increased to 100% in post research activity. The output of this research result was the standard of studying foot circulation diabetes mellitus patients. It’s recommended the implementation of studying foot circulation accordance with the standard of procedure so that it can identify diabetes mellitus patients’ foot circulation, nursing care quality should be improved, and nurses’ competence should be increased. Keywords: protocol, assessment of foot circulation, diabetes mellitus

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Development of Assessment and Screening Tool to Assist with Prevention and Identification of Charcot Foot in Type 2 Diabetics

Cited by 2 publications

References 24 publications

Factors impacting the evidence‐based assessment, diagnosis and management of Acute Charcot Neuroarthropathy: a systematic review

Factors impacting the evidence‐based assessment, diagnosis and management of Acute Charcot Neuroarthropathy: a systematic review

Pengembangan Protokol Pengkajian Sirkulasi Kaki Pada Pasien Diabetes Melitus

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