Identifying and treating foot ulcers in patients with diabetes: saving feet, legs and lives

Ousey, Karen; Chadwick, Paul; Jawień, Arkadiusz; Tariq, Gulnaz; Nair, Harikrishna K.R.; Lázaro‐Martínez, José Luis; Sandy‐Hodgetts, Kylie; Alves, Paulo; Wu, Stephanie; Moore, Zena

doi:10.12968/jowc.2018.27.sup5.s1

Cited by 36 publications

(33 citation statements)

References 132 publications

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“…92 DFU are, however, generally classified by the Wagner and University of Texas systems. [93][94][95] These classification systems effectively stratify the ulcer by the level of risk it presents. Risk stratification for a DFU is a critical input for planning and delivering care.…”

Section: Identification Of Hard-to-heal Woundsmentioning

confidence: 99%

Implementing TIMERS: the race against hard-to-heal wounds

et al. 2019

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Section: Identification Of Hard-to-heal Woundsmentioning

confidence: 99%

Implementing TIMERS: the race against hard-to-heal wounds

et al. 2019

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“…Moist skin typically has friction 4 to 24 times higher than dry skin 59 and the coefficient of friction can increase by a factor of two with environmental changes from cold and dry to warm and moist. 60 Moisture increases friction between skin and a surface such as an insole, causing tissue deformation when different layers of skin move tangentially relative to each other during movement. 61 Subepidermal moisture changes can be measured using bioimpedance (ie, measuring the conductive properties of skin 62 ).…”

Section: Microclimate Predictionmentioning

confidence: 99%

Prediction of Diabetic Foot Ulceration: The Value of Using Microclimate Sensor Arrays

Jones

Bibb

Davies

et al. 2019

J Diabetes Sci Technol

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Background: Accurately predicting the risk of diabetic foot ulceration (DFU) could dramatically reduce the enormous burden of chronic wound management and amputation. Yet, the current prognostic models are unable to precisely predict DFU events. Typically, efforts have focused on individual factors like temperature, pressure, or shear rather than the overall foot microclimate. Methods: A systematic review was conducted by searching PubMed reports with no restrictions on start date covering the literature published until February 20, 2019 using relevant keywords, including temperature, pressure, shear, and relative humidity. We review the use of these variables as predictors of DFU, highlighting gaps in our current understanding and suggesting which specific features should be combined to develop a real-time microclimate prognostic model. Results: The current prognostic models rely either solely on contralateral temperature, pressure, or shear measurement; these parameters, however, rarely reach 50% specificity in relation to DFU. There is also considerable variation in methodological investigation, anatomical sensor configuration, and resting time prior to temperature measurements (5-20 minutes). Few studies have considered relative humidity and mean skin resistance. Conclusion: Very limited evidence supports the use of single clinical parameters in predicting the risk of DFU. We suggest that the microclimate as a whole should be considered to predict DFU more effectively and suggest nine specific features which appear to be implicated for further investigation. Technology supports real-time in-shoe data collection and wireless transmission, providing a potentially rich source of data to better predict the risk of DFU.

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“…Also, a study conducted which revealed that 56% of diabetes patients had inadequate knowledge of leg ulcer among diabetes patients [18]. Puncture injuries to the feet while walking barefooted in and outside their homes, thermal injury from application of hot compress to numb leg are due to inadequate knowledge on prevention of leg ulcer [27].…”

Section: Discussionmentioning

confidence: 99%

“…The global diabetes leg ulcer prevalence was about 25% in Africa due to inadequate knowledge of prevention of leg ulcer, among diabetes patients [18]. Unhealthy practices such as walking bare-footed, application of hot compress to numb leg and delay in seeking health care at the onset of leg ulcer can be prevented if diabetes patients have adequate knowledge on prevention of leg ulcer [19]. Although, other health care providers such as doctors, dietitians and physiotherapists are involved in diabetes patients care, nurse-led intervention through specific and adequate education on prevention of leg ulcer is essential to reduce the prevalence of leg ulcer among diabetes patients [20], Hence the aims of this study is to determine the effect of a nurse-led education on knowledge of prevention of leg ulcer among diabetes patients.…”

Section: Introductionmentioning

confidence: 99%

Effect of Nurse-led Education on Knowledge of Leg Ulcer Prevention among Diabetes patients in Selected Public Hospitals in Ondo State, Nigeria

Oyekanmi¹,

Olorunfemi²,

Salawu³

et al. 2020

EASJNM

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Aims: Diabetes leg ulcer is the ulceration of the leg associated with diabetes and in most cases result into amputation. Studies showed inadequate knowledge of the disease and this is why most of the patients only seek healthcare services after the Leg ulcer is already infected and seems not to be healing. Consequently, this study aims is to examine the effect of nurse-led education on knowledge of leg ulcer prevention. Materials and methods: A pre and post-test quasi experimental design was conducted with a multi-stage sampling technique to select forty participants through a convenient sampling method, and then allocated them into two groups by simple randomization (n=30 control, and n=30 experimental group). A modified structured questionnaire from preventive aspects of leg care practices used in America Diabetes Association and the National Diabetes Education were used to measure the knowledge level. Participants in experimental group were educated based on European Wound Management Association educational package. Data collected were analysed using frequency, mean, standard deviation, and independent paired t-test at 0.05 significant levels. Results: Result showed pre-intervention knowledge mean score of 5.2±2.3 and 5.1±2.0 with mean different of 0.1, while the Post-intervention knowledge means score of 12.5±3.2 and 5.4±2.6 with mean different of 7.1, in experimental and control respectively. Significant different was observed between the control and experimental group, after the intervention (t=11.82, ˂ 0.001). Conclusions: The nurses must provide a continuous and focused training program on leg ulcer for the diabetes patients to improve their knowledge on prevention of the diseases.

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Identifying and treating foot ulcers in patients with diabetes: saving feet, legs and lives

Cited by 36 publications

References 132 publications

Implementing TIMERS: the race against hard-to-heal wounds

Implementing TIMERS: the race against hard-to-heal wounds

Prediction of Diabetic Foot Ulceration: The Value of Using Microclimate Sensor Arrays

Effect of Nurse-led Education on Knowledge of Leg Ulcer Prevention among Diabetes patients in Selected Public Hospitals in Ondo State, Nigeria

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