Reducing the burden of chronic wounds: Prevention and management of the diabetic foot in the context of clinical guidelines

Abstract

Patient and practitioner factors may contribute to the effective implementation of clinical guidelines regarding education, partnership building and shared decision-making. These findings are discussed in relation to patient education, partnership building and shared decision-making as recommended in NICE guidelines.

Barriers and enablers to proper diabetic foot care amongst community dwellers in an Asian population: a qualitative study

“…Our results corroborate findings currently present within the literature. For instance, our findings are consistent in identifying limited knowledge and poor understanding of disease state and related matters as a barrier to eventual proper foot care (23,24). Conversely, the presence of strong education programs serves as enablers to proper diabetic foot care (25).…”

Perceptions and experiences of diabetic foot ulceration and foot care in people with diabetes: A qualitative meta‐synthesis

“…Three additional papers were identified from the reference lists of included papers. Overall, 42 articles reporting the findings of 35 qualitative studies were selected for inclusion (Figure ).…”

“…Participants' beliefs regarding DFU causation often conflicted with conventional medical understanding of this condition. Many were unaware, or had limited knowledge, of the role diabetes plays in DFU aetiology, irrespective of their ulceration status . Some only received a diagnosis of diabetes on presenting with an ulcer, while others did not become aware of the relationship between diabetes and foot problems until seeking treatment for ulceration .…”

“…Some only received a diagnosis of diabetes on presenting with an ulcer, while others did not become aware of the relationship between diabetes and foot problems until seeking treatment for ulceration . Several participants cited poor circulation as the primary cause of DFU/amputation . Loss of sensation from peripheral neuropathy was sometimes misinterpreted as reduced blood flow to the feet, leading to misunderstandings regarding the purpose of tests to assess peripheral sensation and misguided attempts to increase circulation by walking barefoot or wearing open‐toed sandals, which inadvertently put them at an increased risk of foot injury .…”

An overview of temperature monitoring devices for early detection of diabetic foot disorders

“…Insufficient understanding of the disease and low adherence to treatment is a well recognized problem in diabetes care and patient education and selfcare must therefore be prioritized [24,25].…”