Want to avoid DFUs? A multidisciplinary team approach works best

Nteleki, Bahle; Njokweni, Mazizi

doi:10.12968/jowc.2015.24.sup5b.8

Cited by 8 publications

(6 citation statements)

References 33 publications

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“…with neurological abnormalities, various degrees of peripheral vascular diseases and/or metabolic complications of diabetes in lower limb". Diabetic foot ulcers are "one of the most serious and disabling complication of diabetes, with 25% of patients with diabetes, developing them in their lifetime, and 15% having to undergo hospitalization and lower extremity amputations" [4]. It is public knowledge that heart disease, stroke, and cancer are well known as health disparities.…”

mentioning

confidence: 99%

More Than Just 1200 Foot Care Nurses in America are Needed for 30.3 Million People Who Have Diabetes

E¹

2019

Int J Diabetes Clin Res

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mentioning

confidence: 99%

More Than Just 1200 Foot Care Nurses in America are Needed for 30.3 Million People Who Have Diabetes

E¹

2019

Int J Diabetes Clin Res

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“…Kötü glisemik kontrolün diyabetik ayak ve amputasyon için önemli bir risk faktörü olduğu çalışmalarda gösterilmiştir 11. Araştırmamızda cerrahi tedavi ve Diyabetik ayak ülserlerinin bir ekip tarafından takip ve tedavi edilmesi başarılı sonuçların alınmasına neden olmaktadır 16. Araştırmamızdaki bütün hastalar diyabetik ayak konseyinde tartışılmış olup, multidisipliner yaklaşım ile tanı ve tedavi kararları verilmiştir.…”

unclassified

Diyabetik Ayak Tanısıyla Takip Ettiğimiz Otuz Altı Hastanın Klinik ve Mikrobiyolojik Verileri

Gökosmanoğlu¹,

Aksoy²

2018

Sakarya Medical Journal

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Öz Amaç Diyabetik ayak enfeksiyonları önemli morbidite ve mortalite nedenidir. Tanı ve tedavide gecikmeler ve yetersizlikler hastanede yatış sürelerini uzatmakta, iş gücü kaybı, sakatlık ve psikososyal travmaya neden olmakta, tedavi masrafl arı hastaya ve ülkeye ciddi mali yük getirmektedir. Bu çalışmada, multidisipliner yaklaşımla takip edilen diyabetik ayak tanılı hastaların klinik ve mikrobiyolojik verilerinin değerlendirilmesi amaçlandı. ( Sakarya Tıp Dergisi, 2018, 8(3):531-537 ) Gereç ve Yöntem Bu çalışma, 2011-2018 yıllarında Endokrinoloji Kliniği'mizde diyabetik ayak konseyinde takip edilen 36 diyabetik ayak olgusu verileri retrospektif olarak incelendi. Hastalar medikal tedavi ve cerrahi tedavi olarak iki gruba ayrıldı. Bulgular Çalışmaya 24 (%66.6) erkek, 12 (%33.3) kadın toplam 36 hasta alındı. Medikal tedavi ve cerrahi tedavi grubu hastalar karşılaştırıldığında, cerrahi tedaviye gidiş ile hipertansiyon, hiperlipidemi, kültürde bakteri üremesi, sigara kullanımı, lökositoz, cinsiyet, oral antidiyabetik ilaç ya da insülin kullanımı gibi parametreler arasında istatistiksel olarak anlamlı fark bulunamadı. Cerrahi tedaviye gidiş ile periferik damar hastalığı, kötü glisemik kontrol, osteomiyelit, sedimantasyon >70 mm/s, nöropati, retinopati, nefropati varlığı arasında anlamlı istatistiksel farklılık saptandı. Sonuç Diyabetik ayak ülserlerinin önlenmesi için eğitim, nöropatinin erken saptanması ve iyi glisemik kontrol ile mümkündür. Diyabetik ayak ülseri gelişen olguları amutasyondan korumak için hastalar multidisipliner bir şekilde değerlendirilmeli, donanımlı bir ekip tarafından tedavi ve takibi yapılmalıdır. Anahtar Kelimeler Diyabetik ayak; multidisipliner yaklaşım; amputasyon AbstractObjective Diabetic foot infections are important causes of morbidity and mortality in diabetic patients. Patients' hospitalization periods are prolonged because of delays and ineffi ciency intreatment. Also, psychosocial trauma and disability are observed, and treatment costs bring serious fi nancial burden to the patient and country. In this study, we aimed to evaluate clinical and microbiological data of diabetic foot patients who were followed up with multidisciplinary approach. ( Sakarya Med J, 2018, 8(3):531-537 ). Materials and MethodsIn this study, we retrospectively examined 36 diabetic foot cases who were followed-up between 2011and2018 in our Endocrinology Clinic. The patients were divided into two groups as Medical and Surgical Treatment Groups.Results Twenty-four of thepatients (66.6%) were male, and12 (33.3%) were female. No statistically signifi cant difference was found between the patients in terms of undergoing surgical treatment and parameters as hypertension, hyperlipidemia, bacterial overgrowth in culture, smoking, leukocytosis, sex, using oral antidiabetics or insulin, when Medical Treatment and Surgical Treatment Groups were compared. Statistically signifi cant difference was found between the Study Groups in terms of undergoing surgical treatment and peripheral vascular disease, poor glycemic control, ...

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“…Most foot ulcers are avoidable (Nteleki & Njokweni, 2015). Unfortunately, despite the documented advantages of preventive screenings, few primary care providers utilize the clinical practice guidelines for performing foot exams annually or more regularly (Williams et al, 2018).…”

Section: Significance Of the Practice Problemmentioning

confidence: 99%

“…Healthcare professionals should not be expected to solely manage the multifaceted aspects of care management of diabetes complications (Nteleki & Njokweni, 2015). In 2017, the Department of Veterans Affairs (VA) released a directive that outlined the scope of care deemed necessary to prevent and treat foot complications and amputations (VA, 2017).…”

Section: Interdisciplinary Teammentioning

confidence: 99%

“…A consistent theme cited in the literature is that the cornerstones of preventing of foot ulcers and complications involve a multidisciplinary team approach. The interdisciplinary team approach would ensue the following early identification and examination of the at-risk foot, regular inspections, and patient and family education; this would result in early access to care, including a healthcare provider visit, obtaining an education, and referrals for specialty care when needed (Nteleki & Njokweni, 2015;Quach et al, 2019;Schaper et al, 2017;Vitale et al, 2020).…”

Section: Interdisciplinary Teammentioning

confidence: 99%

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Implementation of an Electronic Alert for Improving Adherence to Diabetic Foot Exam Screenings in Type 2 Diabetic Patients in Primary Care Clinics

Denson¹

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Practice Problem: Patients with type 2 diabetes mellitus (T2DM) are at an increased risk of complications including foot ulcerations (Harris-Hayes et al., 2020). Preventive care is essential for the early detection of foot ulcers but despite the advantages of preventive screening, a limited number of primary care providers perform annual foot exams (Williams et al., 2018). PICOT: The clinical question that guided this project was, “In adult patients with T2DM receiving care in a primary care setting, will the implementation of an electronic clinical reminder alert (ECR) increase provider adherence to performing an annual diabetic foot exam and risk assessment, compared to adherence rate pre alert implementation, in 30 days?” Evidence: Evidence indicates that ECR alerts to remind providers to perform foot exams improve provider adherence to perform annual foot exams. Intervention: An ECR alert was implemented to remind providers to perform an annual diabetic foot exam to increase provide adherence. Outcome: Twenty-three patients had a completion rate of 46% for their annual diabetic foot exam pre intervention implementation and 45 patients had a completion rate of 56.25% post intervention implementation. There was no statistical significance noted but an increase in provider adherence in performing foot exams, which suggests clinically significant outcomes. Conclusion: Annual foot exams and an ECR alert to remind providers to perform foot exams on people with diabetes can help improve health outcomes in diabetic patients.

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Want to avoid DFUs? A multidisciplinary team approach works best

Cited by 8 publications

References 33 publications

More Than Just 1200 Foot Care Nurses in America are Needed for 30.3 Million People Who Have Diabetes

More Than Just 1200 Foot Care Nurses in America are Needed for 30.3 Million People Who Have Diabetes

Diyabetik Ayak Tanısıyla Takip Ettiğimiz Otuz Altı Hastanın Klinik ve Mikrobiyolojik Verileri

Implementation of an Electronic Alert for Improving Adherence to Diabetic Foot Exam Screenings in Type 2 Diabetic Patients in Primary Care Clinics

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