Prevention and management of foot problems in diabetes: A summary guidance for daily practice 2015, based on the IWGDF Guidance Documents


Autoria(s): Bakker, K.; Apelqvist, J.; Lipsky, B.A.; van Netten, J.J.; Schaper, N.C.
Data(s)

2016

Resumo

In this 'Summary Guidance for Daily Practice', we describe the basic principles of prevention and management of foot problems in persons with diabetes. This summary is based on the International Working Group on the Diabetic Foot (IWGDF) Guidance 2015. There are five key elements that underpin prevention of foot problems: (1) identification of the at-risk foot; (2) regular inspection and examination of the at-risk foot; (3) education of patient, family and healthcare providers; (4) routine wearing of appropriate footwear, and; (5) treatment of pre-ulcerative signs. Healthcare providers should follow a standardized and consistent strategy for evaluating a foot wound, as this will guide further evaluation and therapy. The following items must be addressed: type, cause, site and depth, and signs of infection. There are seven key elements that underpin ulcer treatment: (1) relief of pressure and protection of the ulcer; (2) restoration of skin perfusion; (3) treatment of infection; (4) metabolic control and treatment of co-morbidity; (5) local wound care; (6) education for patient and relatives, and; (7) prevention of recurrence. Finally, successful efforts to prevent and manage foot problems in diabetes depend upon a well-organized team, using a holistic approach in which the ulcer is seen as a sign of multi-organ disease, and integrating the various disciplines involved.

Formato

application/pdf

Identificador

http://eprints.qut.edu.au/93262/

Publicador

John Wiley & Sons

Relação

http://eprints.qut.edu.au/93262/1/Schaper%20et%20al%20-%202016%20-%20Summary%20Guidance%20for%20Daily%20practice.pdf

http://onlinelibrary.wiley.com/doi/10.1002/dmrr.2695/full

DOI:10.1002/dmrr.2695

Bakker, K., Apelqvist, J., Lipsky, B.A., van Netten, J.J., & Schaper, N.C. (2016) Prevention and management of foot problems in diabetes: A summary guidance for daily practice 2015, based on the IWGDF Guidance Documents. Diabetes/Metabolism Research and Reviews, 32(Supplement S1), pp. 7-15.

Direitos

Copyright 2016 John Wiley & Sons

Fonte

School of Clinical Sciences; Faculty of Health

Palavras-Chave #110000 MEDICAL AND HEALTH SCIENCES #Daily practice #Diabetic foot #Foot ulcer #Guidance #Guidelines #Implementation #IWGDF
Tipo

Journal Article