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Written by the BMA award-winning author team of Mike Edmonds andAlethea Foster Aimed at podiatrists, nurses, physicians, surgeons, orthotistsand all other members of the multidisciplinary diabetic foot team,Managing the Diabetic Foot, Second Edition, remains a“must-have” for all those interested in diabetes andthe diabetic foot. New features of this Second Edition include: Chapter on amputation has been expanded as has the overallsurgical focus Metabolic control and all other aspects of management have alsobeen extensively updated New introductory chapter which describes the assessment of thediabetic foot, incorporating an illustrated section on differentialdiagnosis Content aids the implementation of the NICE guidelines and the‘National Service Framework for Diabetes’
The incidence of diabetes is increasing both in the western world and in developing countries; type 2 diabetes increase is partly the result of greater obesity. Diabetes can cause two major problems to the foot – diabetic neuropathy resulting in nerve damage and peripheral vascular disease reducing the flow of blood. These can result in ulceration of the foot which needs careful management to avoid the possibility of amputation. This management is best undertaken by multidisciplinary teams using the latest evidence to support their practice. This book presents a comprehensive and authoritative coverage of the latest evidence-based investigations, techniques and management of the diabetic foot. Evidenced-based management of the diabetic foot International, multidisciplinary team of editors and contributors Comprehensive reference for all health professionals involved in the care of diabetic foot problems
Foot problems in diabetic patients are some of the most challenging complications to treat, due to an often quite late presentation of symptoms from the patient. Therefore visual recognition of presenting clinical signs is absolutely key for a successful diagnosis and subsequently, the right management programme. The 3rd edition of Managing the Diabetic Foot once again provides a practical, handy and accessible pocket guide to the clinical management of patients with severe feet problems associated with diabetes, such as ulcers, infections and necrosis. By focusing on the need for a speedy response to the clinical signs, it will enable doctors make rapid, effective management decisions in order to help prevent deterioration and avoid the need for evental foot amputation. Each chapter focuses specifically on the different stages of foot disease and the clinical management required at that particular stage, ie, the normal foot; high-risk foot, ulcerated foot, infected foot, necrotic foot and unsalvageable foot. Full colour throughout, it will feature over 150 clinical photos, numerous hints and tips to aid rapid-reference, as well as the latest national and international guidelines on diabetic foot management. Managing the Diabetic Foot, 3E, is the ideal go-to clinical tool for all diabetes professionals, specialist diabetes nurses and podiatrists managing patients with diabetic foot problems.
This book is written as a comprehensive and practical guide for General Practitioners who often manage patients with diabetic foot complications. Topics covered include Types of Diabetic Foot Complications, Basic Science involved, Examining a Diabetic Foot, Doing Investigations and Treating a Diabetic Foot, Endocrine Control, Nutritional Support, Choice of Wound Dressing and Choice of the appropriate Antibiotic. An important chapter, especially useful to the GPs is a practical guide on when to treat the patients in their clinics and when to send them to hospitals for management by Diabetic Foot Specialists. A special emphasis has also been given to guide GPs how to educate their patients on Care of Diabetes itself, Care of the Foot and Choice of Footwear. In addition, this Companion Book to GPs will also be useful to Nurses and Podiatrists who also provide care to Diabetic Foot patients. For the latter, a Supplement has been added. Relevant topics include Team Approach, Nursing a Diabetic Foot, Nutrition, Wound Dressings, Negative Pressure Wound Therapy, Maggot Debridement Therapy, Off-loading & Shoes, Hyperbaric Oxygen Therapy, Charcot Joint Disease and Rehabilitation.
A practical clinical manual for the diagnosis, treatment - both medical and surgical - and the long-term care of foot problems in people with diabetes. The authors are world-renowned experts in this subject and they present the internationally recognised best practice. The clinical chapters are presented in a structured, colour-coded format to allow easy reference. The text also includes highlighted best clinical practice tips. Each chapter is accompanied by high-quality, full-colour photographs that provide excellent examples of the earliest presenting signs as well as illustrating the step-by-step guidance on treatment. This book is an essential manual for every healthcare professional involved in the care of patients with diabetes.
Diabetes can limit blood supply to the feet resulting in loss of feeling, which means foot injuries do not heal well and may go unnoticed. People with diabetes are 15 times more likely to have a limb amputated due to gangrene. Diabetic foot is an often overlooked complication in general diabetes care. This book is a practical guide to the management of diabetes-related complications of the foot. Beginning with an overview of diabetic foot care, anatomy and biomechanics of the foot, and peripheral neuropathy, the following sections cover a variety of diabetes-related disorders. Each condition is explained in detail covering its pathophysiology, investigations, diagnosis and treatment, including surgery and rehabilitation where appropriate. The final section discusses recent advances and future techniques and technologies in the management of diabetic foot. The text is further enhanced by algorithms and diagrams to assist understanding of potential treatment strategies.
Emphasizing a multidisciplinary team approach, Surgical Reconstruction of the Diabetic Foot and Ankle, 2nd Edition, is an easy-to-follow, well-illustrated guide to the latest surgical techniques in diabetic lower extremity reconstruction. Dr. Thomas Zgonis and an expert team of national and international authors share their extensive knowledge and experience in the surgical treatment of diabetic patients, including challenging clinical scenarios of severe infections, lower extremity deformities, peripheral arterial disease, and soft tissue compromise.
​Public and political concern about the increasing prevalence of diabetes has prompted major concern about treatment of patients with the condition. Foot complications are some of the commonest causes of hospitalisation of people with diabetes and if not treated well often lead to amputation. There is evidence that 85% of these amputations can be prevented by better understanding of the problem and by multi-disciplinary teams working more effectively together. This has been recognised and NICE have recently published guidelines on diabetic foot complications as have Diabetes UK and NHS Diabetes. These have been successful in raising awareness of the problem but the local multi-disciplinary teams need clear practical advice on how to manage the foot in diabetes and deliver high quality care. With the current interest in improving outcomes for patients with foot complications this is an ideal time to make a practical evidence-based handbook available. This book will provide clear practical guidelines on how to manage all aspects of the foot in diabetes as well as an in-depth analysis of the most recent evidence. The book will be based on care pathways with algorithms for each section so it would be of practical value in any clinic in primary or secondary care. It will appeal to a wide range of health care professionals treating people with diabetes: vascular surgeons and trainees, orthopaedic surgeons, diabetes specialist nurses, podiatrists and tissue viability nurses.​
Foot ulcers in diabetes are common, but the factors which lead to their development are poorly understood and there are no clear guidelines for management. The majority are cared for by doctors, nurses and chiropodists working in primary care and without a specialist interest in the field and it is for these people that this book is intended. The authors have based the work on more than ten year's experience in running a specialist multidisciplinary service for the management of these problems and included are numerous illustrations obtained in clinical practice. This is essentially a colour atlas of lesions of the diabetic foot, using pictures to demonstrate the wide variation in ulcers which may be encountered and to outline a logical approach to management.The processes which lead to the development of ulcers are described, as well as the many factors which prevent their healing. Detailed attention is paid to factors which concern those working in primary care: choice of dressings, antibiotics and guidelines for follow-up and specialist referral. Detailed attention is alos paid to educational aspects and to strategies for both primary and secondary prevention. 'The Diabetic Foor' combines the principles of a colour atlas with those of a practical manual offering doctors, nurses and chiropodists clear guidance on the assessment and management of lesions of the diabetic foot.