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Section 1: Medical Aspect of Diabetic Foot 1. Diabetes Mellitus-A Clinical Challenge 2. Top Ten Countries for Number of Adults with Diabetes 3. Epidemiology of the Diabetic Foot 4. Economical Burden of the Diabetic Foot Ulcer 5. Pathway to Diabetic Foot Ulcer 6. Factors Associated with Foot Ulcer 7. Pathophysiology of Foot Ulceration 8. Diabetic Peripheral Neuropathy 9. Types of Peripheral Neuropathy 10. Tests for Peripheral Neuropathy 11. Vibration Test 12. Biothesiometer or Neuro-esthesiometer 13. Other Tests for Peripheral Neuropathy 14. Neuropad (Autonomic Test) 15. Neuro-osteoarthropathy (Charcot Foot) 16. Indications for a Neurological Referral in Patients with Suspected Diabetic Sensorimotor Neuropathy 17. Oral Symptomatic Therapies in Painful Diabetic Neuropathy 18. Peripheral Arterial Diseases 19. Stages of Peripheral Arterial Disease 20. Chronic Critical Ischemia 21. Classification of Peripheral Arterial Disease 22. Interpretation of the Ankle-brachial Index 23. Computed Tomography Scan Angiogram of Lower Limbs 24. Transcutaneous Oxygen Monitor 25. Clinical Symptoms of Neuropathic and Ischemic Foot Ulcers 26. Neuroischemic Diabetic Foot (Mixed) 27. Diabetic Foot Infections 28. Risk Factors for Infection 29. Three Most Important Clinical Categories of Infections 30. Cellulitis 31. Deep Soft Tissue Infection 32. Chronic Osteomyelitis 33. Criteria for Diagnosis of Osteomyelitis 34. Typical Features of Diabetic Foot Osteomyelitis on Plain X-rays 35. Classification and Severity of Infection 36. Indications of Worsening Infection 37. Characteristics Suggesting a More Serious Diabetic Foot Infection and Potential Indications for Hospitalization 38. Factors that May Influence Choices of Antibiotics Therapy for Diabetic Foot Infections (Specific Agents, Route of Administration, Duration of Therapy) 39. Factors Potentially Favoring Selecting Either Primarily Antibiotics or Surgical Resection for Diabetic Foot Osteomyelitis 40. Antibiotic Regimens for Mild, Moderate, and Severe Diabetic Foot Infections 41. Duration of Treatment for Infected Diabetic Foot 42. Wagner Classification 43. PEDIS Classification 44. The University of Texas Classification 45. SINDBAD Classification 46. Lower Extremity Threatened Limb Classification System 47. Ischemia: Clinical Category 48. Foot Infection: Clinical Category 49. Simple Staging of the Diabetic Foot 50. Consider the Whole Patient and not the Hole in the Patient to Ensure Effective Care of the Foot Ulcer 51. Foot Examination 52. Ulcer Assessment 53. Wound Bed 54. Examination of Edge, Wall, and Base 55. A Summary of the Management of Diabetic Foot Ulcer 56. Local Wound Treatment 57. Role of Debridement in Ulcer Management 58. Debridement Methods and Its Characteristics 59. Summary of Indications for Different Dressings/Devices 60. Ulcer Healing 61. Surgical Intervention in Severe Cases where Abnormal Pressure Distribution is Causing Persistent and Nonresolvable Ulceration 62. Biomechanics Factors and Footwear 63. Plantar Pressure Reduction 64. Footwear and Offloading for the Diabetic Foot: An Evidence-based Guideline 65. General Guide to Footwear Based on Risk Status 66. Examination of the Insensate Diabetic Foot 67. The Diabetic Foot Ulcers: Outcome and Management 68. Global Burden of Limb Amputation 69. Preventing Diabetic Foot Amputation 70. Nonulcerative Pathology of Ulcers 71. Social Factors of the Diabetic Foot 72. Time is Tissue in the Diabetic Foot 73. Pathway to
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
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’
Fully revised and updated edition of this popular book, addressing all issues concerning the diabetic foot, one of the most prevalent problems in diabetes, with a strong emphasis on practical aspects of delivering care.
Diabetes is a dіѕеаѕе that оссurѕ whеn уоur blооd gluсоѕе, аlѕо саllеd blооd sugar, is tоо hіgh. Blood gluсоѕе is the mаіn source of energy аnd соmеѕ frоm thе food you eat. Inѕulіn, a hоrmоnе mаdе bу the pancreas, helps glucose frоm fооd gеt іntо уоur сеllѕ tо be uѕеd for еnеrgу. Sоmеtіmеѕ, уоur bоdу dоеѕn't mаkе еnоugh - оr аnу – іnѕulіn, оr doesn't uѕе insulin wеll. Glucose then ѕtауѕ іn уоur blооd аnd dоеѕn't rеасh уоur сеllѕ. Overtіmе, hаvіng tоо muсh gluсоѕе іn the blood can саuѕе hеаlth рrоblеmѕ. Although diabetes has nо сurе yet, уоu can take ѕtерѕ to mаnаgе уоur dіаbеtеѕ аnd stay hеаlthу. Sоmеtіmеѕ, people саll dіаbеtеѕ "а touch of ѕugаr" оr "bоrdеrlіnе dіаbеtеѕ." Thеѕе tеrmѕ ѕuggеѕt thаt ѕоmеоnе doesn't really hаvе diabetes or that they have a less serious саѕе, but every саѕе оf diabetes is serious. Abоut 17 mіllіоn Americans are bеlіеvеd tо hаvе dіаbеtеѕ, аnd оnе-thіrd оf thоѕе раtіеntѕ dоn't even knоw they have іt. Diabetes can cause ѕеrіоuѕ health complications іnсludіng hеаrt dіѕеаѕе, blіndnеѕѕ, kіdnеу fаіlurе, аnd lоwеr-еxtrеmіtу аmрutаtіоnѕ. Dіаbеtеѕ is thе 6th lеаdіng саuѕе оf death іn the US, and mоѕt diabetics dеvеlор hеаrt dіѕеаѕе. In fасt, just hаvіng diabetes саrrіеѕ the ѕаmе rіѕk of hаvіng a hеаrt attack аѕ someone who hаѕ аlrеаdу hаd ѕuсh an еvеnt. Thеrеfоrе, it is vеrу important fоr patients who have dіаbеtеѕ tо hаvе a рhуѕісіаn thаt сlоѕеlу mоnіtоrѕ and trеаtѕ thеіr сhоlеѕtеrоl levels аѕ well аѕ thеіr blооd pressure. Addіtіоnаllу, any uѕе оf tоbассо рrоduсtѕ multірlіеѕ thе risks аnd ѕhоuld be stopped.
Take this pocket reference to clinicals on the job for quick access to nursing skills! Based on Perry & Potter's market-leading Clinical Nursing Skills & Techniques, 7th Edition, Mosby's Pocket Guide to Nursing Skills & Procedures, 7th Edition presents 83 key skills in an easy-to-use A-to-Z format. Step-by-step instructions include full-color photos plus rationales explaining why to use specific techniques. With the latest in evidence-based practice, this book helps you perform basic nursing skills safely and effectively. Also available on Skyscape for use on any hand-held device! A clear, two-column format presents skills with rationales for each step explaining why to use specific techniques. A gloving logo identifies skills in which clean gloves should be worn or gloves should be changed in order to minimize the risk of infection. Safety alerts highlight important information for patient safety and effective performance of skills. Reporting and recording guidelines include a bulleted list of what should be documented in the patient records. Unexpected outcomes and related interventions help you troubleshoot potential problems and take appropriate actions to address them. Alphabetical organization of skills makes it easy to find information quickly. A convenient pocket size and spiral binding allow the book to fit easily into your coat pocket and to stay open on the page you want. New full-color design and illustrations help you follow step-by-step directions more easily. Completely updated content is based on Perry & Potter's market-leading text, Clinical Nursing Skills & Techniques, 7th Edition, for the latest in evidence-based care.
This book discusses essential aspects of diabetic foot ulcers, including evidence-based information on its pathogenesis and pathophysiology, as well as the molecular mechanisms and biomechanics of the diabetic foot. It also highlights the need for a multidisciplinary team to be involved in the management of diabetic patients with foot ulcers, and describes available and future tools for evaluating patients who are at risk. Exploring the main current therapies as well as the latest developments, future directions and potential new treatments, such as growth factors, stem cell therapy, alternative medicine and nanotechnology, the book is a valuable resource for clinicians and medical graduates but will also appeal to researchers working in the field.
The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.
This quick-reference tool has what you need to select the appropriate diagnosis to plan your patients’ care effectively. The 14th Edition features all the latest nursing diagnoses and updated interventions.