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Managing a Diabetic Foot Ulcer (DFU) with Limited Pressure Relief: A Multi-Disciplinary Team Approach: Case Study | ||
| Mosul Journal of Nursing | ||
| Article 22, Volume 12, Issue 1, January 2024, Pages 218-220 PDF (185.37 K) | ||
| Document Type: Case Studies | ||
| DOI: 10.33899/mjn.2024.182705 | ||
| Authors | ||
| Mohammed Faris Abdulghnai* 1; Youisf Qasim Dawood2 | ||
| 1Department of Nursing, College of Nursing, University of Ninevah,Iraq | ||
| 2Department of Nursing, College of Nursing, University of Ninevah, Iraq | ||
| Abstract | ||
| This case presentation aims to underscore the challenges faced in providing adequate pressure relief for a patient with a diabetic foot ulcer (DFU) due to resource limitations. A 49-year-old active diabetic woman, wearing inappropriate footwear, regularly visits the local community clinic for two months. The interdisciplinary team, including nurses, doctors, pharmacists, radiographers, and podiatrists, collaborates on the intervention plan. Wound care is administered every other week, and the patient manages her wound care between visits. Research indicates that neuropathic DFUs on the plantar surface heal effectively with proper offloading using insole/orthoses devices and suitable footwear. However, in disadvantaged communities, patients often cannot afford such pressure relief measures, resorting to inadequate footwear like plastic thong sandals with thin soles, leading to friction and shear pressure between the toes. | ||
| Keywords | ||
| Diabetic Foot Ulcer Management; Multidisciplinary Team Approach; Pressure Relief Challenges | ||
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AbuHammad, G. A. R., Naser, A. Y., & Hassouneh, L. K. M. (2023). Diabetes mellitus-related hospital admissions and prescriptions of antidiabetic agents in England and Wales: an ecological study. BMC Endocr Disord, 23(1), 102. https://doi.org/10.1186/s12902-023-01352-z Brennan, M. B., Hess, T. M., Bartle, B., Cooper, J. M., Kang, J., Huang, E. S., Smith, M., Sohn, M. W., & Crnich, C. (2017). Diabetic foot ulcer severity predicts mortality among veterans with type 2 diabetes. J Diabetes Complications, 31(3), 556-561. https://doi.org/10.1016/j.jdiacomp.2016.11.020 Dhatariya, K., Mustafa, O. G., & Rayman, G. (2020). Safe care for people with diabetes in hospital. Clin Med (Lond), 20(1), 21-27. https://doi.org/10.7861/clinmed.2019-0255 Hobizal, K. B., & Wukich, D. K. (2012). Diabetic foot infections: current concept review. Diabet Foot Ankle, 3. https://doi.org/10.3402/dfa.v3i0.18409 Kurian, S. J., Baral, T., Unnikrishnan, M. K., Benson, R., Munisamy, M., Saravu, K., Rodrigues, G. S., Rao, M., Kumar, A., & Miraj, S. S. (2023). The association between micronutrient levels and diabetic foot ulcer: A systematic review with meta-analysis. Front Endocrinol (Lausanne), 14, 1152854. https://doi.org/10.3389/fendo.2023.1152854 Pena, G., Kuang, B., Cowled, P., Howell, S., Dawson, J., Philpot, R., & Fitridge, R. (2020). Micronutrient Status in Diabetic Patients with Foot Ulcers. Adv Wound Care (New Rochelle), 9(1), 9-15. https://doi.org/10.1089/wound.2019.0973 Sargen, M. R., Hoffstad, O., & Margolis, D. J. (2013). Geographic variation in Medicare spending and mortality for diabetic patients with foot ulcers and amputations. J Diabetes Complications, 27(2), 128-133. https://doi.org/10.1016/j.jdiacomp.2012.09.003 Yazdanpanah, L., Nasiri, M., & Adarvishi, S. (2015). Literature review on the management of diabetic foot ulcer. World J Diabetes, 6(1), 37-53. https://doi.org/10.4239/wjd.v6.i1.37 Zhang, P., Lu, J., Jing, Y., Tang, S., Zhu, D., & Bi, Y. (2017). Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis (†). Ann Med, 49(2), 106-116. https://doi.org/10.1080/07853890.2016.1231932
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