- 50% – 75% of lower extremity amputation are performed on people with diabetes.
- 50% amputation as preventable
- Three diabetes complication contribute to the risk of foot infections:
- loss of pain and pressure sensation.
- increased dryness and fissuring of the skin.
- Peripheral vascular disease:
- Poor circulation of lower extremity contributes to poor wound healing and development of gangrene.
hyperglycemia impairs the ability to specialized leukocyte to destroy the bacteria.
- Foot assessment and foot care instruction are the most important when dealing with patient who are at high risk for developing foot infection .
- The monofilament test used to assess the sensation in pt with diabetes.
- Adapted with permission from Cameron.
- Monofilaments is gently applied to a bout five pressure points on the foot.
- Semmes-weinstein monofilament used by clinicials.
- Disposable monofilament used by the pt.
- Duration of the diabetes more than 10 years.
- Age more than 40 years.
- History of smoking.
- Decreased sensation
- Anatomic deformities or pressure areas.
- History of previous foot ulcer ot amputation
- Teach the patient proper foot care
- Provide foot bathing in warm not hot water. Drying after washing, and lubricant the feet.
- Feet must be inspected daily detecting any redness or injury or ulceration.
- Toenails should be terminated straight across and sharp corner.
- Wear shoes and socks all the time
- Never walk bare foot
- Wear comfortable shoes that fit and protected the foot.
¡Keep the blood floweing in to your foot :
- put the foot up when sitting.
-wiggle the toes and move the ankles up and down fof 5 min, 2 -3 times.
- don’t croos the legs for long time.
- do not smoking.
- Check with the doctor
The process of the blood glucose any problems.