Diabetes Foot Care , Nursing Care Plan

- 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:

Neuropathy:

– 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.

immunocompromised:

hyperglycemia impairs the ability to specialized leukocyte to destroy the bacteria.

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– 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.

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– 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.

Characteristics include:

– 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.

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