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Transcript

  • 1. Diabetic Foot• Graham Bruce• 01752 763032 Diabetes Education Services
  • 2. Talk amongst yourselves!• What do you want to know? Diabetes Education Services
  • 3. Back ground• “Public foot the bill, patients pay the price”• National figures• 15% will develop ulcer in their life• 2% PA develop new ulcer• Of those with neuropathy, 3% will develop an ulcer each year• Incidence of major amputation 3% per year• 5 year mortality for patients presenting with new foot disease is 45-50% Diabetes Education Services
  • 4. World Health Organisationdefinition of the Diabetic Foot “a group of syndromes in which neuropathy, ischaemia, and infection lead to tissue breakdown resulting in morbidity and possible amputation” Diabetes Education Services
  • 5. Plymouth PCT Population• In 2008/09 there were 10321 people aged 17 years and older diagnosed with diabetes in Plymouth PCT. (3.8% compared with 4.0% of population in a range of similar PCTs) Diabetes Education Services
  • 6. Guidance• NICE cg 10• NICE cg 119, inpatient management of diabetic Foot• Map of medicine (Diabetes/Foot care)• Local guidance ;Inpatient pathway,• joint formulary, Diabetes Education Services
  • 7. What are the main problemsaffecting the lower limbs of people• Infection• Neuropathy• Arterial disease• Foot deformity• MOBILITY Diabetes Education Services
  • 8. DiabetesEducationServices
  • 9. DiabetesEducationServices
  • 10. DiabetesEducationServices
  • 11. DiabetesEducationServices
  • 12. DiabetesEducationServices
  • 13. DiabetesEducationServices
  • 14. Classification of wounds• European Pressure Ulcer Advisory Panel (EPUAP) system 1 to 4 grading Diabetes Education Services
  • 15. DiabetesEducationServices
  • 16. Prevention is the key• Observation• Pressure relief• Footwear• Appropriate and fast referral Diabetes Education Services
  • 17. DiabetesEducationServices
  • 18. DiabetesEducationServices
  • 19. Questions Diabetes Education Services