Leture By Sr.THAVAMANI KANDASAMY. BSN

1. PRESENTED BY
THAVAMANI KANDASAMY

5.  NEUROPATHY
 PERIPHERAL ARTERIAL DISEASE
 ABNORMAL FOOT BIOMECHANICS
 DELAYED WOUND HEALING

7. 30TIMES MORE PREVALENT IN DIABETES
DIABETICS GET ARTERIOSCLEROSIS
CALCIFICATION OF THE MEDIA
OFTEN INCREASED BLOOD FLOW WITH
LACK OF ELASTIC PROPERTIES OF THE
ARTERIOLES
NOT A PRIMARY CAUSE OF FOOT ULCER

8.  ABNORMAL WEIGHT BEARING
 FIXED FOOT DEFORMITIES
 HAMMER TOE
 CLAW TOE
 PROMINENT METATARSAL HEADS
 CHARCOT’S JOINTS

12.  DOEST NOT ALLOW RESOLUTION OF
FISSURES AND MINOR INJURIES
 INCREASED CHANCE OF INFECTION

13.  HISTORY COLLECTION
 DIABETES DURATION
 GLYCEMIC MANAGEMENT CONTROL
 CARDIOVASCULAR,RENAL,&OPTHALMIC
EVALUATION
 NUTRITIONAL STATUS
 SOCIAL HABITS LIKE
ALCOHOL,TOBACCO,DRUGS
 PREVIOUS HOSPITALIZATION/SURGERY
 WOUND STATUS

14.  FBS,PPBS,HbA1C
 COMPLETE BLOOD COUNT,ESR
 RENAL FUNCTION TEST
 URINE ANALYSIS
 WOUND & BLOOD CULTURE
 X-RAY
 DOPPLER STUDY
 CT ANGIOGRAPHY

17. STAGE 2

20. STAGE 5

21.  IDENTIFICATION OF HIGH RISK PATIENT
 PATIENTS EDUCATION
 CAREFUL SELECTION OF FOOT WEAR
 DAILY INSPECTION OF FEET
 DAILY FOOT HYGIENE,MOIST & CLEAN
 AVOIDANCE OF SELF TREAMENT OF FOOT
ABNORMALITIES&HIGH RISK BEHAVIOUR
 PROMPT CONSULTATION WITH HEALTH
CARE PROVIDER

22.  ORTHOTIC SHOES& DEVICES
 CALLUS MANAGEMENT
 NAIL CARE
 PROPPER DRESSING
 ATTENTION TO HIGH RISK FACTORS
 SMOKING,HTN,DYSLIPIDEMIA
 GLYCEMIC CONTROL

23.  DEBRIDEMENT
 WOUND DRESSING
 ANTIBIOTICS
 REVASCULARIZATION
 AMPUTATION

24.  GAUZE PADS
 TRANSPARENT FLIMS
 HYDROGELS
 FOAM
 HYDRO COLLOID
 ALIGINATE
 COLLAGEN DRESSING
 ANTI MICROBIAL DRESSING

25.  SALINE
 POVIDONE IODINE
 CHLORHEXIDINE
 HYPOCHLORITE
 BACITRACIN,NEOMYCIN
 MUPIROCIN