This presentation discusses diabetic foot complications. It begins with an overview of topics to be covered, including the concept of diabetic foot, its complications like ulcer, neuropathy and arthropathy, infections and amputations, and management through medical and physiotherapy approaches. Diabetic foot refers to any pathology resulting from diabetes and is caused by a triad of ischemia, neuropathy and infection. Complications include ulcers, neuropathy, arthropathy and infections, which can sometimes lead to amputation. The presentation discusses assessment, medications, footwear, bracing, exercises and other physiotherapy techniques for managing diabetic foot complications.
Presentation of information for a comprehensive diabetic foot examination that is used in conjunction with the exam. Healthcare guide to diabetes and your feet can be obtained at www.drpelto.com
Presentation of information for a comprehensive diabetic foot examination that is used in conjunction with the exam. Healthcare guide to diabetes and your feet can be obtained at www.drpelto.com
Management of peripheral vascular disease by Sunil Kumar Dahasunil kumar daha
Please find the power point on Management of peripheral vascular disease . I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Management of peripheral vascular disease by Sunil Kumar Dahasunil kumar daha
Please find the power point on Management of peripheral vascular disease . I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Hari laser clinic is one of the best in advance laser treatment , we are a specialized team in piles treatment , varicose veins , fissures, Pilonidal sinus and Fistula and also we have an highly professional surgeons to provide best in the class service in Laparoscopic Surgeries ( Gallstones, hernia and other forms of laser surgery we also include excellent service in Breast surgeries, thyroid surgeries and Diabetic foot management and many more services are include in our hari laser clinic
Diabetic Foot Management for Singaporean PatientsIvy_Reid
The International Diabetes Federation reported that Singapore has the second-highest proportion of diabetics among developing nations, according to a report from the International Diabetes Federation.
Diabetes, Peripheral Neuropathy & How to ConductTrevor Perkes
Discussion of the relationship between diabetes and peripheral neuropathy and loss of protective sensation. How to perform a monofilament sensory test to detect a loss of protective sensation
Learn more at ProhealthcareProducts.com
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
4. CONCEPT OF DIABETIC FOOT
Diabetic Foot is a foot that exhibits any pathology that results
directly from diabetes mellitus or chronic complication of
diabetes mellitus.
Complications in the diabetic foot are mostly caused by a triad
of ischemia, diabetic neuropathy, and infection.
4
5. CONCEPT OF DIABETIC FOOT CONT…
Diabetic Foot is a foot that exhibits any pathology that results
directly from diabetes mellitus or chronic complication of
diabetes mellitus.
Complications in the diabetic foot are mostly caused by a
triad of ischemia, diabetic neuropathy, and infection.
5
7. COMPLICATION OF DIABETIC FOOT
Presence of several characteristic diabetic foot
pathologies such as
Diabetic foot ulcer
Diabetic neuropathy
Diabetic foot arthropathy
Diabetic foot infections
7
8. DIABETIC FOOT ULCER
Diabetic foot ulcer is a major complication of diabetes
mellitus. Wound healing is an innate mechanism of
action that works reliably most of the time. Key
feature of wound healing is stepwise repair of lost
extracellular matrix that forms the largest component
of the dermal skin layer.
But in some cases certain disorders or physiological
insult disturbs the wound healing process. diabetes
mellitus is one such metabolic disorder that impedes
the normal steps of the wound healing process.
8
9. DIABETIC FOOT ULCER
Diabetic foot ulcer is a major complication of diabetes
mellitus. Wound healing is an innate mechanism of
action that works reliably most of the time. Key feature
of wound healing is stepwise repair of lost extracellular
matrix that forms the largest component of the dermal
skin layer.
But in some cases certain disorders or physiological
insult disturbs the wound healing process. diabetes
mellitus is one such metabolic disorder that impedes the
normal steps of the wound healing process.
9
11. DIABETIC NEUROPATHY
Diabetic neuropathy is nerve damage that is caused by
diabetes.
Four types of diabetic neuropathy are available –
Peripheral Neuropathy
peripheral neuropathy is nerve damage that typically affects
the feet and legs and sometimes affects the hands and arms.
Autonomic Neuropathy
Autonomic neuropathy is damage to nerves that control the
internal organs. It can lead to problems with heart rate, blood
pressure, sex organs, sweat glands. 11
12. DIABETIC NEUROPATHY CONT…
Focal neuropathy
It is the condition in which typically have damage
to single nerves, most often the hand, head, torso,
and leg.
Proximal neuropathy
It is a rare and disabling type of nerve damage in
hip, buttock or thigh. It damage typically one side
of the body and may rarely spread to the other side.12
14. DIABETIC FOOT ARTHROPATHY
Diabetic foot arthropathy also known as charcot
foot. They may present with muscle weakness in the
feet, ankles, legs and hands. An awkward way of
walking(gait), highly arched or very flat feet.
14
15. DIABETIC FOOT ARTHROPATHY
Diabetic foot arthropathy also known as charcot
foot. They may present with muscle weakness in
the feet, ankles, legs and hands. An awkward way
of walking(gait), highly arched or very flat feet.
15
16. DIABETIC INFECTION & AMPUTATION
The most common sign is increased ulcer exudation rate.
Diabetic foot infection may lead to poor glycemic control.
There is a 50% delay in diagnosing deep foot infections in
diabetes patients because the infection markers in their
blood tests are found absent.
16
17. DIABETIC INFECTION & AMPUTATION
In danger condition of diabetic foot infection, amputation is
very needed. After amputation, rehabilitation process is very
important.
17
18. MEDICATIONS AND INSULIN
Metformin
It works by improving the sensitivity of body
tissues to insulin, so that your body uses insulin
more effectively
Sulfonylureas
Meglitinides
Insulin therapy
18
22. PHYSIOTHERAPY MANAGEMENT
To avoid tropic changes proper footwear is advised
To stabilized the unstable Ankle Joint braces are advised
To prevent contracture, passive stretching of the joint is
indicated
Active ROM exercise to mobilize the foot
23
23. Patients should perform an aerobic exercise program 3-5
days per week and for 150 minutes per week at mid to
moderate intensity ( RPE 10-12 / 20 )
Walking (Outside or Inside in a treadmill
Ride bicycle
Ride stationary bicycles indoor
24
25. HOMECARE ADVICE:
Inspecting the feet
Check for redness or soreness
Washing the feet
Check temperature of mild warm water with
fingers for damaged nerves
Drying the feet
Moisturizing the skin
Toenails should be cut only when nails are soft 27
27. GAIT TRAINING
Training is given in the parallel bars
1. Standing balance on both the legs
2. Taking the body weights on both the legs
alternatively
3. With bilateral hand support, coordinated stepping
4. It is now progressed to single hand support
5. Sitting to standing
29
28. REFERENCES:
Boulton in Diabetes, 30;36 2002
Singh, N. "Preventing Foot Ulcers in Patients With Diabetes".
JAMA. Retrieved 21 November 2013.
International Working Group on the Diabetic Foot (2015)
Selva Olid A, Solà I, Barajas-Nava LA, Gianneo OD, Bonfill
Cosp X, Lipsky BA (4 September 2015). "Systemic antibiotics
for treating diabetic foot infections". Cochrane Database of
Systematic Reviews.
Dorresteijn JAN, Kriegsman DMW, Assendelft WJJ, Valk GD
(2014). "Patient education for preventing diabetic foot
ulceration". Cochrane Database of Systematic Reviews
30
29. Arad Y, Fonseca V, Peters A, Vinik A (2011). Beyond
the Monofilament for the Insensate Diabetic Foot: A
systematic review of randomized trials to prevent the
occurrence of plantar foot ulcers in patients with
diabetes"
31