Diabetic foot

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  • Diabetic foot

    1. 1. Diabetic Foot• Graham Bruce• 01752 763032 Diabetes Education Services
    2. 2. Talk amongst yourselves!• What do you want to know? Diabetes Education Services
    3. 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. 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. 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. 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. 7. What are the main problemsaffecting the lower limbs of people• Infection• Neuropathy• Arterial disease• Foot deformity• MOBILITY Diabetes Education Services
    8. 8. DiabetesEducationServices
    9. 9. DiabetesEducationServices
    10. 10. DiabetesEducationServices
    11. 11. DiabetesEducationServices
    12. 12. DiabetesEducationServices
    13. 13. DiabetesEducationServices
    14. 14. Classification of wounds• European Pressure Ulcer Advisory Panel (EPUAP) system 1 to 4 grading Diabetes Education Services
    15. 15. DiabetesEducationServices
    16. 16. Prevention is the key• Observation• Pressure relief• Footwear• Appropriate and fast referral Diabetes Education Services
    17. 17. DiabetesEducationServices
    18. 18. DiabetesEducationServices
    19. 19. Questions Diabetes Education Services

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