Preview

Is Educational Fundamental to the Prevention of Diabetic Foot Ulcers

Powerful Essays
Open Document
Open Document
1680 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Is Educational Fundamental to the Prevention of Diabetic Foot Ulcers
“Is education fundamental to the prevention of diabetic foot ulcers?” This question was developed using the PICO framework (appendix one). Diabetes is a chronic condition that can have debilitating consequences that can seriously affect a patient’s lifestyle and their contribution to social gain according to the Department of Health and Children (D.O.H.C.) (2008). It is increasing at a rapid rate which is highlighted by The Institute of Public Health (2010) who state that the number of diabetics in Ireland will rise from 143,000 to 194,000 by the year 2015. This will result with more patients presenting with diabetic foot ulcers. Clair (2011) states, that one third of all diabetics are at risk of developing a diabetic foot ulcer and that between seventy to ninety percent of lower limb amputations are preceded by complication. This paper also revealed that every thirty seconds somewhere in the world a lower limb is amputated due to diabetes. The question for this assignment is focused in trying to establish if education is a tool that could aid in prevention of this complication. From clinical experience the author has noticed that when diabetics are on a ward it is mostly their blood sugars that are assessed and for which education is provided, with little regard for the patient’s feet.
The five articles that were researched for this assignment contained two meta-analysis studies, 2 systematic reviews and a qualitative study. These articles were sourced from the CINAHL data base and the Cochrane data base of systematic reviews. All of these studies were published within the past five years and can be regarded as current up to date best evidence. The methodology used by these studies includes interviews, random standardised trials and literature reviews. The patients that were participants in these trials were primarily type two diabetics. There was no discrimination relating to the gender or age of the patient. However, most patients were over 50 yrs of age. The

You May Also Find These Documents Helpful

  • Good Essays

    "Diabetes - PubMed Health." PubMed Health. Ed. David Zieve and David R. Eltz. U.S. National Library of Medicine, 31 Aug. 2011. Web. 14 Nov. 2011. <http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002194/>.…

    • 879 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Assessment of Leg Ulcer

    • 462 Words
    • 2 Pages

    The focus of this assignment is to he focus of this assignment will be on a case scenario of an elderly lady with signs of a chronic venous leg ulcer. It will discuss the epidemiology, aetiology and the pathophysiology in relation to venous leg ulcers, as well as this also discussed will be the nursing care needs of a patient with a leg ulcer and a rationale of care will be given. It will look at the assessment process and take into account the patients life history and examine any factors that could relate to the patients condition. The assignment will also discuss the management of treatment and preventative measures. Aetiology, epidemiology and pathophysiology A leg ulcer is a breakdown of epidermal and dermal tissue, which is below the knee on the leg or foot which fails to heal (Moffat and Harper 1997). It can also be described as a loss of skin below the knee which takes more than 6 weeks to heal, the occurrence of leg ulcers increases with age and is most common in woman (Watson 2002). A venous leg ulcer is defined as an ulceration that is associated with venous hypertension arising from venous disease (NHS 2009). Veins in the body are thin walled vessels that return blood to the heart through the action of skeletal muscle pumps (Morison and Moffatt 1994). The venous system has valves that prevent the retrograde or backward flow of blood. The venous system in the leg has two main components, the superficial veins and deep venous channels, communicating veins connect these two (Porth 2002). Blood from the skin and the subcutaneous tissues flows from the superficial veins through the communicating veins and into the deep venous channels, it then returns to the heart. At regular intervals, usually at junctions where two veins meet, there are venous valves that prevent retrograde blood flow (Tortora and Grabowski 2000). The action of the leg muscles assist in this movement of venous blood back to the heart. The muscle pumps are located in the gastrocnemius and…

    • 462 Words
    • 2 Pages
    Good Essays
  • Good Essays

    2

    • 563 Words
    • 2 Pages

    Diabetes is a growing problem in America. An estimated 25.8 million people – more than 8% of the population – have diabetes. Knowing the risk factors for type 2 diabetes, a condition in which the body does not produce or properly use insulin, a hormone needed to convert food into energy necessary for daily life, may help individuals delay or prevent the disease. In fact, many lifestyle choices can reduce one’s chance of developing type 2 diabetes,…

    • 563 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Mrs. MH is a 72 year old woman who has a primary diagnosis of Diabetes Mellitus Type II. Her secondary diagnosis and the reason why she was referred to Hackensack home health agency was a non-healing wound on the second toe of her right foot. Upon assessment of the patient, current health needs which were identified pertain to wound care, nutrition, and proper management of Diabetes through compliance with insulin treatment, and knowledge on prevention of hypoglycemic and hyperglycemic episodes. The current plan of care for Mrs. MH and the visit skill relate to wound care and Diabetes self-management.…

    • 1660 Words
    • 7 Pages
    Better Essays
  • Powerful Essays

    Preventing Type 2 Diabetes

    • 23987 Words
    • 96 Pages

    Tuomilehto J, Lindstrom J, Eriksson JG et al. (2001) Prevention of type 2 diabetes mellitus by…

    • 23987 Words
    • 96 Pages
    Powerful Essays
  • Good Essays

    Diabetic Foot Ulcers

    • 695 Words
    • 3 Pages

    234). It is estimated that the cost of diabetic foot ulcers is between 5 to 14 billion dollars annually (Guffanti, 2014). The need for new research on ways to decrease diabetic foot ulcers is extremely important in order to control this epidemic cost to the stakeholders (hospitals, patients, and communities). “Stakeholders include all individuals or groups who will be directly or indirectly affected by the change or a solution to the problem” (Guffanti, 2014, p. 234). Stakeholders involved in this proposal will include management, nurses, patients with diabetic foot ulcers, and the community surrounding this area. Diabetic foot ulcers do not happen overnight, but is a long process that is influenced by many factors that need to be addressed. Change agents (person(s) inside/outside the organization) can help the facility focus on organizational effectiveness, improvements, and developments that can transform the issue (diabetic foot ulcers) (Guffanti, 2014). Change agents will be the nurses actively involved in this proposal, so it will be important to involve them throughout the process to have a better outcme. Consistent systematic research results can then be applied in new treatment plans (NPWT) for all the parties involved. This institution, nurses, and…

    • 695 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Type II Diabetes is a rapidly growing disease in our country. Unfortunately, many of us know at least one person who battles through this metabolic disease. I chose the article titled The sugar disease-understanding type 2 diabetes mellitus written by Georgina Casey to review and learn from. This article was found in the Continuing Professional Development +Nurses Journal published in March 2011. My grandmother has battled with this disease for many years and it has slowly progressed to cause multiple health complications. She continues to battle this disease both physically and financially. With an extensive family history and seeing the effects it can have on a person, I found it important to educate myself and learn more about this disease.…

    • 867 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Diabetes mellitus is a global health problem that affects more than 387 million individuals which leads to multiple comorbidities and estimates a loss of $245 billion in medical cost and loss of wage (Tchanque-Fossuo, et al., 2016). One of the most common and serious complication of diabetes mellitus is diabetic foot ulcer. Approximately 15% percent of diabetic patients will develop a foot ulcer in their lifetime and 6-40% of diabetic patients must receive a limb amputation (Kajagar, Godhi, Pandit, & Khatri, 2012). Currently, diabetic foot ulcer accounts for more than 60% percent of non-traumatic lower limb amputation (Tchanque-Fossuo, et al., 2016).…

    • 1372 Words
    • 6 Pages
    Good Essays
  • Good Essays

    It can be argued that there is no greater health concern in the world, and in particular, the United States than the rapidly increasing number of people diagnosed with diabetes. Relatively recent changes to the diet and lifestyle of the general public have created a "perfect storm" of conditions that seem to perpetuate the onset of diabetes in an increasing number of people on a daily basis.…

    • 1012 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Nursing

    • 12029 Words
    • 49 Pages

    Patients with diabetes need to understand what diabetes is. Patients who understand what diabetes is and the complicated process associated with the disease are more likely to comply with the prescribed regimen. Diabetes Mellitus is a syndrome with disordered metabolism and inappropriate hyperglycemia due to either a deficiency of insulin secretion or to a combination of insulin resistance and inadequate insulin secretion to compensate (Davis, 2001). Diabetes is a chronic progressive disease that requires lifestyle changes, especially in the areas of nutrition and physical activity. The overall goal of medical and nutritional therapy is to assist persons with diabetes in making self-directed behavioral changes that will improve their overall health (Franz, 2012). Blood glucose monitoring and goals of blood glucose monitoring…

    • 12029 Words
    • 49 Pages
    Powerful Essays
  • Powerful Essays

    Lifestyle and Diabetes

    • 1705 Words
    • 7 Pages

    Diabetes is a disease that afflicts millions of people worldwide each and every year. For many, diabetes has been with them for their entire lives, others however develop diabetes as they grow older. According to the World Health Organization, (WHO, 2011) 346 million people worldwide have diabetes. Approximately 3.4 million people died from consequences of high blood sugar in 2004 of which more than 80% of diabetes occur in low- and middle-income countries. It was also projected that the number of deaths as a result of diabetes will double between 2005 and 2030. Currently, diabetes imposes a large economic burden on the national healthcare system. Healthcare expenditures on diabetes account for 11.6% of the total healthcare expenditure in the world in 2010.…

    • 1705 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    From the outsider's perspective a diabetic’s life has most likely taken shape into many stereotypes. Without there being a 1st hand connection to this disease, or the proper education, there are many gaps between the standard knowledge and the specialized information that goes along with type 1 and 2 diabetes. Managing diabetes and prediabetes is challenging, especially when those around you of skills were not given the proper form to assist themselves or others concerning the nutritional and the process of digestion.…

    • 1015 Words
    • 5 Pages
    Good Essays
  • Best Essays

    Long Term Conditions

    • 2612 Words
    • 11 Pages

    National Institute of Health and Clinical Excellence (NICE) 2009 The Management of Type 2 Diabetes…

    • 2612 Words
    • 11 Pages
    Best Essays
  • Powerful Essays

    Reflection-Leg Ulcers

    • 2209 Words
    • 9 Pages

    Hack, A. (2003) Leg ulcers wounds - taking the patient 's perspective into account. Journal of Wound Care; 12: 8, 319-321.…

    • 2209 Words
    • 9 Pages
    Powerful Essays
  • Better Essays

    Health Promotion

    • 1091 Words
    • 5 Pages

    Health of an individual can be defined as a state free of illness, having a healthy behavior and a good state of mind. Health care industry is now focused on preventing illness by promoting wellness enhancing strategies which nurses have an important role to play as care provider and educator. Levels of preventive care are primary prevention – health education, immunization and fitness activities, secondary prevention – diagnosis and prompt intervention and tertiary prevention – minimizing the effect of long term disease.…

    • 1091 Words
    • 5 Pages
    Better Essays