Keeping the diabetic foot healed How effective is the Newcastle Foot Protection Team?
|
|
- Reynard McCoy
- 5 years ago
- Views:
Transcription
1 Keeping the diabetic foot healed How effective is the Newcastle Foot Protection Team? Linda Robertshaw Advanced Podiatrist Nicola Coates Principal Podiatrist (Diabetes)
2 Background Risk factors for diabetic foot ulceration Peripheral arterial disease Peripheral neuropathy Foot deformity Previous history of foot ulceration Newcastle Podiatry Department Diabetes caseload by category 0 risk factors = Low risk (DBL) 1 risk factor = Increased risk (DBI) 2 risk factors = High risk (DBH) History of previous foot ulcer Current foot ulceration = High risk (DBH) = Ulcerated (DBU)
3 Newcastle Podiatry Clinical Guideline Diabetic Foot Risk Classification Revised July 2014 (Review July 2016) DBL LOW DBI INCREASED DBH HIGH DBU ULCERATED Priority 5 Priority 4 Priority 2 Priority 1 8/8 monofilament score OR < 25v neurothesiometer score AND < 8/8 monofilament score OR >25v neurothesiometer score (or unreliable test result) OR <8/8 monofilament score or >25 neurothesiometer score (or unreliable test result) AND /OR v4 Current diabetic foot ulcer (after 1 month of ulcer healing then change back to DBH). At least one pulse on each foot palpable OR At least one Pulse on each foot triphasic or biphasic with Doppler No signs of ischaemia or rest pain or symptoms of intermittent claudication AND No foot deformity or lesions or History of foot ulcer Both pulses on at least one foot absent to palpation, OR Both pulses on at least one foot monophasic with Doppler, OR Previous lower limb angioplasty or bypass surgery OR Rest pain or symptoms of intermittent claudication OR Foot deformity with resulting pressure area /lesion including nail pathologies, corns, callous Eye sight problems Immunosuppressant therapy or conditions including pancreas transplant patients Renal Dialysis Both pulses on at least one foot absent to palpation, OR Both pulses on at least one foot monophasic with Doppler, OR Previous lower limb angioplasty or bypass surgery OR Rest pain or symptoms of intermittent claudication AND/OR Foot deformity with resulting pressure area/lesion including nail pathologies, corns, callous Eye sight problems History of foot ulcer or amputation Immunosuppressant therapy or conditions including pancreas transplant patients Renal dialysis No risk factors 1 risk factor 2 or more risk factors Diabetes leaflet 1,2 as appropriate Diabetes leaflet 1,2,3,4 as appropriate Diabetes leaflet 1,2,3,4,5,6 as appropriate Diabetes leaflet 2,3,4,5,6 as appropriate Annual Review minimum 6 monthly minimum 3 monthly minimum As requested by Podiatrist. (NICE CG010 recommendation) (NICE CG010 recommendation) (NICE CG010 recommendation) (NICE CG010 recommendation) If no treatment required Discharge Basic package with Podiatry Assistant Basic package with Podiatry Assistant or CC for treatment and assessment for annual assessment only to GP or cc package for preventative cc package for preventative treatment with podiatrist Practice or Newcastle Diabetes treatment with Podiatrist. with Podiatrist. Centre (wherever patient has annual review) First diabetic assessment with podiatrist then Annual Podiatry assistant Screening (as per pathway for diabetic foot assessment) Basic Appointment as available if clinically required Annual Diabetic assessment with Podiatrist or annual PAS if basic care only required. Annual Diabetic Assessment with Podiatrist Refer to NDC up to 6 weeks of duration and not healing. If unable to refer to NDC then discuss with Diabetes team lead as per Newcastle Diabetes Footcare Pathway Not more than 8 weeks overdue Must not be overdue Appointment booked by Podiatrist, or to be offered on time
4 All patients with Diabetes and a Newcastle GP As per NICE CG010 24,000 contacts for patients with Diabetes in 2012/13 Stage 1 Annual foot assess only GP practice, or consultant (Training delivered by podiatry) LOW RISK PTS Stage 2 Community podiatry Annual assess and treatment Podiatrist or pod assistant Risk Categorised 6,600 patients Stage 3 Diabetes Centre Podiatry assess & treatment of Complex foot 300 pts. Stage 4 Medical foot clinic Diabetes Centre Multi- Disciplinary management of complex & Acute Diabetic foot 60 pts. Patient with Diabetes admitted to a Newcastle hospital ( as per NICE CG )
5 Audit protocol Aim To establish the percentage of patients with a previously healed diabetic foot ulcer who remain ulcer-free at 24 months and, for those who did re-ulcerate, the time they remained ulcer-free. Standard 58% of patients with a previously healed foot ulcer remained ulcer-free at 6 months follow up. (Pound et al. Diab Med. 2005)
6 Sample People with diabetes classified as DBH with a history of a previously healed diabetic foot ulcer and who attended one of the Newcastle Community Podiatry Clinics during the period of January 2011 to December Data collection Length of time, in months, between the one diabetic foot ulcer healing and another diabetic foot ulcer occurring (in a follow up period of 24 months). Age Sex Type of diabetes
7 Results Results Total number of patients with a healed diabetic foot ulcer who attended a Community Podiatry clinic between January 2011 and December 2012 = 83 Number of patients remaining in the audit = 72 Number of these patients who died during the 24 month period (remaining healed up to that point) =11 (13%) Number who re-ulcerated during the 24 month period = 27 Number of patients remaining ulcer-free for at least 24 months = 45 (62%) This is comparable to the 58% from the previous audit by Pound et al.
8 Median of 4.2 months in audit by Pound et al Median of 10.5 months in this Newcastle audit.
9 11 patients remained healed up to their deaths: 13% (same % as audit by Pound et al) 7 males 4 females All Type 2 DM Mean age 80 (range 64 92) 72 remaining patients: 39 males 33 females 2 Type 1 DM 70 Type 2 DM Mean age 71 (range 35 95)
10 Characteristics of the group who re-ulcerated: 18 males 9 females 2 Type 1 DM 25 Type 2 DM Mean age 73 (age range 43 87) Characteristics of the group who remained healed: 21 males 24 females All Type 2 DM Mean age 71 (age range 35 95)
11 Conclusion This sample is transferable to all of Newcastle because services are delivered equally to all clinics and waiting lists are managed across the city; not per site. So, in conclusion, we can say that the Newcastle Foot Protection Team 62% of the HIGHEST RISK patients ulcer-free for at least 2 years.
12 Follow-up audit The 45 patients remaining ulcer-free at 24 months will be re-audited next year to monitor how many have remained ulcer-free for 36 months.
The Diabetic Foot Screen and Management Foundation Series of Modules for Primary Care
The Diabetic Foot Screen and Management Foundation Series of Modules for Primary Care Anita Murray - Senior Podiatrist Diabetes, SCH Learning Outcomes Knowledge of the Model of Care For The Diabetic Foot
More informationDiabetes Foot Screening and Risk Stratification Tool
Diabetes Foot Screening and Risk Stratification Tool Welcome to the Diabetes Foot Screening and Risk Stratification Tool This tool is based on the work of the Scottish Foot Action Group (SFAG). It has
More informationImplementing the updated NICE Guidance on the Diabetic Foot
Implementing the updated NICE Guidance on the Diabetic Foot Rachel Berrington Senior Diabetes Specialist Nurse Foot Lead University Hospitals of Leicester NHS Trust Key Priorities for Implementation NG19
More informationSix step guide to improving diabetes footcare. Putting feet. first
Six step guide to improving diabetes footcare Putting feet first In England there are over 140 leg, foot or toe amputations a week. Diabetes related amputations and foot ulcers cost the NHS in England
More informationModel of Care for the Diabetic Foot
Model of Care for the Diabetic Foot National Clinical Programme for Diabetes Clinical Strategy and Programme Division 2018 Revision number Document drafted by National Clinical Programme for Diabetes Working
More informationService Development Tool for the Assessment of Provision of Services for Patients with Diabetes Related Foot Problems
Division of Medicine & Community Services Service Development Tool for the Assessment of Provision of Services for Patients with Diabetes Related Foot Problems Graham Holt Advanced Practitioner / Podiatrist
More informationThe Diabetic Foot Latest Statistics
The Diabetic Foot Latest Statistics There are 2.6 million people with diagnosed diabetes in the UK. There are predicted to be 500,000 who have the condition but are unaware of it. There are 11,859 in TH
More informationTHE DIABETIC FOOT. Nicola Kilburn Diabetes Specialist Podiatrist
THE DIABETIC FOOT Nicola Kilburn Diabetes Specialist Podiatrist Diabetic foot disease is associated with significant morbidity and mortality. Foot screening is effective in identifying an individuals risk
More informationIs there a role for a Vascular Specialist Podiatrist in the diabetes MDfT / FPT?
Is there a role for a Vascular Specialist Podiatrist in the diabetes MDfT / FPT? Martin Fox BSc FFPM RCPS(Glasg) Vascular Specialist Podiatrist North Manchester Leg Circulation Service Pennine Acute Hospitals
More informationFoot Ulcer Workshop: Prevention and Management of Diabetic Foot Ulcers. Aparna Pal, Consultant Endocrinologist, RBH Keith Hilston, Podiatrist, BHFT
Foot Ulcer Workshop: Prevention and Management of Diabetic Foot Ulcers Aparna Pal, Consultant Endocrinologist, RBH Keith Hilston, Podiatrist, BHFT High mortality and morbidity Complex condition, longterm
More informationManagement Of The Diabetic foot
Management Of The Diabetic foot Aims, Pathways, Treatments Nikki Coates 12/1/18 Diabetic foot pathology Neuropathy Foot deformity Vascular disease Sensory neuropathy Limited Joint Mobility Smoking Autonomic
More informationRenal Foot Care. Christian Pankhurst
Renal Foot Care Christian Pankhurst The consequences of poor management of the renal foot are considerable: prolonged ulceration and ill health, gangrene and amputation, depression and death. The health
More informationRoot Cause Analysis The Tools. Angie Abbott Head of Podiatry and Orthotics Torbay and Southern Devon
Root Cause Analysis The Tools Angie Abbott Head of Podiatry and Orthotics Torbay and Southern Devon Why do RCA s? To understand if the amputation was avoidable or unavoidable Learn and improve Identify
More informationPatients with Diabetes Foot Care Commissioning Guidance and Sample Service Specification
Patients with Diabetes Foot Care Commissioning Guidance and Sample Service Specification Author: Abigail Kitt Email: england.secscns@nhs.net Web: www.secscn.nhs.uk Page 1 Version Date Details/provenance/comments
More informationThames Valley Strategic Clincal Network (TVSCN) Diabetes Footcare Pathway from average to excellent
Thames Valley Strategic Clincal Network (TVSCN) Diabetes Footcare Pathway from average to excellent Prepared by the TV SCN Diabetic Foot Reference Group October 2015 Version 1.6 1 Thames Valley Diabetes
More informationFoot protection for people with diabetes a focus on prevention
Foot protection for people with diabetes a focus on prevention Presentation by Mike Townson Independent Podiatry Consultant. Facilitated by Angela Farrell Neubourg Pharma UK Ltd. Foot Assessment training
More informationDiabetes Footcare Pathway from average to excellent
Thames Valley Strategic Clincal Network Diabetes Footcare Pathway from average to excellent Prepared by the TV SCN Diabetic Foot Reference Group November 2015 Thames Valley Diabetic Footcare Pathway, Version
More informationPutting feet first: national minimum skills framework
In partnership with Putting feet first: national minimum skills framework The national minimum skills framework for commissioning of footcare services for people with diabetes Revised March 2011 This report
More informationModel of care for the diabetic foot
Model of care for the diabetic foot Item type Authors Citation Publisher Report National Diabetes Programme Working Group National Diabetes Programme Working Group. Model of care for the diabetic foot.
More informationDiabetic Foot Services. Ketan Dhatariya Elsie Bertram Diabetes Centre Norfolk & Norwich University Hospital
Diabetic Foot Services Ketan Dhatariya Elsie Bertram Diabetes Centre Norfolk & Norwich University Hospital Objectives 1. Background 2. Foot Screening 3. First line management ulceration 4. Management
More informationThe Diabetic foot. diabetic. foot. the
The Diabetic Some basic facts. Diabetes is on increase. Foot ulcers occur in 12% to 25% of people with diabetes. Diabetics who have had a ulcer are more likely to have a re occurrence. Diabetes is biggest
More informationRoot cause analysis of major lower limb amputations in diabetes 2013/14 at County Durham and Darlington Foundation Trust (CDDFT).
Root cause analysis of major lower limb amputations in diabetes 2013/14 at County Durham and Darlington Foundation Trust (CDDFT). By Dr Sara Haq GP Registrar, Durham and Tees Valley Deanery Diabetes Audit
More informationShaping Diabetes Services in Southern Derbyshire. A vision for Diabetes Services For Southern Derbyshire CCG
Shaping Diabetes Services in Southern Derbyshire A vision for Diabetes Services For Southern Derbyshire CCG Vanessa Vale Commissioning Manager September 2013 Contents 1. Introduction 3 2. National Guidance
More informationSUE MATTHEWS, 1 PAM SMITH, 1 PAUL CHADWICK, 2 VINCE SMYTH 3
Implementing a community-based structured exercise programme for patients with peripheral arterial disease in conjunction with an existing cardiac rehabilitation service results in better outcomes SUE
More informationDIABETIC FOOT BOOK THE. A guide to keeping it simple and preventing complications. Practice genii. the Diabetic Foot Book
DIABETIC THE FOOT BOOK A guide to keeping it simple and preventing complications Understanding how diabetes can affect foot health and the measures that are taken to prevent diabetic foot complications
More informationHOW TO SPOT A FOOT ATTACK PREVENTING SERIOUS FOOT PROBLEMS
HOW TO SPOT A FOOT ATTACK PREVENTING SERIOUS FOOT PROBLEMS Your foot check has shown that there is a high risk that you could develop serious foot problems 2 YOUR FEET MATTER If you ve been given this
More informationThe PodPAD project: a podiatry-led integrated pathway for people with peripheral arterial disease in the UK a pilot study
Farndon et al. Journal of Foot and Ankle Research (2018) 11:26 https://doi.org/10.1186/s13047-018-0269-y RESEARCH The PodPAD project: a podiatry-led integrated pathway for people with peripheral arterial
More informationOutcomes of diabetes care in England and Wales. A summary of findings from the National Diabetes Audit : Complications and Mortality reports
Outcomes of diabetes care in England and Wales A summary of findings from the National Diabetes Audit 2015 16: Complications and Mortality reports About this report This report is for people with diabetes
More informationVASCULAR WOUNDS PATHOPHYSIOLOGY AND MANAGEMENT
VASCULAR WOUNDS PATHOPHYSIOLOGY AND MANAGEMENT Lucy Stopher, A/CNS Vascular Surgery ...it is best to think of a wound not as a disease, but rather as a manifestation of disease. Joe McCulloch In order
More informationDiabetes outcomes Keystone 17 July 2014
Diabetes outcomes Keystone 17 July 214 How diabetes outcomes have changed over the past 3 years JBN: 194,119.11 Date of Prep: June 214 Professor Philip Home Newcastle University How diabetes outcomes have
More informationA retrospective chart review will be done at the start and end of the study (anticipated 1 year duration) measuring rates of the following:
Project name: Renal Foot Care Program Supervisor: Shaoyee Yao Background: Hemodialysis patients have significant co-morbidities including diabetes, peripheral vascular disease, neuropathy and lower limb
More informationUniversity of Huddersfield Repository
University of Huddersfield Repository Newton, Veronica and Roberts, Peter Foot Inspection or Foot Assessment? Original Citation Newton, Veronica and Roberts, Peter (2011) Foot Inspection or Foot Assessment?
More informationDiabetic Foot Pathophysiology. Professor Donald G. MacLellan Executive Director Health Education & Management Innovations
Diabetic Foot Pathophysiology Professor Donald G. MacLellan Executive Director Health Education & Management Innovations AGEs & RAGEs in Diabetes AGE levels increased & RAGEs highly expressed in diabetic
More informationPractical Point in Holistic Diabetic Foot Care 3 March 2016
Diabetic Foot Ulcer : Vascular Management Practical Point in Holistic Diabetic Foot Care 3 March 2016 Supapong Arworn, MD Division of Vascular and Endovascular Surgery Department of Surgery, Chiang Mai
More informationA Whole Pathway Integrated Approach to Improving Foot Care
A Whole Pathway Integrated Approach to Improving Foot Care Excellence in Action London Foot Care Network 4 th Feb 2016 Georgina Cunningham, Commissioning Manager LTC, Southampton City Integrated Commissioning
More informationEVALUATION OF THE VASCULAR STATUS OF DIABETIC WOUNDS Travis Littman, MD NorthWest Surgical Specialists
EVALUATION OF THE VASCULAR STATUS OF DIABETIC WOUNDS Travis Littman, MD NorthWest Surgical Specialists Nothing To Disclosure DISCLOSURES I have no outside conflicts of interest, financial incentives, or
More informationIntegrated Community Diabetes Services (ICDS) GP Referral Guide Version 3 - October 2014
Integrated Community Diabetes Services (ICDS) GP Referral Guide Version 3 - October 2014 Introduction The Integrated Community Diabetes Service (ICDS) will deliver high quality care to individuals who
More informationA new classification of the diabetic ischaemic foot promotes a modern approach to treatment. Michael Edmonds King s College Hospital London
A new classification of the diabetic ischaemic foot promotes a modern approach to treatment Michael Edmonds King s College Hospital London Disclosure Speaker name: Michael Edmonds... I have the following
More informationPeripheral Arterial Occlusive Disease- The Challenge in patients with diabetes
Peripheral Arterial Occlusive Disease- The Challenge in patients with diabetes Ashok Handa Reader in Surgery and Consultant Surgeon Nuffield Department of Surgery University of Oxford Introduction Vascular
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE QUALITY AND OUTCOMES FRAMEWORK (QOF) INDICATOR DEVELOPMENT PROGRAMME QOF indicator area: Diabetes Briefing paper Potential output: Recommendations
More informationType 2 diabetes: prevention and management of foot problems
Type 2 diabetes: prevention and management of foot problems NICE guideline Revised version Second draft for consultation, August 2003 If you wish to comment on the recommendations, please make your comments
More informationPeripheral Arterial Disease: Diagnosis and Management
National Institute for Health and Care Excellence Consultation Peripheral Arterial Disease: Diagnosis and Management [A] Evidence review for determining diagnosis and severity of PAD in people with diabetes
More informationLimb Salvage in Diabetic Ischemic Foot. Kritaya Kritayakirana, MD, FACS Assistant Professor Chulalongkorn University April 30, 2017
Limb Salvage in Diabetic Ischemic Foot Kritaya Kritayakirana, MD, FACS Assistant Professor Chulalongkorn University April 30, 2017 Case Male 67 years old Underlying DM, HTN, TVD Present with gangrene
More informationHigh Risk Podiatry in a Vascular Setting; A new paradigm in Diabetic Foot Disease? Ereena Torpey Senior Podiatrist - FMC
High Risk Podiatry in a Vascular Setting; A new paradigm in Diabetic Foot Disease? Ereena Torpey Senior Podiatrist - FMC A new paradigm? Foot ulceration 101 Assessing Perfusion a new challenge Pressure
More informationSouth West Cardiovascular Clinical Network. Diabetes Foot Care Resource Pack
South West Cardiovascular Clinical Network Diabetes Foot Care Resource Pack January 2016 Contents Provider Resources Root Cause Analysis Guide Root Cause Analysis Summary Flowchart Examples of resources:
More informationREFERRAL GUIDELINES VASCULAR SURGERY
REFERRAL GUIDELINES VASCULAR SURGERY Referral Form: The GP Referral Template is the preferred referral tool (previously known as the Victorian Statewide Referral Form) GP Referral Template IMPORTANT: The
More informationHow can DIABETES affect my FEET? Emma Howard Specialist Podiatrist and Team Leader, Oxford Health NHS Foundation Trust
How can DIABETES affect my FEET? By: Emma Howard Specialist Podiatrist and Team Leader, Oxford Health NHS Foundation Trust HOW CAN DIABETES AFFECT MY FEET? What is neuropathy? This leaflet explains how
More informationa health care guide Care of your high-risk feet
a health care guide Care of your high-risk feet Why is it important? Certain medical conditions for example, diabetes, rheumatoid arthritis and circulation disorders can place your feet at high risk of
More informationASSESSING THE VASCULAR STATUS OF THE FEET FOR PATIENTS WITH DIABETES
ASSESSING THE VASCULAR STATUS OF THE FEET FOR PATIENTS WITH DIABETES Caroline McIntosh is Senior Lecturer in Podiatry, University of Huddersfield, Yorkshire A reduced blood supply to the lower limb, due
More informationDiabetes follow-up: What are the PHO Performance Programme goals and how are they best achieved? Supporting the PHO Performance Programme
Diabetes follow-up: What are the PHO Performance Programme goals and how are they best achieved? Supporting the PHO Performance Programme 48 BPJ Issue 39 What are the goals? The PHO Performance Programme
More informationThe Manchester Leg Circulation Service. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION The Manchester Leg Circulation Service An information guide The Manchester Leg Circulation Service Peripheral arterial disease Peripheral
More informationArterial Studies And The Diabetic Foot Patient
Arterial Studies And The Patient George L. Berdejo, BA, RVT, FSVU gberdejo@wphospital.org Disclosures I have nothing to disclose! Diabetes mellitus continues to grow in global prevalence and to consume
More informationDiabetes Mellitus. Medical Management and Latest Developments Dr Ahmad Abou-Saleh
Diabetes Mellitus Medical Management and Latest Developments Dr Ahmad Abou-Saleh What is Diabetes Mellitus? A disease characterised by a state of chronic elevation of blood glucose levels due to: - The
More informationMap 6: Percentage of people in the National Diabetes Audit (NDA) with Type 1 diabetes receiving all nine key care processes by PCT
78 NHS ATLAS OF VARIATION ENDOCRINE, NUTRITIONAL AND METABOLIC PROBLEMS Map 6: Percentage of people in the National Diabetes Audit (NDA) with Type 1 diabetes receiving all nine key care processes by PCT
More informationAWMA MODULE ACCREDITATION. Module Five: The High Risk Foot (Including the Diabetic Foot)
AWMA MODULE ACCREDITATION Module Five: The High Risk Foot (Including the Diabetic Foot) Introduction - The Australian Wound Management Association Education & Professional Development Sub Committee-(AWMA
More informationThe diabetic foot a focus on ischemia and infection
The diabetic foot a focus on ischemia and infection Stephan Morbach, MD Department of Diabetes and Angiology Marienkrankenhaus ggmbh Soest, Germany s.morbach@mkh-soest.de Epidemiology of Diabetic Foot
More informationDiabetes (DIA) Measures Document
Diabetes (DIA) Measures Document DIA Version: 2.1 - covering patients discharged between 01/07/2016 and present. Programme Lead: Liz Kanwar Clinical Lead: Dr Aftab Ahmad Number of Measures In Clinical
More informationThe aching, cramping pain of
Screening Identifying and treating intermittent claudication in people with diabetes Edward Jude, Judith Gibbons ARTICLE POINTS 1The most important risk factor for intermittent claudication (IC) is diabetes.
More informationDiabetic foot Ulcer Dressings Guidance and Referral Advice
Diabetic foot Ulcer Dressings Guidance and Referral Advice Approved By: Professional Advisory Forum Date: October 2002 Review Date: October 2003 Originator: Diabetic Foot Ulcer Working Group Diabetic foot
More informationClinical assessment of diabetic foot in 5 minutes
Clinical assessment of diabetic foot in 5 minutes Assoc. Prof. N. Tentolouris, MD 1 st Department of Propaedeutic Internal Medicine Medical School Laiko General Hospital Leading Innovative Vascular Education
More informationStoryboard submission
Storyboard submission Follow the detailed instructions in this template for writing a description of your storyboard. Type your information in each section below and save this completed storyboard document
More informationNational Diabetes Foot Care Audit Third Annual Report
National Diabetes Foot Care Audit Third Annual Report England and Wales 14 July 2014 to 31 March 2017 V1.0 14 March 2018 Introduction: Contents Key Introduction Key messages Care structures survey Participation
More informationPortfolio Guidelines
Assistant Practitioner Training Portfolio Guidelines Information for the External Examiner/ Supervising Podiatrist/ Assistant Practitioner The Assistant Practitioner will be eligible to be entered for
More informationClinical Guideline for: Diagnosis and Management of Charcot Foot
Clinical Guideline for: Diagnosis and Management of Charcot Foot SUMMARY This guideline outlines the clinical features of Charcot foot (Charcot Neuroarthropathy). It also explains the process of diagnosis
More informationDue to Perimed s commitment to continuous improvement of our products, all specifications are subject to change without notice.
A summary Disclaimer The information contained in this document is intended to provide general information only. It is not intended to be, nor does it constitute, medical advice. Under no circumstances
More informationLooking after your diabetic foot ulcer
Looking after your diabetic foot ulcer diabetes information and advice leaflet Emergency Action Plan FOOT ATTACK? If your foot is red, swollen or if you have breaks in the skin PHONE 07786250788 IMMEDIATELY.
More informationNational Vascular Registry
National Vascular Registry Angioplasty Patient Details Patient Consent* 2 Not Required If patient not consented: Date consent recorded / / (DD/MM/YYYY) Do not record NHS number, NHS number* name(s) or
More informationFixing footcare in Sheffield: Improving the pathway
FOOTCARE CASE STUDY 1: FEBRUARY 2015 Fixing footcare in Sheffield: Improving the pathway SUMMARY The Sheffield Teaching Hospitals NHS Foundation Trust diabetes team transformed local footcare services
More informationAdvice for People with Diabetes
General Foot Health Advice for People with Diabetes Podiatry - Diabetic Neuropathy Diabetic Neuropathy Diabetic Neuropathy is a term used to describe nerve damage which most commonly affects the leg and
More informationORTHOTICS COMPETENCY FRAMEWORK FOR THE PREVENTION, TREATMENT AND MANAGEMENT OF DIABETIC FOOT DISEASE - 1 -
ORTHOTICS COMPETENCY FRAMEWORK FOR THE PREVENTION, TREATMENT AND MANAGEMENT OF DIABETIC FOOT DISEASE - 1 - THE ORTHOTICS COMPETENCY FRAMEWORK FOR THE PREVENTION, TREATMENT AND MANAGEMENT OF DIABETIC FOOT
More informationNational Vascular Registry
National Vascular Registry Bypass Patient Details Patient Consent* 2 Not Required If patient not consented: Date consent recorded / / (DD/MM/YYYY) Do not record NHS number, NHS number* name(s) or postcode.
More informationDiabetes Foot and Skin Care. Diabetes and the feet. Foot problems: Major cause of morbidity and mortality
Session # 11 Diabetes Foot and Skin Care Betty Harvey, RNEC BScN MScN Amanda Mikalachki, RN BScN CDE Diabetes and the feet Diabetes affects circulation and immunity. Over time, the sensory nerves in the
More informationAppendix 1 Guide to foot screening 15 2 Crtical limb ischeamia 18 3 Community emergency clinic contact details 20
Foot Complications in People with Diabetes Prevention and Management of Classification: Clinical Guideline Lead Author: Dr Paul J Chadwick Additional author(s): Dr Adam Robinson Authors Division: CSS&TM
More informationScreening for diabetic foot complications
Screening for diabetic foot complications Classifying risk of ulceration 4 Normal sensation, palpable pulses, no deformity Evidence of neuropathy, absence of pedal pulse(s) Evidence of neuropathy, absence
More informationNational Clinical Conference 2018 Baltimore, MD
National Clinical Conference 2018 Baltimore, MD No relevant financial relationships to disclose Wound Care Referral The patient has been maximized from a vascular standpoint. She has no other options.
More informationThursday 25 October. Hall A
Thursday 25 October Hall A 14:00-15:15 : Neuropathy Diabetic neuropathy: Newer insights into pathogenesis and management Can we prevent diabetic neuropathy? Motor neuropathy: A neglected complication of
More informationRapid Foot Screening
GP Symposium 2015 Workshop Rapid Foot Screening Ms Chelsea Law, Principal Podiatrist Mr Henry Lee, Podiatrist Ms Ng Jia Lin, Podiatrist Ms Polly Lim, Podiatrist Ms Wong Wan Mun, Podiatrist Mr Yeo Boon
More information3-year results of the OLIVE registry:
3-year results of the OLIVE registry: A prospective multicenter study in patients with critical limb ischemia Osamu Iida, MD Kansai Rosai Hospital Cardiovascular Center Amagasaki, Hyogo, Japan Disclosure
More informationAN INTRODUCTION TO DOPPLER. Sarah Gardner, Clinical lead, Tissue viability service. Oxford Health NHS Foundation Trust.
AN INTRODUCTION TO DOPPLER Sarah Gardner, Clinical lead, Tissue viability service. Oxford Health NHS Foundation Trust. THE DOPPLER EFFECT The Doppler Principle was described by Physicist and mathematician
More informationLooking after your diabetic foot ulcer
Looking after your diabetic foot ulcer diabetes information and advice leaflet Emergency Action Plan FOOT ATTACK? If your foot is red, swollen or if you have skin breakdown RING 07786250788 IMMEDIATELY.
More informationA Pictorial Guide to Diabetic Foot Examinations
A Pictorial Guide to Diabetic Foot Examinations Author Mike Townson Supported by Foot Screening Competency Screening for the risk of foot ulceration and related complications in people with diabetes can
More informationPractical Point in Diabetic Foot Care 3-4 July 2017
Diabetic Foot Ulcer : Role of Vascular Surgeon Practical Point in Diabetic Foot Care 3-4 July 2017 Supapong Arworn, MD Division of Vascular and Endovascular Surgery Department of Surgery, Chiang Mai University
More informationIntermittent Claudication
Intermittent Claudication Exceptional healthcare, personally delivered Ask 3 Questions Preparation for your Appointments We want you to be active in your healthcare. By telling us what is important to
More informationEDUCATION. Peripheral Artery Disease
EDUCATION Peripheral Artery Disease Peripheral Artery Disease You may have circulation problems that have to do with your blood vessels. You may feel aches, pains, cramps, numbness or muscle fatigue when
More informationChronic oedema affects over 100,000
Diabetic foot ulceration: the impact of oedema KEY WORDS Compression therapy Diabetic foot ulceration Lower limb oedema Lower limb ulceration The impact of diabetic foot disease on people with diabetes
More informationDiabetes Public Meeting: Improving Diabetes Care in Hounslow
Diabetes Public Meeting: Improving Diabetes Care in Hounslow Report from the Public Meeting held on: Wednesday 18th March 2015 at Days Inn Hotel, 8 10, Lampton Rd, Hounslow Hounslow CCG Diabetes Public
More informationPeripheral Artery Disease Interventions Utilizing the Angiosomal Approach to the Complex Wound
Peripheral Artery Disease Interventions Utilizing the Angiosomal Approach to the Complex Wound Craig M. Walker, MD, FACC, FACP Chairman, New Cardiovascular Horizons Clinical Professor of Medicine Tulane
More informationAdvice for rheumatoid patients at risk of developing foot related problems
Advice for rheumatoid patients at risk of developing foot related problems Other formats If you need this information in another format such as audio tape or computer disk, Braille, large print, high contrast,
More informationRapid Recovery Hyperbarics 9439 Archibald Ave. Suite 104 Rancho Cucamonga CA,
Foot at risk Age Well By Dr LIEW NGOH CHIN Are limb amputations due to diabetes preventable? DIABETES mellitus is a major global health problem and has reached epidemic proportions in many developed and
More informationDiabetes Foot Care Clinical Pathway Healthcare Provider s Guide
Diabetes Foot Care Clinical Pathway Healthcare Provider s Guide Diabetes, Obesity & Nutrition Strategic Clinical Network Version 1.0 Acknowledgement This healthcare provider s guide has been adapted from
More informationDiabetes Services for Adults and Children In the Borough of Hounslow
NHS Hounslow Clinical Commissioning Group Green Zone (Pavilion CG) Ground Floor Civic Centre Lampton Road Hounslow TW3 4DN Diabetes Services for Adults and Children In the Borough of Hounslow Telephone:
More informationSummary of 2011/12 QOF indicator changes, points and thresholds
Summary of 2011/12 QOF indicator changes, points and thresholds Retirements 2010/11 QOF ID 2010/11 Indicator Wording Points Threshold CHD5 The percentage of patients with coronary heart disease whose notes
More informationFluorescent Angiography: Practical uses in the Clinical Setting
Fluorescent Angiography: Practical uses in the Clinical Setting Charles Andersen MD, FACS, MAPWCA Chief Vascular/Endovascular/ Limb Preservation Surgery Service (Emeritus) Chief of Wound Care Service Madigan
More informationDetection of peripheral vascular disease in patients with type-2 DM using Ankle Brachial Index (ABI)
Original article: Detection of peripheral vascular disease in patients with type-2 DM using Ankle Brachial Index (ABI) 1DR Anu N Gaikwad, 2 Dr Vikrant V Rasal, 3 Dr S A Kanitkar, 4 Dr Meenakshi Kalyan
More informationPUT YOUR BEST FOOT FORWARD
PUT YOUR BEST FOOT FORWARD Bala Ramanan, MBBS 1 st year vascular surgery fellow Introduction The epidemic of diabetes and ageing of our population ensures critical limb ischemia will continue to grow.
More informationPeripheral Arterial Disease (PAD) Protocol for Podiatrists. Version No 2.5 Review: April 2018
Livewell Southwest Peripheral Arterial Disease (PAD) Protocol for Podiatrists Version No 2.5 Review: April 2018 Notice to staff using a paper copy of this guidance The policies and procedures page of Intranet
More informationAssessment and Management of Wounds In Diabetes. Maria Mousley Northamptonshire NHS Foundation Trust
Assessment and Management of Wounds In Diabetes Maria Mousley Northamptonshire NHS Foundation Trust Background At least 61000 people with diabetes in England have a foot ulcer at any given time There are
More informationYour Orthotics service is changing
Your Orthotics service is changing Important for referrers on changes effective from January 2015 Why is the service changing? As demand for the orthotics service increases and budgets remain relatively
More informationSAVE LIMBS SAVE LIVES!
SAVE LIMBS SAVE LIVES! PAD Awareness: The Key to Limb Preservation By Frank J Tursi, D.P.M., F.A.C.F.A.S. Epidemiology Over 12 million people are afflicted with PAD 11 Million of these-dm 4 Million DFU
More informationDiabetes. Ref HSCW 024
Diabetes Ref HSCW 024 Why is it important? Diabetes is an increasingly common, life-long, progressive but largely preventable health condition affecting children and adults, causing a heavy burden on health
More information