Guideline for Management of Wounds in Patients with Lower-extremity Wounds Due to Diabetes Mellitus And/or Neuropathic Disease
Guideline for Management of Wounds in Patients with Lower-extremity Wounds Due to Diabetes Mellitus And/or Neuropathic Disease

Author: Phyllis A. Bonham

Publisher:

Published: 2021

Total Pages: 0

ISBN-13:

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"Millions of individuals in the United States and worldwide have diabetes mellitus that is often complicated by peripheral neuropathy and/or ischemia due to lower-extremity arterial disease, which leads to foot ulceration and limb loss at great cost to the individual and the health-care system. Therefore, specialized, evidence-based wound care for those individuals is an area of great need. This third edition of the WOCN Society’s Guideline for Management of Patients with Lower-Extremity Wounds Due to Diabetes Mellitus and/or Neuropathic Disease is the result of a systematic search, review, and synthesis of evidence from literature published from January 2014 through May 2018 with some relevant updates from 2019–2021 during the consensus review process. The target audience for the guideline includes wound, ostomy, and continence (WOC) specialty nurses and other health-care professionals who specialize in, direct, or provide wound care for patients with/or at risk for lower-extremity (LE) wounds due to diabetes mellitus and/or neuropathic disease (DM/ND). The guideline lists 72 specific recommendations along with summaries of the supporting evidence for screening and diagnosis, assessment, and management of patients with LE wounds due to DM/ND. Topics include the following: Comprehensive assessment and examination of the patient and lower extremities; Vascular assessment/tests; Examination of feet for peripheral neuropathy and loss of protective sensation; Identification/stratification of foot risk; Wound assessment, classification, and management; Off-loading and wound protection; Identification, diagnosis, and treatment of infection and osteomyelitis; Neuropathic pain management; Lifestyle measures to influence wound healing; Non-Surgical management of Charcot foot; Adjunctive therapies; Surgical interventions, Strategies including patient education to prevent wounds and/or adverse outcomes. In addition, the guideline provides a guide for applying evidence-based knowledge to clinical practice" --

Lower Extremity Wounds
Lower Extremity Wounds

Author: Karen Ousey

Publisher: John Wiley & Sons

Published: 2008-04-30

Total Pages: 310

ISBN-13: 0470697903

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Lower limb wounds are frequently observed in clinical practice and often present a real challenge for health care practitioners. Lower extremity wound care requires a multidisciplinary approach involving a number of different health care professionals in order to achieve optimum patient care. Nurses and podiatrists, in particular, are frequently involved in the assessment and management of lower extremity wounds, often working in partnership. Lower Extremity Wounds: A problem-based learning approach is the first wound care book that has been written as a joint venture by experienced nurses and podiatrists, all with expert knowledge in wound care. It highlights the importance of multi-professional collaboration to encourage the crossing and dismantling of professional boundaries, to increase understanding of each other's roles, and ultimately to ensure that the patient receives the best available evidence-based interventions during their health care journey. Taking a problem-based learning approach, each of the ten chapters highlights best practice in the management of wounds by type, discusses clinical guidelines and current evidence, and links this theory to a clinical scenario thus bridging the theory to practice gap. Numerous full-colour illustrations are used throughout the book to visually enhance the reader's learning. Aimed at both students and practitioners, this book is essential reading for anyone involved in lower extremity wound care.

Management of Diabetic Foot Complications
Management of Diabetic Foot Complications

Author: Clifford P. Shearman

Publisher: Springer

Published: 2015-02-04

Total Pages: 227

ISBN-13: 1447145259

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​Public and political concern about the increasing prevalence of diabetes has prompted major concern about treatment of patients with the condition. Foot complications are some of the commonest causes of hospitalisation of people with diabetes and if not treated well often lead to amputation. There is evidence that 85% of these amputations can be prevented by better understanding of the problem and by multi-disciplinary teams working more effectively together. This has been recognised and NICE have recently published guidelines on diabetic foot complications as have Diabetes UK and NHS Diabetes. These have been successful in raising awareness of the problem but the local multi-disciplinary teams need clear practical advice on how to manage the foot in diabetes and deliver high quality care. With the current interest in improving outcomes for patients with foot complications this is an ideal time to make a practical evidence-based handbook available. This book will provide clear practical guidelines on how to manage all aspects of the foot in diabetes as well as an in-depth analysis of the most recent evidence. The book will be based on care pathways with algorithms for each section so it would be of practical value in any clinic in primary or secondary care. It will appeal to a wide range of health care professionals treating people with diabetes: vascular surgeons and trainees, orthopaedic surgeons, diabetes specialist nurses, podiatrists and tissue viability nurses.​

The Diabetic Foot
The Diabetic Foot

Author: Robert Hinchliffe

Publisher: JP Medical Ltd

Published: 2014-09-08

Total Pages: 18

ISBN-13: 1907816623

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The incidence of diabetes is increasing both in the western world and in developing countries; type 2 diabetes increase is partly the result of greater obesity. Diabetes can cause two major problems to the foot – diabetic neuropathy resulting in nerve damage and peripheral vascular disease reducing the flow of blood. These can result in ulceration of the foot which needs careful management to avoid the possibility of amputation. This management is best undertaken by multidisciplinary teams using the latest evidence to support their practice. This book presents a comprehensive and authoritative coverage of the latest evidence-based investigations, techniques and management of the diabetic foot. Evidenced-based management of the diabetic foot International, multidisciplinary team of editors and contributors Comprehensive reference for all health professionals involved in the care of diabetic foot problems

Acute and Chronic Wounds - E-Book
Acute and Chronic Wounds - E-Book

Author: Ruth Bryant

Publisher: Elsevier Health Sciences

Published: 2023-05-18

Total Pages: 851

ISBN-13: 0323776361

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Acute & Chronic Wounds, 6th Edition provides the latest diagnostic and treatment guidelines to help novice to expert clinicians provide evidence-based, high-quality care for patients with wounds. This textbook presents an interprofessional approach to maintaining skin integrity and managing the numerous types of skin damage, including topics that range from the physiology of wound healing, general principles of wound management, special patient populations, management of percutaneous tubes, and specific care instructions to program development. Written by respected wound experts Ruth Bryant and Denise Nix, this bestselling reference also provides excellent preparation for all wound certification exams. Comprehensive approach addresses the prevention and management of acute and chronic wounds, making it the preeminent resource for skin health and wound management across all disciplines involved in wound care, from novice to expert. Learning Objectives at the beginning of each chapter emphasize the most important content. Clinical Consult feature in each chapter provides a synthesis of the chapter content, illustrating how to assess, manage, and document a realistic clinical encounter using the ADPIE or SBAR framework. Checklists provide a concise list of actions necessary to achieve the best patient care outcomes or satisfy a particular objective. Practical tools and algorithms help in performing risk assessment, differential diagnosis, classification, treatment, and documentation. Coverage of practice development issues addresses outcomes and productivity in agencies and institutions, home care, acute care, long-term care, and long-term acute care settings. Self-assessment questions help you test your knowledge and prepare for certification exams. Helpful appendices provide answers to self-assessment questions, as well as various tools, policies and procedures, competencies, patient and family education guidance, and more. NEW! Chapters on Postacute Care Settings; Telehealth and Wound Management; Quality Tracking Across the Continuum; and Medications and Phytotherapy: Impact on Wounds provide evidence-based coverage of these important topics. UPDATED! Consolidated pressure injuries content puts everything you need to know into one chapter. Expanded full-color insert includes 50 new images — for a total of 95 color plates with more than 160 images — that visually reinforce key concepts. New information presents the latest developments in biofilm assessment and management, topical oxygen therapy, skin manifestations related to COVID-19, and strategies to enhance engagement, as well as updated product photos and more authors who are clinical experts and providers.

Acute and Chronic Wounds
Acute and Chronic Wounds

Author: Ruth Bryant

Publisher: Elsevier Health Sciences

Published: 2015-11-24

Total Pages: 670

ISBN-13: 0323316212

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Prevent and manage wounds with this expert, all-inclusive resource! Acute & Chronic Wounds: Current Management Concepts, 5th Edition provides the latest diagnostic and treatment guidelines to help you provide quality care for patients with wounds. This textbook presents an interprofessional approach to maintaining skin integrity and managing the numerous types of skin damage including topics that range from the physiology of wound healing, general principles of wound management, vulnerable patient populations, management of percutaneous tubes, and specific care instructions to program development. Written by respected nursing educators Ruth Bryant and Denise Nix, this bestselling reference also provides excellent preparation for all wound certification exams. A comprehensive approach to the care of patients with acute and chronic wounds guides students and health care providers to design, deliver and evaluate quality skin and wound care in a systematic fashion; the comprehensive approach includes the latest advances in diagnosis, differentiation of wound types, nutrition, prevention, treatment, and pharmacology. Self-assessment questions and answers in each chapter help you assess your knowledge and prepare for all wound certification exams. Checklists offer a concise, easy-to-read summary of the steps needed to achieve the best patient care outcomes. Risk assessment scales help in determining a patient's risk for developing a wound, and wound classification tools identify the proper terminology to be used in documentation. Learning objectives at the beginning of each chapter focus your study on the most important content. Principles for practice development boost outcomes and productivity in agencies and institutions, home care, acute care, long-term care, and long-term acute care settings. NEW coverage includes the latest guidelines from WOCN, AAWC, NPUAP, EPUAP, and PPPIA, and the American College of Physicians. New sections cover the prevention and management of biofilm, the new skin tear classification system, MASD and MARCI, CTP terminology and classification scheme, and integration of the Health Belief Model. NEW! Additional full-color photographs show the differential diagnosis of types of skin damage, management of fistulas, and NPWT procedures. NEW! Clinical Consult features help in applying concepts to clinical practice, showing students and health care professionals how to assess, manage, and document real-life patient and staff encounters using the ADPIE framework. NEW two-color illustrations and design make the book more visually appealing.

Clinical Care of the Diabetic Foot
Clinical Care of the Diabetic Foot

Author: David Armstrong

Publisher: American Diabetes Association

Published: 2016-01-12

Total Pages: 154

ISBN-13: 1580405703

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The third edition of Clinical Care of the Diabetic Foot has been fully revised and updated, and it will continue to be the essential handbook on foot care and the treatment of the diabetic foot. The diabetic foot is typically the victim of nerve damage, micro- and macrovascular disease and faulty healing, mechanisms that without proper care can lead to amputation. More than 80,000 diabetes-related amputations are performed in the United States each year, but non-specialist primary care providers, as well as residents, nurses, and diabetes educators, can help prevent this devastating, life-altering, and expensive complication. Healthcare professionals and medical students alike will find that this concise, well-indexed, and updated guide offers practical advice on detecting and managing diabetes-related foot complications.