Impact of a preventive program on amputation rates in the diabetic population.
Diabetic neuropathy and the resulting wounds often result in economic and social hardships for those afflicted. Simple steps such as routine foot inspection, fitting of appropriate shoes and orthotics, combined with patient education about the importance of self-care, can decrease the incidence of wounds in the diabetic population. Consistent follow-up with prompt treatment of wounds and management of callous formation to prevent further injury can result in fewer lower extremity amputations in the diabetic population. This article describes implementation of preventive care that led to a diminished hospitalization rate for nontraumatic amputations in our diabetic population.
King
Laura B
LB
Trinity Medical Center, Birmingham, AL, USA. LBking45@bellsouth.net
D000407:Alabama / Q000453:epidemiology; D000553:Ambulatory Care / Q000458:organization & administration; D000671:Amputation, Surgical / Q000009:adverse effects / Q000401:mortality / Q000706:statistics & numerical data*; D017281:Cost of Illness; D003646:Debridement; D017719:Diabetic Foot / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control* / Q000601:surgery; D006301:Health Services Needs and Demand; D006801:Humans; D008403:Mass Screening; D009730:Nursing Assessment; D010343:Patient Admission / Q000706:statistics & numerical data; D010348:Patient Care Team / Q000458:organization & administration*; D010353:Patient Education as Topic; D010808:Physical Examination; D011322:Primary Prevention / Q000458:organization & administration*; D015397:Program Evaluation; D012017:Referral and Consultation / Q000458:organization & administration; D018570:Risk Assessment; D012648:Self Care / Q000379:methods; D012775:Shoes; D017592:Skin Care / Q000379:methods* / Q000451:nursing; D014481:United States / Q000453:epidemiology