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WELCOME
DIABETIC FOOT CARE

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Foot problems are common in people with
diabetes. These problems include foot infection,
foot ulcer, lower extremity infec...

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Definition Of Foot Care :
Foot care involves all aspects of preventative and
corrective care of the foot and ankle. Doctor...

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Diabetic foot examination
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Diabetic Foot Care

Diabetes a known disease to everyone. If you are a diabetic patient & also have a wound then you are the person who know the sufferings. Here, we discussed about the care regarding diabetes. Following these, your sufferings will reduce. Thanks

Diabetes a known disease to everyone. If you are a diabetic patient & also have a wound then you are the person who know the sufferings. Here, we discussed about the care regarding diabetes. Following these, your sufferings will reduce. Thanks

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Diabetic Foot Care

  1. 1. WELCOME DIABETIC FOOT CARE
  2. 2. Foot problems are common in people with diabetes. These problems include foot infection, foot ulcer, lower extremity infection, narrowing the blood vessels etc. Without proper care foot problems lead to amputation. We might be afraid if we lose a toe, foot or leg to diabetes. But we can lower our changes of having diabetes foot problems by taking care our feet regularly. Close co-ordination among the podiatrist, orthotist, nurse, physician and surgeon is vital in the care of the diabetic foot. Introduction
  3. 3. Definition Of Foot Care : Foot care involves all aspects of preventative and corrective care of the foot and ankle. Doctors specializing in foot care are called podiatrists.
  4. 4. Purposes Of Foot Care: 1. To maintain mobility and function. 2. To prevent Ulcer. 3. To prevent injury of foot. 4. To promote early healing of foot. 5. To prevent infection 6. To safe the foot from amputation.
  5. 5. Risk Factors Of Foot Problem: 1. Duration of diabetes. 2. Older age. 3. Uncontrolled hyperglycemia. 4. Peripheral vascular disease. 5. Peripheral neuropathy. 6. Trauma 7. History of prior Ulcer amputation 8. Limited joint mobility. 9. Prolonged elevated pressures. 10. Structural foot deformity.
  6. 6. Causes Of Foot Problem  Poor circulation.  High blood sugar.  Nerve damage.  Trauma.  Irritated or wounded feet.  Infection  Smoking  Foot wear, example- Poorly fitting shoes  Deformities  Nerve damage.
  7. 7. Sign & Symptoms Of Diabetics Foot 1. Burning and painful feet. 2. Swelling of the feet or legs. 3. Loss of sensation to cold or touch. 4. Thickening and yellowing of the toenails. 5. Onset of red Spots, Blister sores, Ulcer, infected corner or ingrown toenails.
  8. 8. Treatment of diabetic foot • Conservative treatment: 1. Bed rest. 2. Intravenous antibiotics. 3. An intravenous insulin pump may be necessary to control the blood glucose level. • Surgical debridement: 1. To drain pus & abscess cavities. 2. To remove all necrotic & infected tissue. 3. If necrosis has developed in the digit, a ray amputation is necessary. 4. Skin grafting is needed after granulation tissue has developed which accelerates wound healing.
  9. 9. Complications  Neuropathy  Skin Change  Calluses  Sores  Foot Ulcer  Poor Circulation  Gangrene  Amputation
  10. 10. Prevention of Diabetic Foot Problem There are five key elements to prevent foot problems- 1. Identification of the at risk foot. 2. Regular inspection and examination of the at risk foot. 3. Education of the patient, family & health care providers. 4. Routine wearing of appropriate foot wear. 5. Treatment of pre-ulcerative signs.
  11. 11. There are a few foot care habits you can adopt & try to do everyday. Inspect Feet: Check feet and toes inspecting the tops sides, soles, heels and the area between the toes. If you are physically unable to inspect your own feet use a mirror or ask someone to help.
  12. 12. Wash feet : Wash feet everyday in worm water with mild soap. Hot water and harsh soaps can damage skin. Check the water temperature with fingers or elbow before putting feet in.
  13. 13. Dry Feet: Pad feet to dry them and make sure to dry well. Infection tend to develop in moist area.
  14. 14. Moisturize Dry Skin: If the skin or feet feels dry, use lotion or oil. Do not use lotion between toes.
  15. 15. Toenail Care: Here are a few tips for proper toenail care.  Trim toenails after washing feet, when nail are soft.  Do not cut into the corners.  Be careful not to cut toenails too short.
  16. 16. Foot Wear: Shoes And Socks Shoes: Choose Comfortable, well fitting shoes. Do not wear shoes made out of plastic or other materials. Wear shoes that can be adjusted with laces, buckles.
  17. 17. Socks:  Wear clean, dry socks.  Wear socks to bed if your feet are cold.
  18. 18. Healthy Foot Habit : Following good foot care habits will go a long way toward keeping your feet healthy . Here are a few helpful tips.  Antiseptic solution can burn your skin. Never use them on your feet without your doctor approval.  Never use a heating pad, hot water bottle, electric blanket on your feet.  Avoid walking barefoot, it causes sores or injuries that can get infected.  Protect your feet from heat and cold.
  19. 19. Nursing Care Plan Nursing Diagnosis Goals Nursing Intervention Evaluation Destruction of skin layers related to poor nerve supply. Maintain normal skin integrity. 1.Assess size, color and condition of surrounding skin. 2.Thoroughly wash the wound as soon as possible with soap and water for 5 minutes. 3.After washing, An Antiseptic solution must be applied in the wound area. Such as- povidone, iodine etc. 4.Keep the skin free from pressure. 5.Examine the wound. Gradually Maintain Skin Integrity.
  20. 20. Nursing Diagnosis Goals Nursing Intervention Evaluation Risk for infection related to inadequate primary defense. Prevent infection 1. Place the patient in wall ventilated room, clean or isolated room. 2. Should limit visitors or client. 3. Maintain personal hygiene. 4. Gently handling the patient. Gradually decrease risk of infection. Nursing Care Plan
  21. 21. Nursing Diagnosis Goals Nursing Intervention Evaluation Deficient knowledge about diabetic foot care. Provide appropriat e informatio n about foot care . 1. Explain about importance of care. 2. Encourage for maintaining of foot hygiene. 3. Avoid walking barefoot. 4. Were shoes and socks at all times. 5. I Regular visit to health care provider. Demonstrate knowledge about diabetic foot care. Nursing Care Plan
  22. 22. Summary: Diabetes is one of the non-communicable disease. Now, due to changes in life style & industrial process, incidence of diabetes & its complication have been increased. Accordingly Diabetic foot considered as a common complication of diabetes. Most of these complications can be prevented with careful foot care. If complication do occur, daily attention will ensure that they are detected before the become serious. It may take time and effort to build good foot care habits.
  23. 23. Reference: Medical-dictionary Thefreedictionary.com/foot+care www.healthline.com/helth/diabetes-foot-care www.emedicinehealth.com/diabetic-foot-care https:en.m.wikipedia.org/wiki/diaveric_foot_care Patient.info/doctor/diabetic-foot www.idf.org.international diabetic federation
  24. 24. THANKS

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