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Can Diabetic Foot Care Education
Reduce Ulcers and Amputations?

       Results From Study & Our
          Recommendations



    The Foot Care Centre King’s Lynn   Foot Care Training Courses
Diabetes Can Mean Foot Ulcers
   •  People with diabetes often suffer
     from foot ulceration

   •  It occurs more if they suffer from
     peripheral neuropathy and/or
     peripheral vascular disease



     The Foot Care Centre King’s Lynn   Foot Care Training Courses
How Do Ulcers & Amputation Impact?
    People may suffer from:

    • Physical disability
    • Loss of quality of life

    In addition...

    • They may lose income, impacting on their
      family lives
    • NHS healthcare costs go up, which impacts on
      us all


        The Foot Care Centre King’s Lynn   Foot Care Training Courses
So, what to do about foot care
    education for diabetics?

We think health professionals can help
by educating diabetic people on how to
prevent them developing ulcers in the
first place.

Why?


       The Foot Care Centre King’s Lynn   Foot Care Training Courses
Common Sense & Study

It seems common sense to us but, in
addition, there was a systematic review
to examine patient education
programmes designed to prevent
diabetic foot ulcers.

Read on...


    The Foot Care Centre King’s Lynn   Foot Care Training Courses
The Study About Diabetic Foot Care
          Education In Brief
• There were 11 randomised controlled trials

• In all, they studied more than two and a half
  thousand adults who had type 1 or type 2
  diabetes

• They compared the programmes with usual
  care, bespoke care and no intervention

          The Foot Care Centre King’s Lynn   Foot Care Training Courses
What the Study Did
The study evaluated educational programmes that
were designed with reducing foot ulcer incidence in
mind.

They also looked at the incidence of recurrence of
ulcers, amputation, callus development, fungal
infection, and the number of hospital admissions
(and the duration of stays).



        The Foot Care Centre King’s Lynn   Foot Care Training Courses
Bias?
This type of study is at risk of bias.

The results were mixed and the conclusion
was that further studies need to show:

• Better methodology

• And explicitly define the content of the
packages/programmes
         The Foot Care Centre King’s Lynn   Foot Care Training Courses
Bias 2: What Goes in the Packages?

Any further studies would also need to
distinguish between:

• What is considered to be standard
education/information

• And the experimental programmes/packages


         The Foot Care Centre King’s Lynn   Foot Care Training Courses
Recommendations for Diabetic Foot
       Care Education

 Education alone won’t prevent foot
 ulceration and amputations.

 Nonetheless, raising patient awareness
 on what will happen if they don’t look
 after their feet pays an important part in
 health care.

      The Foot Care Centre King’s Lynn   Foot Care Training Courses
On a Positive Note

Indications from the study are that
reductions in the incidence of ulcers
and amputation could be effected
by more comprehensive and
preventative interventions which
include specific education
programmes.


    The Foot Care Centre King’s Lynn   Foot Care Training Courses
What The Foot Care Centre
(King’s Lynn) Would Like to See

We would like to see:

Health professionals
(nurses, doctors, foot care and other
complementary therapists) offer
education and advice....


     The Foot Care Centre King’s Lynn   Foot Care Training Courses
Collaboration
Those who are not trained in anatomy
and physiology or diabetes could
approach health professionals for
materials to give to their clients and
patients

The materials would include the contact
details of the health professionals and
other people to contact.


    The Foot Care Centre King’s Lynn   Foot Care Training Courses
Get Advice if You Have Diabetes

 Drop in and see us at The Foot Care
 Centre King’s Lynn and we can give you
 foot care advice and treatment.

 We also recommend you have regular
 checkups with your GP.



      The Foot Care Centre King’s Lynn   Foot Care Training Courses
Study Reference

Dorresteijn J et al (2010) Patient
education for preventing diabetic
foot ulceration




    The Foot Care Centre King’s Lynn   Foot Care Training Courses
By Elizabeth Dutton
      Visit us at
The Foot Care Centre
     King’s Lynn!



The Foot Care Centre King’s Lynn   Foot Care Training Courses

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Can diabetic foot care education reduce ulcers and amputations

  • 1. Can Diabetic Foot Care Education Reduce Ulcers and Amputations? Results From Study & Our Recommendations The Foot Care Centre King’s Lynn Foot Care Training Courses
  • 2. Diabetes Can Mean Foot Ulcers •  People with diabetes often suffer from foot ulceration •  It occurs more if they suffer from peripheral neuropathy and/or peripheral vascular disease The Foot Care Centre King’s Lynn Foot Care Training Courses
  • 3. How Do Ulcers & Amputation Impact? People may suffer from: • Physical disability • Loss of quality of life In addition... • They may lose income, impacting on their family lives • NHS healthcare costs go up, which impacts on us all The Foot Care Centre King’s Lynn Foot Care Training Courses
  • 4. So, what to do about foot care education for diabetics? We think health professionals can help by educating diabetic people on how to prevent them developing ulcers in the first place. Why? The Foot Care Centre King’s Lynn Foot Care Training Courses
  • 5. Common Sense & Study It seems common sense to us but, in addition, there was a systematic review to examine patient education programmes designed to prevent diabetic foot ulcers. Read on... The Foot Care Centre King’s Lynn Foot Care Training Courses
  • 6. The Study About Diabetic Foot Care Education In Brief • There were 11 randomised controlled trials • In all, they studied more than two and a half thousand adults who had type 1 or type 2 diabetes • They compared the programmes with usual care, bespoke care and no intervention The Foot Care Centre King’s Lynn Foot Care Training Courses
  • 7. What the Study Did The study evaluated educational programmes that were designed with reducing foot ulcer incidence in mind. They also looked at the incidence of recurrence of ulcers, amputation, callus development, fungal infection, and the number of hospital admissions (and the duration of stays). The Foot Care Centre King’s Lynn Foot Care Training Courses
  • 8. Bias? This type of study is at risk of bias. The results were mixed and the conclusion was that further studies need to show: • Better methodology • And explicitly define the content of the packages/programmes The Foot Care Centre King’s Lynn Foot Care Training Courses
  • 9. Bias 2: What Goes in the Packages? Any further studies would also need to distinguish between: • What is considered to be standard education/information • And the experimental programmes/packages The Foot Care Centre King’s Lynn Foot Care Training Courses
  • 10. Recommendations for Diabetic Foot Care Education Education alone won’t prevent foot ulceration and amputations. Nonetheless, raising patient awareness on what will happen if they don’t look after their feet pays an important part in health care. The Foot Care Centre King’s Lynn Foot Care Training Courses
  • 11. On a Positive Note Indications from the study are that reductions in the incidence of ulcers and amputation could be effected by more comprehensive and preventative interventions which include specific education programmes. The Foot Care Centre King’s Lynn Foot Care Training Courses
  • 12. What The Foot Care Centre (King’s Lynn) Would Like to See We would like to see: Health professionals (nurses, doctors, foot care and other complementary therapists) offer education and advice.... The Foot Care Centre King’s Lynn Foot Care Training Courses
  • 13. Collaboration Those who are not trained in anatomy and physiology or diabetes could approach health professionals for materials to give to their clients and patients The materials would include the contact details of the health professionals and other people to contact. The Foot Care Centre King’s Lynn Foot Care Training Courses
  • 14. Get Advice if You Have Diabetes Drop in and see us at The Foot Care Centre King’s Lynn and we can give you foot care advice and treatment. We also recommend you have regular checkups with your GP. The Foot Care Centre King’s Lynn Foot Care Training Courses
  • 15. Study Reference Dorresteijn J et al (2010) Patient education for preventing diabetic foot ulceration The Foot Care Centre King’s Lynn Foot Care Training Courses
  • 16. By Elizabeth Dutton Visit us at The Foot Care Centre King’s Lynn! The Foot Care Centre King’s Lynn Foot Care Training Courses

Editor's Notes

  1. Can Diabetic Foot Care Education Reduce Ulcers and Amputations? Results From Study & Our Recommendations
  2. Diabetes Can Mean Foot Ulcers People with diabetes often suffer from foot ulceration It occurs more if they suffer from peripheral neuropathy and/or peripheral vascular disease
  3. How Do Ulcers & Amputation Impact?People may suffer from:Physical disabilityLoss of quality of lifeIn addition...They may lose income, impacting on their family livesNHS healthcare costs go up, which impacts on us all
  4. So, what to do about foot care education for diabetics?We think health professionals can help by educating diabetic people on how to prevent them developing ulcers in the first place.Why?
  5. Common Sense & StudyIt seems common sense to us but, in addition, there was a systematic review to examine patient education programmes designed to prevent diabetic foot ulcers. Read on...
  6. What the Study DidThe study evaluated educational programmes that were designed with reducing foot ulcer incidence in mind.They also looked at the incidence of recurrence of ulcers, amputation, callus development, fungal infection, and the number of hospital admissions (and the duration of stays).
  7. Bias?This type of study is at risk of bias.The results were mixed and the conclusion was that further studies need to show:Bettermethodology And explicitly define the content of the packages/programmes
  8. Bias 2: What Goes in the Packages?Any further studies would also need to distinguish between: What is considered to be standard education/information And the experimental programmes/packages
  9. Recommendations for Diabetic Foot Care EducationEducation alone won’t prevent foot ulceration and amputations. Nonetheless, raising patient awareness on what will happen if they don’t look after their feet pays an important part in health care.
  10. On a Positive NoteIndications from the study are that reductions in the incidence of ulcers and amputation could be effected by more comprehensive and preventative interventions which include specific education programmes.
  11. What The Foot Care Centre (King’s Lynn) Would Like to SeeWe would like to see:Health professionals (nurses, doctors, foot care and other complementary therapists) offer education and advice....
  12. CollaborationThose who are not trained in anatomy and physiology or diabetes could approach health professionals for materials to give to their clients and patientsThe materials would include the contact details of the health professionals and other people to contact.
  13. Get Advice if You Have DiabetesDrop in and see us at The Foot Care Centre King’s Lynn and we can give you foot care advice and treatment.We also recommend you have regular checkups with your GP.
  14. Study ReferenceDorresteijn J et al (2010) Patient education for preventing diabetic foot ulceration
  15. By Elizabeth DuttonVisit us atThe Foot Care Centre King’s Lynn!