Have diabetes? Watch your feet! You need to prevent ulcers a sthe knock-on effects aren't good. Education is needed for the rising number of diabetic patients with reagrds their foot care. here's why
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
Can Diabetic Foot Care Education Reduce Ulcers and Amputations? Results From Study & Our Recommendations
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
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
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?
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...
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).
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
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
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.
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.
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....
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.
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.
Study ReferenceDorresteijn J et al (2010) Patient education for preventing diabetic foot ulceration
By Elizabeth DuttonVisit us atThe Foot Care Centre King’s Lynn!