Successful Management of Diabetic Foot Deep Ulceration Achieving Limbs Salvage-A Case Report

2.50
Hdl Handle:
http://hdl.handle.net/10755/308066
Category:
Abstract
Type:
Presentation
Title:
Successful Management of Diabetic Foot Deep Ulceration Achieving Limbs Salvage-A Case Report
Author(s):
Lee, Pao-kuei
Lead Author STTI Affiliation:
Non-member
Author Details:
Pao-kuei Lee, MSc, 65579@cch.org.tw
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

Abstract

Diabetes foot ulceration (DFU) is a common complication in diabetes mellitus patients. Indeed, the development of foot ulceration composes the majority of hospital admissions, mobility and mortality. We provide our experience on a diabetic foot deep ulceration treatment and care process with successful result, which was conducted by multidisciplinary approach achieving limbs salvage without amputation.

Case Report

A 59-year-old man was a heavy smoker. His past medical history had type II diabetic mellitus, hypertension, old CVA with left hemi paresis and PAOD of left lower leg after PTA for 2 month. He had a chronic ulceration wound at left middle dorsal foot for three months. The wound size was about 55X50 mm deep to bone and tendon, it presented with slough coating and yellowish discharge. He received multidisciplinary treatment included advanced dressing, autolysis debridement and hyperbaric oxygen therapy, the wound healing after 10 months.

Discussion

Approximately 20% of patients with diabetes will develop foot ulceration in their life time. DFU represents a major problem that can significantly impair the patient's quality of life, require prolonged hospitalization, and may involve infection, gangrene, and amputation. The cost of DFU is also significant. The research pointed out that the early diagnosis and the treatment may prevent 85% diabetic foot amputation; Attentive and conscientious foot care and education may reduce 50% amputation risk. Prevention of the DFU and complete wound care has become the important topic of diabetes mellitus care.

Keywords:
ulceration; diabetes foot; diabetes mellitus
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleSuccessful Management of Diabetic Foot Deep Ulceration Achieving Limbs Salvage-A Case Reporten_GB
dc.contributor.authorLee, Pao-kueien_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsPao-kuei Lee, MSc, 65579@cch.org.twen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308066-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p><b>Abstract</b><p>Diabetes foot ulceration (DFU) is a common complication in diabetes mellitus patients. Indeed, the development of foot ulceration composes the majority of hospital admissions, mobility and mortality.<sup> </sup>We provide our experience on a diabetic foot deep ulceration treatment and care process with successful result, which was conducted by multidisciplinary approach achieving limbs salvage without amputation.<sup></sup><p class="Web1"><b>Case Report</b><p class="Web1">A 59-year-old man was a heavy smoker. His past medical history had type II diabetic mellitus, hypertension, old CVA with left hemi paresis and PAOD of left lower leg after PTA for 2 month. He had a chronic ulceration wound at left middle dorsal foot for three months. The wound size was about 55X50 mm deep to bone and tendon, it presented with slough coating and yellowish discharge. He received multidisciplinary treatment included advanced dressing, autolysis debridement and hyperbaric oxygen therapy, the wound healing after 10 months. <p class="Web1"><b>Discussion </b><p class="Web1">Approximately 20% of patients with diabetes will develop foot ulceration in their life time. DFU represents a major problem that can significantly impair the patient's quality of life, require prolonged hospitalization, and may involve infection, gangrene, and amputation. The cost of DFU is also significant. The research pointed out that the early diagnosis and the treatment may prevent 85% diabetic foot amputation; Attentive and conscientious foot care and education may reduce 50% amputation risk. Prevention of the DFU and complete wound care has become the important topic of diabetes mellitus care.en_GB
dc.subjectulcerationen_GB
dc.subjectdiabetes footen_GB
dc.subjectdiabetes mellitusen_GB
dc.date.available2013-12-19T17:26:25Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:26:25Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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