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DIABETIC FOOT (Causes (High glucose blood levels, Poor Circulation, Nerve…
DIABETIC FOOT
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Health Education
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Don’t cut or file calluses or other protrusions on your feet and don’t use wart removers or other harsh chemicals.
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Walk as much as possible to boost blood flow to the feet and help with weight and blood sugar control.
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Nursing Management
focus on caring for the foot wound and surgical site, preventing further skin breakdown, and keeping blood glucose level under control.
encouraged patient to participate in physical therapy which will improve blood flow to and from the feet and legs.
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Surgical Management
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Vascular grafts or bypasses may be indicated in patients with peripheral arterial disease. Adequate peripheral circulation is key to fighting infection and promoting wound healing. To determine the patient's need for revascularization, evaluate the patient's vascular status, look
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Definition
A diabetic foot is a foot that exhibits any pathology that results directly from diabetes mellitus or any long-term complication of diabetes mellitus.
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Pathophysiology
Hyperglycemia produces oxidative stress on nerve cells and leads to neuropathy. Additional nerve dysfunction follows from glycosylation of nerve cell proteins, leading to further ischemia. These cellular changes manifest in motor, autonomic, and sensory components of neuropathic foot ulcers. Damage to motor neurons of the foot musculature may lead to an imbalance of flexors and extensors, anatomic deformities, and eventual skin ulcerations.
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