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Objectives


The objectives of the development and implementation of these resources is to help Health Care Providers to:

  • Find practical, evidence-based resources to use when caring for individuals that have or who are at risk of developing diabetic foot ulcers
  • Perform a comprehensive patient assessment including assessing for indicators of diabetic foot ulcers that will not heal in the inpatient and outpatient care settings (Acute Care, Long Term Care and Community Care Settings)
  • Identify the correct etiology of diabetic foot ulcers 
  • Recognize neuropathy and foot deformities specific to diabetic foot ulcers and apply interventions and/or referrals as appropriate
  • Complete a bilateral Lower Leg Assessment (LLA) and Diabetic Foot Assessment (DFA) including vascular- Ankle Brachial Pressure Index (ABPI), Toe Brachial Pressure Index (TBPI) in order to appropriately classify Diabetic Foot Ulcers
  • Complete ongoing monofilament assessment for neuropathy
  • Focus wound care treatment on appropriate offloading, moisture balance, ongoing debridement and infection prevention and treatment
  • Utilize the PUSH, BWAT or LUMT tool for accurate wound measurement
  • Determine if the wound is “Healable, Maintenance or Non-Healable”
  • Recognize signs & symptoms of infection and identify treatment interventions
  • Assess Infection (NERDS AND STONEES)
  • Assess for osteomyelitis by identifying bone exposure, probing to bone or stalled wound
  • Perform accurate wound assessment including progress towards healing
  • Increase the use and implementation of evidence-based diabetic foot ulcer treatment plans including pain management using pharmacological and non-pharmacological interventions
  • Identify and implement appropriate best practice wound care
  • Improve the coordination and communication between care providers/care institutions regarding the transfer/discharge plan for patients with diabetic foot ulcer
  • Encourage self-management  in treatment and education plans


Background

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