Application of tissue mechanics to clinical management of risk in the diabetic foot

2021 ◽  
pp. 255-281
Author(s):  
Daniel Parker ◽  
Farina Hashmi
Keyword(s):  
Diabetic Foot ◽  
Clinical Management ◽  
Tissue Mechanics ◽  
Management Of Risk

Clinical Management of the Diabetic Foot

The Foot ◽  
1993 ◽  
Vol 3 (4) ◽  
pp. 212
Author(s):  
C.A. Hardisty
Keyword(s):  
Diabetic Foot ◽  
Clinical Management

scholarly journals Clinical Management of Risk of Radiation Pneumonia with Serum Markers During the Radiotherapy for Patients with Thoracic Malignant Tumors

2019 ◽  
Vol Volume 11 ◽  
pp. 10249-10256
Author(s):  
Yuxia Deng ◽  
Ting Qiu ◽  
Nishant Patel ◽  
Shi Zhou ◽  
Tao Xue ◽  
...  
Keyword(s):  
Clinical Management ◽  
Malignant Tumors ◽  
Serum Markers ◽  
Radiation Pneumonia ◽  
Management Of Risk

scholarly journals Can plantar soft tissue mechanics enhance prognosis of diabetic foot ulcer?

2017 ◽  
Vol 126 ◽  
pp. 182-191 ◽  
Author(s):  
R. Naemi ◽  
P. Chatzistergos ◽  
S. Suresh ◽  
L. Sundar ◽  
N. Chockalingam ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Tissue Mechanics ◽  
Soft Tissue Mechanics ◽  
Plantar Soft Tissue

Standardising practices improves clinical diabetic foot management: the Queensland Diabetic Foot Innovation Project, 2006 - 09

2012 ◽  
Vol 36 (1) ◽  
pp. 8 ◽  
Author(s):  
Peter A. Lazzarini ◽  
Sharon R. O'Rourke ◽  
Anthony W. Russell ◽  
Patrick H. Derhy ◽  
Maarten C. Kamp
Keyword(s):  
Diabetic Foot ◽  
Clinical Management ◽  
Clinical Training ◽  
Clinical Pathways ◽  
The Body ◽  
Data Availability ◽  
Clinical Activity ◽  
Multidisciplinary Teams ◽  
High Risk Population ◽  
Foot Complications

Objective. The aim of this paper is to report the clinical practice changes resulting from strategies to standardise diabetic foot clinical management in three diverse ambulatory service sites in Queensland, Australia. Methods. Multifaceted strategies were implemented in 2008, including: multidisciplinary teams, clinical pathways, clinical training, clinical indicators, and telehealth support. Prior to the intervention, none of the aforementioned strategies were used, except one site had a basic multidisciplinary team. A retrospective audit of consecutive patient records from July 2006 to June 2007 determined baseline clinical activity (n = 101). A clinical pathway teleform was implemented as a clinical activity analyser in 2008 (n = 327) and followed up in 2009 (n = 406). Pre- and post-implementation data were analysed using Chi-square tests with a significance level set at P < 0.05. Results. There was an improvement in surveillance of the high risk population of 34% in 2008 and 19% in 2009, and treating according to risk of 15% in 2009 (P < 0.05). The documentation of all best-practice clinical activities performed improved 13–66% (P < 0.03). Conclusion. These findings support the use of multifaceted strategies to standardise practice and improve diabetic foot complications management in diverse ambulatory services. What is known about the topic? Diabetic foot complications are recognised as the most common reason for diabetes-related hospitalisation and lower extremity amputations. Approximately 20% of people with diabetes in Australia are at risk of developing a diabetic foot ulcer. Multifaceted strategies to reduce diabetic foot hospitalisation and amputation rates have been successful. However, most people with diabetic foot ulcers are managed in ambulatory settings where data availability is poor and studies limited. What does this paper add? This paper demonstrates that significant improvements in evidence-based diabetic foot complication management can be achieved in diverse Australian ambulatory care settings with multifaceted strategies. This paper contributes to the body of knowledge regarding diabetic foot clinical management in ambulatory settings. What are the implications for practitioners? Practical strategies are available to improve clinical management across a variety of ambulatory settings. Substantial literature suggests this should translate to reduced rates of hospitalisation and amputation for diabetic foot complications.

Assessing the Use of Age-Equivalent Scores in Clinical Management

1992 ◽  
Vol 23 (1) ◽  
pp. 6-8 ◽  
Author(s):  
Carol W. Lawrence
Keyword(s):  
Case Management ◽  
Clinical Management ◽  
Management Decisions ◽  
Language Deficits

Speech-language evaluation reports from many institutions present age-equivalent scores as the evidence for speech-language deficits. Yet, the value and interpretation of this measurement criterion requires clinical scrutiny. This article reviews the concept and derivation of age-equivalent scores and presents arguments against their use in case management decisions.

Sign in / Sign up

Export Citation Format

Share Document