NURSING INTERVENTION FOR ELDERLY HIGH-RISK PATIENTS WITH DIABETIC FOOT ULCERATION

SUMMARY Objectives: To assess knowledge about diabetic foot, care measures, and the importance attached to serial treatment in a group of high-risk diabetic foot patients. METHODS: This is a cross-sectional study, carried out in a tertiary hospital, with 25 patients undergoing serial treatment for diabetic foot. The tabulation of the data occurred through the use of three methodological figures: core idea, key expressions, and the collective subject discourse. RESULTS: It became evident that even among high-risk patients with diabetic foot, there is no complete knowledge about the definition of the disease. Despite this, all participants reported practicing daily care measures, including frequent inspection of the feet, food care, and attention to footwear. Regarding the importance of serial treatment, there was unanimous recognition of the relevance of this practice, which improves self-care discipline, optimizes the understanding of the disease, and helps to prevent progression. CONCLUSIONS: Authentic speeches in the context of a pathology of considerable prevalence manifested, in an unprecedented way, with conceptions about its definition, care measures, and importance of serial treatment in a high-risk group.

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Implementing a clinical risk prediction tool for patients undergoing active cancer treatment.

Journal of Clinical Oncology ◽

10.1200/jco.2020.38.15_suppl.tps2086 ◽

2020 ◽

Vol 38 (15_suppl) ◽

pp. TPS2086-TPS2086

Author(s):

Nathan Handley ◽

Adam Binder ◽

Michael Li ◽

Aliya Rogers ◽

Valerie Pracilio Csik

Keyword(s):

High Risk ◽

Acute Care ◽

Nursing Intervention ◽

Emergency Department Visits ◽

Low Risk ◽

High Risk Patients ◽

Nurse Navigator ◽

Risk Patients ◽

The Impact ◽

Active Cancer

TPS2086 Background: Acute care utilization (ACU), encompassing both emergency department visits and hospitalizations, is common in patients with cancer, with nearly three quarters of patients with advanced disease hospitalized at least once in the year after their diagnosis. Efforts to prospectively identify these patients prior to ACU have led to the development of a variety of scoring systems for specific cancer patient populations, including the elderly and those initiating palliative infusional chemotherapy. Prospectively identifying patients may enable early interventions to reduce ACU. However, few studies have demonstrated effective implementation of such prediction tools in clinical practice. We developed an oncology risk score (ORS) for active oncology patients (defined as patients with an active cancer diagnosis in the last 12 months who had a Medical Oncology encounter in a 180-day period ) to prospectively determine risk of ACU. Patients are defined as high risk (18% of patients, accounting for 57% of historical ACU), intermediate risk (25% of patients, accounting for 25% of ACU), or low risk (56% of patients, accounting for 18% of ACU) by the ORS. We are currently deploying a pragmatic implementation initiative to evaluate the impact of targeted nurse navigator (NN) outreach to patients defined as high risk for ACU by the ORS. Methods: The ORS is embedded within the health system electronic medical record. The ORS will be queried on a weekly basis. NNs will contact identified patients, prioritizing patients not yet identified by the navigation team by other means. Following chart review, NNs will either meet patients in person (if a visit is already planned within 24 hours) or complete standard navigation outreach and documentation (consisting of phone call and barrier assessment, as well as appropriate nursing intervention) if no visit is planned. NNs will determine follow up cadence based on clinical judgement. Efficacy will be determined using a case-control method. Case patients will be OCM patients defined as high risk by the ORS (historical n = 289); control patients will be non-OCM high risk patients (historical n = 388). The total number of patients in the case and control groups, as well as the proportion of patients in the group utilizing acute care, will be monitored over time. Proportion of high risk patients known to navigation will be tracked. ACU in medium and low risk groups will also be monitored. Targeted outreach to high risk patients using the ORS began on 2/5/2019.

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Relation between knowledge, foot self-care and health status for diabetic foot high risk patients

Mansoura Nursing Journal ◽

10.21608/mnj.2021.63979.1021 ◽

2021 ◽

Vol 0 (0) ◽

pp. 0-0

Author(s):

nora shaker ◽

Marwa Abd-Elgabaar ◽

Taghreed Shakweer

Keyword(s):

Health Status ◽

High Risk ◽

Diabetic Foot ◽

Self Care ◽

High Risk Patients ◽

Risk Patients

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Diabetic Foot Prevention: A neglected opportunity in high-risk patients

Diabetes Care ◽

10.2337/dc10-0310 ◽

2010 ◽

Vol 33 (7) ◽

pp. 1460-1462 ◽

Cited By ~ 35

Author(s):

L. A. Lavery ◽

N. A. Hunt ◽

J. LaFontaine ◽

C. L. Baxter ◽

A. Ndip ◽

...

Keyword(s):

High Risk ◽

Diabetic Foot ◽

High Risk Patients ◽

Risk Patients

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Relation between knowledge, foot self-care and health status for diabetic foot high-risk patients

Mansoura Nursing Journal ◽

10.21608/mnj.2021.213202 ◽

2021 ◽

Vol 8 (3) ◽

pp. 203-211

Author(s):

Noura Mahfouz ◽

Taghreed Shakweer ◽

Marwa Abd-Elaziz

Keyword(s):

Health Status ◽

High Risk ◽

Diabetic Foot ◽

Self Care ◽

High Risk Patients ◽

Risk Patients

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Preventing Diabetic Foot Ulcer Recurrence in High-Risk Patients: Use of temperature monitoring as a self-assessment tool

Diabetes Care ◽

10.2337/dc06-1600 ◽

2006 ◽

Vol 30 (1) ◽

pp. 14-20 ◽

Cited By ~ 237

Author(s):

L. A. Lavery ◽

K. R. Higgins ◽

D. R. Lanctot ◽

G. P. Constantinides ◽

R. G. Zamorano ◽

...

Keyword(s):

High Risk ◽

Diabetic Foot ◽

Assessment Tool ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Temperature Monitoring ◽

Ulcer Recurrence ◽

Self Assessment ◽

High Risk Patients ◽

Risk Patients

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Effects of a Short Educational Program for the Prevention of Foot Ulcers in High-Risk Patients: A Randomized Controlled Trial

International Journal of Endocrinology ◽

10.1155/2015/615680 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5 ◽

Cited By ~ 16

Author(s):

Matteo Monami ◽

Stefania Zannoni ◽

Marianna Gaias ◽

Besmir Nreu ◽

Niccolò Marchionni ◽

...

Keyword(s):

High Risk ◽

Diabetic Foot ◽

Educational Program ◽

Foot Ulcers ◽

Control Group ◽

Diabetic Patients ◽

Diabetic Foot Ulcers ◽

High Risk Patients ◽

Significant Difference ◽

Risk Patients

Background. Patient education is capable of reducing the risk for diabetic foot ulcers. However, specific education on foot ulcer prevention was either included in broader programs addressing different parts of diabetes care or provided with time- and resource-consuming curricula. The aim of the study is to assess the feasibility and efficacy of a brief educational program for the prevention of diabetic foot ulcers in high-risk patients.Methods. The study was performed on type 2 diabetic patients, randomized in a 1 : 1 ratio either to intervention or to control group. The principal endpoint was the incidence of foot ulcers. The intervention was a two-hour program provided to groups of 5–7 patients, including a 30-minute face-to-face lesson on risk factors for foot ulcers, and a 90-minute interactive session with practical exercises on behaviors for reducing risk.Results. The study was prematurely terminated due to a highly significant difference in outcome between the two treatment groups. The final sample was therefore composed of 121 patients. Six patients, all in the control group, developed ulcers during the 6-month follow-up (10% versus 0%,p=0.012).Conclusions. A brief, 2-hour, focused educational program is effective in preventing diabetic foot ulcers in high-risk patients.

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