Effects of Buerger Exercise Combined Health-Promoting Program on Peripheral Neurovasculopathy Among Community Residents at High Risk for Diabetic Foot Ulceration

2015 ◽  
Vol 12 (3) ◽  
pp. 145-153 ◽  
Author(s):  
Chyong-Fang Chang ◽  
Chang-Cheng Chang ◽  
Su-Lun Hwang ◽  
Mei-Yen Chen
Keyword(s):  
High Risk ◽  
Diabetic Foot ◽  
Foot Ulceration ◽  
Community Residents ◽  
Health Promoting

scholarly journals Seek, and ye shall find: Efficacy of proactive screeningfor diabetic foot ulceration in the community autonomously performed by nurses

2020 ◽  
Vol 21 (Issue 1 Volume 21, 2020) ◽  
pp. 33-40
Author(s):  
Letizia Pieruzzi ◽  
Elisabetta Iacopi ◽  
Maria Grazia Buccarello ◽  
Ludovica Tamburini ◽  
Chiara Goretti ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
High Risk ◽  
Diabetic Foot ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Community Setting ◽  
High Morbidity ◽  
Care Model ◽  
Foot Ulceration ◽  
Financial Costs

Diabetic foot ulceration (DFU) is a severe complication of diabetes mellitus associated with a high morbidity and mortality rate, whose treatment requires considerable financial costs. This paper describes a test of the efficacy of proactive screening – autonomously managed by nurses in a community setting – in detecting patients at high risk of DFU, as an integrated part of a chronic care model strategy.

Skin Temperature Monitoring Reduces the Risk for Diabetic Foot Ulceration in High-risk Patients

2007 ◽  
Vol 120 (12) ◽  
pp. 1042-1046 ◽  
Author(s):  
David G. Armstrong ◽  
Katherine Holtz-Neiderer ◽  
Christopher Wendel ◽  
M. Jane Mohler ◽  
Heather R. Kimbriel ◽  
...  
Keyword(s):  
High Risk ◽  
Skin Temperature ◽  
Diabetic Foot ◽  
Temperature Monitoring ◽  
Foot Ulceration ◽  
High Risk Patients ◽  
Risk Patients

The hazards of the holiday foot: persons at high risk for diabetic foot ulceration may be more active on holiday

2003 ◽  
Vol 20 (3) ◽  
pp. 247-248 ◽  
Author(s):  
D. G. Armstrong ◽  
C. Dang ◽  
B. P. Nixon ◽  
A. J. M. Boulton
Keyword(s):  
High Risk ◽  
Diabetic Foot ◽  
Foot Ulceration

Efficacy of Fifth Metatarsal Head Resection for Treatment of Chronic Diabetic Foot Ulceration

2005 ◽  
Vol 95 (4) ◽  
pp. 353-356 ◽  
Author(s):  
David G. Armstrong ◽  
Mark A. Rosales ◽  
Agim Gashi
Keyword(s):  
Diabetes Mellitus ◽  
High Risk ◽  
Conservative Treatment ◽  
Diabetic Foot ◽  
Retrospective Cohort ◽  
Potential Benefit ◽  
Metatarsal Head ◽  
Cohort Model ◽  
Foot Ulceration ◽  
Surgical Group

This study compares the potential benefit of fifth metatarsal head resection versus standard conservative treatment of plantar ulcerations in people with diabetes mellitus. Using a retrospective cohort model, we abstracted data from 40 patients (22 cases and 18 controls) treated for uninfected, nonischemic diabetic foot wounds beneath the fifth metatarsal head. There were no significant differences in sex, age, duration of diabetes mellitus, or degree of glucose control between cases and controls. Patients who underwent a fifth metatarsal head resection healed significantly faster (mean ± SD, 5.8 ± 2.9 versus 8.7 ± 4.3 weeks). Patients were much less likely to reulcerate during the period of evaluation in the surgical group (4.5% versus 27.8%). The results of this study suggest that fifth metatarsal head resection is a potentially effective treatment in patients at high risk of ulceration and reulceration. (J Am Podiatr Med Assoc 95(4): 353–356, 2005)

scholarly journals Practical Criteria for Screening Patients at High Risk for Diabetic Foot Ulceration

1998 ◽  
Vol 158 (2) ◽  
pp. 157 ◽  
Author(s):  
Lawrence A. Lavery ◽  
David G. Armstrong ◽  
Steven A. Vela ◽  
Terri L. Quebedeaux ◽  
John G. Fleischli
Keyword(s):  
High Risk ◽  
Diabetic Foot ◽  
Foot Ulceration

Is a Left-to-Right >2.2°C Difference a Valid Measurement to Predict Diabetic Foot Ulceration in People with Diabetes and a History of Diabetic Foot Ulceration?

2021 ◽  
pp. 153473462110627
Author(s):  
Jill Featherston ◽  
Anke M. Wijlens ◽  
Jaap J. van Netten
Keyword(s):  
High Risk ◽  
Construct Validity ◽  
Diabetic Foot ◽  
Environmental Temperature ◽  
Time Of Day ◽  
Warning Sign ◽  
Activity Time ◽  
Foot Ulceration ◽  
Walking Activity ◽  
Protective Sensation

Monitoring foot skin temperatures at home have been shown to be effective at preventing the occurrence of diabetic foot ulcers. In this study, the construct validity of using >2.2°C difference between contralateral areas on the foot as a warning sign of imminent ulceration is explored. Thirty participants with diabetes at high risk of ulceration (loss of protective sensation and previous ulceration and/or amputation) monitored their foot temperatures at six sites, four times a day for six days using a handheld infrared thermometer. Walking activity, time of day, and environmental temperature were also monitored and correlated with foot temperatures. We found that contralateral mean skin temperature difference was 0.78°C at baseline. At single sites, left-to-right temperature differences exceeding the threshold were found in 9.6% of measurements ( n = 365), which reduced to 0.4% when individually corrected and confirmed the next day. No correlation was found between contralateral temperature differences and activity, time of day, and environmental temperature. We conclude that using a >2.2°C difference is invalid as a single measurement in people at high risk of ulceration, but the construct validity is appropriate if both individual corrections and next day confirmation are applied.

scholarly journals Screening techniques to identify people at high risk for diabetic foot ulceration: a prospective multicenter trial

Diabetes Care ◽  
2000 ◽  
Vol 23 (5) ◽  
pp. 606-611 ◽  
Author(s):  
H. Pham ◽  
D. G. Armstrong ◽  
C. Harvey ◽  
L. B. Harkless ◽  
J. M. Giurini ◽  
...  
Keyword(s):  
High Risk ◽  
Diabetic Foot ◽  
Multicenter Trial ◽  
Foot Ulceration ◽  
Screening Techniques ◽  
Prospective Multicenter Trial
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