scholarly journals Strategies to Improve Annual Diabetic Foot Screening Compliance at a Family Clinic

2020 ◽  
Vol 38 (4) ◽  
pp. 386-389
Author(s):  
Carlie Cooksey
Keyword(s):  
Diabetic Foot ◽  
Diabetic Foot Screening

scholarly journals SKRINING KAKI DIABTES UNTUK DETEKSI DINI LUKA KAKI DIABETES PADA PASIEN DIABETES

2020 ◽  
Vol 6 (2) ◽  
pp. 192-198
Author(s):  
Juhelnita Bubun ◽  
Saldy Yusuf ◽  
Yuliana Syam ◽  
Wahyu Hidayat ◽  
Suharno Usman
Keyword(s):  
Peripheral Arterial Disease ◽  
Scoping Review ◽  
Diabetic Foot ◽  
Full Text ◽  
Arterial Disease ◽  
Key Word ◽  
Diabetic Foot Screening ◽  
Peripheral Arterial

Latar Belakang: Prognosis LKD yang tidak dirawat dengan baik akan berdampak buruk yaitu amputasi bahkan kematian sehingga dibutuhkan tindakan pencegahan yaitu skrining kaki diabetes. Tujuan dari review ini, untuk mengetahui metode skrining kaki diabetes untuk mencegah terjadi luka kaki diabetes (LKD). Metode database yang digunakan pada pencarian artikel yaitu pubmed, wiley dan science direct. Hasil: kata kunci yang digunakan diabetic foot screening OR diabetes foot screening jumlah artikel yang didapatkan   39 artikel dari tiga database dan artikel yang menjadi kriteria inklusi artikel, artikel tahun 2013-2018, merupakan hasil penelitian, sesuai tema  scoping review dan artikel full text, sehingga terdapat empat artikel yang terinklusi. Dari artikel tersebut dua artikel yang membahas metode skrining kaki diabetes untuk mendeteksi neuropati dan dua artikel yang membahas metode skrining kaki diabetes untuk mendeteksi angiopati. Skrining kaki diabetes untuk mendeteksi neuropati dapat menggunakan metode sudoscan yang dapat mendeteksi 34% tidak ada neuropati, tanpa gejala 69% dan dengan gejala 61,7%. Metode Ipswich touch test (IpTT) dapat digunakan oleh tenaga non professional di rumah dan klinik dalam mendeteksi neuropati dengan sensitivitas 78,3% dan 81,2%, spesifitas 93,9% dan 96,4%. Metode dalam mendeteksi angiopati adalah ankle brachialis index (ABI). Kombinasi hasil palpasi nadi yang lemah /hilang dan ABI yang abnormal menghasilkan sensitivitas dan nilai prediksi negatif tertinggi (92,3 % dan 89,8%) penyebab peripheral arterial disease (PAD). Kesimpulan: metode skrining kaki diabetes untuk mendeteksi neuropati terdiri atas beberapa metode yang aman untuk digunakan. ABI dapat digunakan mendeteksi PAD. Key word: skrining kaki diabetes, neuropati, angiopati

scholarly journals A Critical Evaluation of Existing Diabetic Foot Screening Guidelines

2016 ◽  
Vol 13 (2-3) ◽  
pp. 158-186 ◽  
Author(s):  
Cynthia Formosa ◽  
Alfred Gatt ◽  
Nachiappan Chockalingam
Keyword(s):  
Diabetic Foot ◽  
Critical Evaluation ◽  
Screening Guidelines ◽  
Diabetic Foot Screening

scholarly journals MANAJEMEN ULKUS KAKI DIABETIKUM : EFEKTIFITAS FOOT EXERCISE TERHADAP RISIKO DFU (DIABETIC FOOT ULCERS) PASIEN DIABETES MELLITUS DI AL HIJRAH WOUND CARE CENTER

2019 ◽  
Vol 14 (2) ◽  
pp. 95-101
Author(s):  
Fahruddin Kurdi ◽  
Ratna Puji Priyanti
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Wound Care ◽  
Care Center ◽  
Foot Ulcers ◽  
P Value ◽  
Diabetic Foot Ulcers ◽  
Post Test ◽  
Diabetic Foot Screening ◽  
Diabetes Melitus

ABSTRAK Jumlah penderita DM (diabetes melitus) saat ini semakin meningkat. Salah satu komplikasi yang terjadi yaitu DFU (diabetic foot ulcers). Banyak cara yang dapat dilakukan untuk mencegah DFU, salah satunya dengan diabetic foot exercise. Penelitian ini bertujuan untuk mengetahui efektifitas diabetic foot exercise terhadap risiko dfu (diabetic foot ulcers) pasien diabetes mellitus. Penelitian menggunakan design pre-eksperimen dengan pendekatan one-group pra-post test design. Populasi penderita diabetes yang berjumlah 60 orang, besar sampel 40 orang yang diambil menggunakan teknik purposive sampling. Resiko DFU dinilai menggunakan inlow’s 60-second diabetic foot screening tool dengan metode observasi. Analisa data menggunakan uji statistik Wilcoxon. Hasil penelitian ini didapatkan bahwa sebelum dilakukan diabetic foot exercise sebagian besar reponden mempunyai risiko sedang sebanyak 30 orang (75%), sesudah dilakukan diabetic foot exercise diperoleh bahwa sebagian besar responden risiko rendah sebanyak 32 orang (80%). Uji statistik Wilcoxon diperoleh nilai p value = 0,001 dimana nilai p value<α (0,05) yang berarti ada pengaruh diabetic foot exercise terhadap risiko diabetic foot ulcers. Diabetes foot exercise sangat efektif untuk penderita diabetes dalam mencegah risiko DFU. Penderita diabetes dapat melakukan diabetic foot exercise 2 kali dalam seminggu secara teratur.  Kata Kunci : Diabetes mellitus, Diabetic foot ulcers, diabetic foot exercise

scholarly journals Diabetic foot screening: study of a 3000 times cheaper instrument

Clinics ◽  
2011 ◽  
Vol 66 (6) ◽  
pp. 1105-1107 ◽  
Author(s):  
Maria Candida Ribeiro Parisi ◽  
Daniel Giannella ◽  
Tulio Diniz Fernandes ◽  
Karla Freire Rezende ◽  
Marcia Nery
Keyword(s):  
Diabetic Foot ◽  
Screening Study ◽  
Diabetic Foot Screening

scholarly journals Reliability and credibility analysis of Inlow’s 60 second diabetic foot screening tool for diabetic foot risk stratification and its feasibility in India: a systematic review

2017 ◽  
Vol 4 (9) ◽  
pp. 2878
Author(s):  
Madhivadhanam Parasuraman ◽  
Bhanumati Giridharan ◽  
G. Vijayalakshmi
Keyword(s):  
Systematic Review ◽  
Risk Stratification ◽  
Diabetic Foot ◽  
Screening Tool ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Mortality And Morbidity ◽  
Indian Context ◽  
Patients With Diabetes ◽  
Diabetic Foot Screening

Diabetes is the common cause for amputation of lower limb. Foot ulcers and associated complications are important causes of mortality and morbidity in patients with diabetes. Hence, it is important to predict diabetic foot ulcer in its early stages to eliminate the risks of foot amputation. Inlow’s 60 second diabetic foot ulcer screening tool is gaining immense attention over the years which is associated with its simplicity to use, rapid detection of high risk diabetic feet, and provides referral for patients necessitating treatment. A systematic review is conducted to assess the reliability and credibility of using Inlow’s 60 second diabetic foot screening tool for diabetic foot risk stratification and to examine its feasibility in the Indian context. Eight studies suited the inclusion criteria which were analysed systematically. The findings of the paper reveal that the sixty second tool acts as a better tool for diabetic foot ulcer risk stratification; however, modifications are necessary for its application in the Indian context.

scholarly journals Improving diabetic foot screening at a primary care clinic: A quality improvement project

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Michelle L. Allen ◽  
Albertine M.B. Van der Does ◽  
Colette Gunst
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Primary Health Care ◽  
Diabetic Foot ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Care Clinic ◽  
Screening Practices ◽  
Primary Health ◽  
Diabetic Foot Screening

Background: Foot screening is an important part of diabetic care as it prevents significant morbidity, loss of function and mortality from diabetic foot complications. However, foot screening is often neglected.Aim: This project was aimed at educating health care workers (HCWs) in a primary health care clinic to increase diabetic foot screening practices. Setting: A primary health care clinic in the Western Cape province of South AfricaMethods: A quality improvement project was conducted. HCWs’ needs were assessed using a questionnaire. This was followed by focus group discussions with the HCWs, which were recorded, transcribed and assessed using a general inductive approach. An intervention was designed based on common themes. Staff members were trained on foot screening and patient information pamphlets and screening tools were made available to all clinic staff. Thirty-two consecutive diabetic patient folders were audited to compare screening in 2013 with that in 2014 after initiation of the quality improvement cycle.Results: HCWs’ confidence in conducting foot screening using the diabetic foot assessment questionnaire improved markedly after training. Diabetic foot screening practices increased from 9% in 2013 to 69% in 2014 after the first quality improvement cycle. A strengths, opportunities, aspirations and results (SOAR) analysis showed promise for continuing quality improvement cycles.Conclusion: The findings showed a significant improvement in the number of diabetic patients screened. Using strategic planning with appreciative intent based on SOAR, proved to be motivational and can be used in the planning of the next cycle.

scholarly journals Validation and comparison of currently available stratification systems for patients with diabetes by risk of foot ulcer development

2012 ◽  
Vol 167 (3) ◽  
pp. 401-407 ◽  
Author(s):  
M Monteiro-Soares ◽  
A Vaz-Carneiro ◽  
S Sampaio ◽  
M Dinis-Ribeiro
Keyword(s):  
Diabetic Foot ◽  
Predictive Value ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Receiver Operating Curve ◽  
Predictive Variables ◽  
Patients With Diabetes ◽  
Good Diagnostic Accuracy ◽  
Diabetic Foot Screening

Aims/hypothesisThere are five systems to stratify the risk for the development of a diabetic foot ulcer (DFU). This study aimed to prospectively validate all of them in the same cohort of participants to allow their direct comparison.MethodsA retrospective cohort study was conducted on all patients with diabetes but without an active DFU attending our podiatry section (n=364) from January 2008 to December 2010. Participants' characteristics and all variables composing the stratification systems were assessed at baseline. Follow-up was performed for 1 year or until DFU occurred.ResultsParticipants had a mean age of 64 years; 99.7% had type 2 diabetes and 48.6% were male. Median follow-up was 12 months (1–12) during which 33 subjects (9.1%) developed a DFU. Age, diabetes duration, foot deformity, peripheral vascular disease, diabetic peripheral neuropathy, previous DFU, and previous lower extremity amputation were associated with DFU occurrence. All systems presented greater DFU occurrence frequency as the risk group was higher (χ2,P<0.001) and showed good diagnostic accuracy values, especially negative predictive value (≥95%) and area under the receiver operating curve (≥0.73). The lowest performance concerned positive predictive value (≤29.5%).Conclusions/interpretationAll the currently available stratification systems show high accuracy to detect which patients will develop a DFU with no significant differences among them. Therefore, for diabetic foot screening and resource allocation, it would be desirable to have a single unified system, combining the available systems, prospectively validated in a multicenter context and testing the inclusion of novel predictive variables' pertinence.

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