A Perioperative Approach to Increase Limb Salvage When Treating Foot Ulcers in Patients With Diabetes.

Abstract:

:Foot ulceration in patients with diabetes increases the risk of lower extremity amputation. Major amputations produce substantial adverse consequences, increase length of hospital stay, diminish quality of life, and increase mortality. In this article, we describe approaches that decrease amputations and improve the quality of life for patients with diabetes and foot ulcers. We highlight the role of the perioperative nurse, who is essential to providing optimal patient care in the perioperative period. Perioperative care of patients with diabetes involves providing optimal surveillance for a break in the skin of the foot, screening for neuropathy, following guidelines for foot ulcer infections, preparing for pathophysiology-based debridement, using adjuvant therapies, and offloading the patient's affected foot. Nurses should understand the disease process and pathophysiology and how to use these approaches in the perioperative setting to assist in curtailing the morbidity and mortality associated with foot ulcers in patients with diabetes.

journal_name

AORN J

journal_title

AORN journal

authors

Howell RS,Criscitelli T,Woods JS,Gillette BM,Brem H,Gorenstein S

doi

10.1002/aorn.12099

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

431-440

issue

4

eissn

0001-2092

issn

1878-0369

journal_volume

107

pub_type

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