Care treatment as a prophylaxis of diabetic foot syndrome – a series of 5 cases

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Ewa Pelant, Anna Pieczyńska, Magdalena Pawlaczyk, Elżbieta Buszkiewicz-Nowak, Mariola Pawlaczyk

4 (74) 2019 s. 419–424
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DOI: http://dx.doi.org/10.20883/pielpol.2019.57

Fraza do cytowania: Pelant E, Pieczyńska A, Pawlaczyk M, Buszkiewicz-Nowak E, Pawlaczyk M Care treatment as a prophylaxis of diabetic foot syndrome – a series of 5 cases. Piel Pol. 2019;4(74):419–424. DOI: http://dx.doi.org/10.20883/pielpol.2019.57

Introduction. Inadequate treatment of diabetes can lead to multiple complications. One of them is the diabetic foot syndrome, caused by micro- and macroangiopathy and neuropathy due to chronic hyperglycemia. The syndrome leads to ulcerations with or without accompanying infection and destruction of the tissues of the lower limb. Among other activities proper feet care is essential for the prophylaxis. Aim. Presenting a beneficial influence of care procedures carried out by qualified personnel on the healing process of skin lesions of the feet in 5 diabetic patients. Case report. This paper presents 5 type 2 diabetes patients with skin lesions of the feet of a few months’ to several years’ duration. The lesions included corns and calluses with ulcerations underneath, resulting from the exerted pressure. Each patient underwent podological treatment consisting of a mechanic removal of the horn masses, cleansing and debridement of the ulcerations and applying adequate dressings. In 4 cases, an additional reusable felt off-loading with an aperture properly matching the ulceration was provided. Every patient was also informed on the need of self-control and instructed about unassisted care of the feet. As a result, the skin lesions mended within a few months. Conclusions. The treatment of skin lesions in diabetes requires a multidisciplinary team. Its inherent part should be a person providing proper feet care, debriding the lesions and educating the patient in this area. This role is attributed to podologists, but also to adequately educated nurses. Joint preventive actions and treatment can significantly reduce the number of amputations performed due to the complications of diabetes.

Key words: foot, diabetes, care, ulcer.



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