Reflective accounts

Preventing amputation

A CPD article improved Malgorzata Zdzioch’s knowledge of the importance of effective foot care to prevent ulceration

A CPD article improved Malgorzata Zdziochs knowledge of the importance of effective foot care to prevent ulceration.

Abstract

Many adults with diabetes experience complications as a result of sub-optimal management of the disease. One of the complications is foot ulceration, which can lead to amputation if left untreated.

The article identified peripheral arterial disease (PAD) and neuropathy as risk factors for developing foot problems. In PAD, blood flow through arteries is reduced, and as a result the blood supply to the lower limbs is compromised. Neuropathy is the main reason for loss of sensation in limbs. PAD and neuropathy affect the healing process and increase the risk of infection. Untreated foot ulcers may result in tissue death and amputation of the limb.

In my practice, it is important to support individuals in their daily foot observation. Unnoticed injury and loss of sensation may lead to the development

...

A CPD article improved Malgorzata Zdzioch’s knowledge of the importance of effective foot care to prevent ulceration.

Abstract

Many adults with diabetes experience complications as a result of sub-optimal management of the disease. One of the complications is foot ulceration, which can lead to amputation if left untreated.

The article identified peripheral arterial disease (PAD) and neuropathy as risk factors for developing foot problems. In PAD, blood flow through arteries is reduced, and as a result the blood supply to the lower limbs is compromised. Neuropathy is the main reason for loss of sensation in limbs. PAD and neuropathy affect the healing process and increase the risk of infection. Untreated foot ulcers may result in tissue death and amputation of the limb.

In my practice, it is important to support individuals in their daily foot observation. Unnoticed injury and loss of sensation may lead to the development of a foot ulcer. Therefore, individuals should be encouraged to avoid skin breaks.

Appropriate footwear should be worn to protect areas prone to injury and reduce pressure on tissue. It was interesting to read about the different types of offloading devices, and their use and fitting, and this will be useful when managing patients’ essential foot care.

Read the article

This reflective account is based on NS796 Thomas E (2015) Preventing amputation in adults with diabetes: identifying the risks. Nursing Standard. 29, 40, 49-58.

Want to read more?

Subscribe for unlimited access

Enjoy 1 month's access for £1 and get:

  • Full access to nursing standard.com and the Nursing Standard app
  • Monthly digital edition
  • RCNi Portfolio and interactive CPD quizzes
  • RCNi Learning with 200+ evidence-based modules
  • 10 articles a month from any other RCNi journal

This article is not available as part of an institutional subscription. Why is this?