Joan Junkin – Diabetic Foot Care

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 Joan Junkin – Diabetic Foot Care

Description:

• Diabetic Foot Exam Techniques
• Strategies to Protect Neuropathic Patients Foot Ulcers from Infection
• Discount-Loading Methods: Both the Pros and the Cons
• What treatment modality is most effective for your patient?
• Patient Education and Compliance Techniques

Foot Lower extremity and care in Diabetic Patients is more than “challenging”; it’s downright perplexing at times. Poor foot care can result in extremely high-risk wounds, amputation, and even death for diabetic patients. The complex maze of neuropathies and co-morbidities that diabetic patients have can make it difficult to identify the care needed for this patient.-morbidities. Foot examinations are a whole other challenge, riddled with sometimes obscure cues as to what is going on with the diabetic patient’s health. Diabetic foot and lower extremity care doesn’t have to be perplexing or scary any more. Expert in wound care Joan JunkinMSN, CNS, RN, has been there. She wants to share her wisdom and insight from over 20 years of wound care experience with you.

Join Joan As she shows you the best ways to do a proper foot examination, She will also teach you how to use the foot exam’s visual and bodily cues to treat the patient. Drawing on her many years of experience in patient care, Joan I will share proven ways to help diabetics understand why it is important to control and monitor blood glucose levels. Joan We will demonstrate why gauze and normal saline are not sufficient for cleaning these high-risk wounds.-loading devices. She will discuss the modalities of physical sciences that have been shown to be effective in healing neuropathic foot ulcers. You will leave the day with a better understanding of diabetic foot and lower extremity care, as well as the skills necessary to perform foot exams and deal with wound problems.

OUTLINE

Understanding the Effect of Neuropathy on the Lower Extremity

• Sensory nerve injury
  • Neuropathic pain
  • Sensation and balance
  • Inadequate awareness about a skin infection or break in the skin
  • Inadequate awareness about footwear’s proper fit
• Motor nerve damage
  • Modification of gait (slapping).
  • Deformities in the metatarsals and toes can be caused by an increase in strength of the flexor tendon
• Autonomic nerve injury – central and peripheral
  • Insufficient sweating can lead to excessively dry skin
  • Vasomotor control is declining
  • Gastroparesis and resulting nutritional deficiencies

Diabetic Foot Exam Techniques

• Strategies for identifying visual cues that indicate abnormality in an exam
  • Xerosis
  • Foot Color and shape
  • Toenails
  • Evidence of ulcers in the past
  • Callus formation
• What can we learn about temperature variation and foot pulses?
• Screening tools
• Referring a patient

Strategies to Protect Neuropathic Patients Foot Infections can cause ulcers

• Hyperglycemia can impact the immune response
• Prevention, Prevention, Prevention!
  • Proper cleaning techniques
  • Selection strategies for products – using germ reducing dressings like silver, cadexamer, PHMB and methylene/gentian violet, as well as salt, sugar, honey, and sodium hypochlorite
  • How to break biofilm
    • Ultrasound
    • Debridement by mechanical or sharp means
    • Pulsed lavage
  • Debridement: When and how to use it
    • Mechanical
    • Sharp
    • Biological
    • Enzyme
    • Autolytic
  • Negative pressure wound treatment.

Discount-Loading Methods: Both the Pros and the Cons

• Boot or shoe for healing
• TCC EZ and total contact cast
• Bedrest
• Kneeling on crutches or a walker

Different Treatment Options: Which is best for YOU?

• Negative Pressure Wound Therapy
• Hyperbaric
• Electrical Stimulation
• Pulsed Lavage
• Light & Ultrasound Therapy

Advanced Therapies

• Living Skin Equivalents
• Platelet Rich Plasma
• Stem Cell Applications

Evaluation and meeting the requirements Diabetic Patient’s Psychological Needs

• Depression’s impact on patient adherence and outcomes
• Depression screening
• Interventions that release endorphins
• Tips for improving patient compliance and education

Would you like to be contacted? Joan Junkin – Diabetic Foot Care ?

OBJECTIVES

• To ensure evidence, you can use data from the literature-For diabetic foot ulcer patients, it is possible to practice informed practices for mental needs
• Do a foot exam with visual cues, circulation assessment, and a monofilament
• Create an educational intervention for diabetics that is based upon the understanding of how poorly controlled diabetes affects nerves, bones, microcirculation, and other bodily functions.
• Investigate the effects of neuropathy on the lower extremity. Sensory, motor, and autonomic
• How to prevent a neuropathy foot ulcer infection
• Consider the pros and cons for each type of off-Loading methods for neuropathic feet ulcers
• Data from the recent literature that paraphrased data about the effectiveness of modities such as electrical stimulation, hyperbarics and pulsed lavage, light, ultrasound, and negative pressure wound therapy (NPWT) for diabetic foot ulcers have been paraphrased.
• Assess the appropriate use of advanced therapies such as living skin alternatives, platelet rich plasma and stem cell applications.