Professional Documents
Culture Documents
2018
DIABETIC ULCER
DEFINITION
Infection, ulceration or destruction of deep tissues
associated with neurological abnormalities & various
degrees of peripheral vascular diseases in the lower limb
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FACTORS ASSOCIATED WITH FOOT
ULCER
PREVIOUS ULCER/AMPUTATION
NEUROPATHY : Sensorimotor
TRAUMA : Poor Footwear
Walking barefoot
Falls/Accidents
Objects inside shoes
BIOMECHANICS : Limited joint mobility
Bony prominences
Foot deformity/osteoarthropathy
Callus
PERIPHERAL VASCULAR DISEASE
SOSIO ECONOMIC STATUS : Low social position
Poor acces to healthcare
Non compliance/neglect
Poor Education
PAT H O P H S I O L O G Y O F
F O O T U L C E R AT I O N
Neuropathic
Ischemic
Neuro -ischemic
ASSESSMENT OF DIABETIC ULCER
Neuropathy
Ischemia
Deformity
Callus
Swelling
Skin breakdown
Infection
Necrosis
STAGES OF ULCER DEVELOPMENT
STAGES OF ULCER DEVELOPMENT
D I A B E T I C N E U R O PAT H Y
Multidisciplenary approach
Staging dictate the treatment option
Continuity of care & life long observation
DIABETIC FOOT ULCER
T R E AT M E N T
M O D A L I T I E S
Metabolic control
Microbiological control
Wound control
Vascular control
Mechanical control
Educational control
Nutritional control
A M P U TAT I O N I N D I A B E T I C PAT I E N T
Yoni Mulyoni
yonimulyoni@yahoo.com 08121129991
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Thank You
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