Prevention of Diabetic Foot Ulcer by Iraj et al
Foot infection is a common symptom of diabetes. Such infection often manifests itself in the form of ulceration. Foot ulceration causes a lot of pain among patients resulting from micro and macro vascular complications. This is more prevalent among young people as evidenced in the age of the patient provided in the case study. As such, the age of the patient is an important consideration not in only making a diagnosis but also crucial in designing medical intervention regimen.
Several factors influence the development of foot ulcers. The most common factors that have been cited by Iraj et al. are peripheral artery disease, neuropathy, deformity and minor trauma. However, several other factors influence the development of the disease after the appearance of foot ulcers. For patients with neuro ischemic ulcer, typical signs of infection such as pain are inhibited. This can be attributed to neuropathy which causes insensitivity of foot. In turn, insensitivity decreases the amount pain patients experience in the foot. Awareness of the mentioned factors is important for physicians to avoid misdiagnosis.
Contemporary Evaluation and Management of the Diabetic Foot by Bauer E. Sumpio
The foot is a complex biological structure comprising of several bones and joints and a network of muscles, ligaments and blood vessels. Alignment of these biological structures is critical for normal functioning of the foot. Development of foot ulcers disrupts the alignments between bones, joints, ligaments, muscles and blood vessels. A foot with deformities strains on the bodys weight, causing misalignments between ligaments and tendons which result in pain.
Acute Pain and Foot Injury Treatment by Alexiadou and Doupis
Acute foot pain is a major health problem experienced by patients with diabetes. Addressing the prevalence of the symptom among diabetic patients requires a multi-faceted approach. This is because a large amount of scientific literature indicates that infections and complications relating to diabetes require several interventions to be implemented concurrently to yield quality outcomes. First, offering education to patients can empower them with information relating to lifestyles that expose them to infections. For instance, patients with peripheral diabetic neuropathy experience loss of sensation which predisposes them to minor injuries from sources such as shoes, burns, and nails. Equipping these patients with information can help them reduce exposure to risks by adopting a lifestyle that is health-friendly to their health conditions. Medical interventions such as debridement can also be carried out to remove those tissues that have been infected. Debridement can be achieved surgically, through the use of enzymatic and biological agents, and autolysis.
Article on Interventions that Addresses Physical Mobility by Allet et al
Impaired physical mobility is a common symptom associated with people with diabetes. As such, interventions that target the gait and balance of the patient can play a significant role in alleviating physical impairments. Research has demonstrated that designing specific training programs for patients with diabetes can enhance the performance of muscles and their overall physical mobility. More specifically, specific training programs improve, balance, gait speed, muscle strength and joint in patients with diabetes. Notably, physical activities have the effect of making positive modifications on ankle movement and power. This enhances stance and postural stability in diabetic patients. Additionally, more muscle activity is critical in addressing sensory and motor deficits that characterize patients with neuropathy. An intervention that targets sensory deficits improves the function of muscles.
Alexiadou, K., & Doupis, J. (2012). Management of diabetic foot ulcers. Diabetes Therapy, 3(1), 1-15. doi:10.1007/s13300-012-0004-9
Allet, L., Armand, S., De Bie, R. A., Golay, A., Monnin, D., Aminian, K., De Bruin, E. D. (2010). The gait and balance of patients with diabetes can be improved: a randomised controlled trial. Diabetologia, 53(3), 458-466. doi:10.1007/s00125-009-1592-4
Iraj, B., Khorvash, F., Ebneshahidi, A., & Askari, G. (2013). Prevention of Diabetic Foot Ulcer. International Journal of Preventive Medicine, 4(3), 373-376.
Sumpio, B. E. (2013). Contemporary evaluation and management of the diabetic foot. Department of Vascular Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.
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