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Diabetic Foot Wound Management

12/12/2018 by Pivotal Motion
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The idea behind diabetic foot wound management is to maintain an optimum healing environment.

There are a few factors that affect the environment of the wound including:

  1.  Callus (hard skin) over the wound causing increased pressure
  2.  Ulcer slough (non-volatile skin) covering wound
  3.  Excessive time spent on feet without supportive footwear or offloading causing increased pressure on the wound
  4.  Non-absorbent dressing leaving the wound area too moist
  5.  Not dressing the wound causing the wound to dry out excessively
  6.  Not maintaining a sterile area over the wound allowing a bacterial infection
  7.  Lack of blood supply causing wound ischemia

For each of these points, there is a way to limit the impact it has on the wound environment

  1.  Sharp debridement of callus over and around wound
  2.  Irrigation of wound with saline to remove slough from wound
  3.  Supportive footwear with custom foot orthotics with offloading material to prevent pressure on ulcer
  4.  Foam dressings are ideal for highlywounds
  5.  The wound should be dressed at all times, a simple dry dressing should be used for low exudate
  6.  Using gloves and sterile equipment when treating wound
  7.  Imaging to determine blood supply, and revascularisation if eligible.

Podiatrists are best-equipped health professional to treat diabetic foot ulcers. There are also podiatrists working at designated foot ulcer clinics run by QLD health for chronic foot wounds.

 

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