CAHPO 2016. Workshop 4: Chris Pankhurst and Lawrence Ambrose
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Transcript of CAHPO 2016. Workshop 4: Chris Pankhurst and Lawrence Ambrose
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Diabetic Foot Screening Apps
Developed in collaboration with:
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Source: IDF Diabetes Atlas – Seventh edition
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Current Background and Statistics
• In UK 3.5 million adults diagnosed with diabetes
• Estimated 550k undiagnosed– an increase of 120k compared to the
previous year– an increase of 65% over the past decade
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Aims• Two Apps
1. HCPs who perform diabetic foot screenings
2. People with diabetes
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Aims (HCP)• To understand the importance of routine foot
screenings• To understand how diabetes affects the feet• How to perform a quality diabetic foot
screening • How to determine the patient’s risk status • Patient education• When & whom to refer to
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Aims (Person with DM)• To understand the importance of routine foot
screenings & how DM can affect the feet • What to expect from a quality diabetic foot
screening• Understand what their risk status means • Patient education• Insert emergency contact details & future appts• To know when to seek advice
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The Importance of Routine Foot Screenings
• Foot complications are common in people with diabetes, with an estimated 5-7 % having current or previous foot ulceration
• Foot complications are the most common cause for admission of the person with diabetes
• Diabetic foot ulcers precede more than 80% of amputations in people with diabetes
• After a first amputation, people with diabetes are 23 times more likely to have a further amputation as people without diabetes
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Difference between a Diabetic foot screening and assessment:– Screening is a quick process that categorises
people into mutually exclusive groups and will give a reasonable indication of the likelihood/risk of developing a diabetic foot complication
– Assessment is a lengthier process by which a diagnosis is reached and treatment/management is initiated
Screening v Assessment
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How it works
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When to Seek AdvicePeople with diabetes should be encouraged to seek advice if
the following are encountered:
Walking becomes difficult
Applying shoes becomes difficult
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All or part of the foot becomes swollen
The foot becomes noticeable red or has another unusual discolouration
A part or all of the foot becomes much hotter than normal
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There is a discharge of any kind from the foot
There is an unusual smell
The feet have open sores or blisters
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General feeling of being unwell, with nausea, vomiting and high temperature
General difficulty keeping blood sugar levels under control