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FOOT PROBLEMS

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2 Angiogram. AAA. Examination. Training. Referral. So what is best practice? Amputations ... The enemies of progress in type 2 diabetes are therapeutic hilism ... – PowerPoint PPT presentation

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Title: FOOT PROBLEMS


1
FOOT PROBLEMS
  • A SEAMLESS SERVICE?
  • Vivienne Howarth
  • Podiatrist

2
What is a Tissue Viability Podiatrist?
  • Wound care Guidelines
  • Tissue Viability Strategy Group
  • Pressure Reduction Group
  • Department guidelines
  • Teaching
  • Research

3
Audit 1
  • 70 Diabetes Patients
  • Pressure relief
  • Debriding
  • Vascular assessment

4
Audit 2
  • Differential diagnosis of lower limb pain.
  • Non-healing wounds.
  • Pre acupuncture referrals.
  • Other.

5
Results
  • 3 Bypass.
  • 4 Amputations.
  • 1 Angioplasty.
  • 2 Angiogram.

6
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7
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8
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9
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10
AAA
  • Examination
  • Training
  • Referral
  • So what is best practice?

11
Amputations
  • Statistics in the making !

12
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13
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14
The Patient Journey
  • From home
  • To hospital
  • To home
  • To hospital

15
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16
The Reality
  • The enemies of progress in type 2 diabetes are
    therapeutic hilism and management inertia. These
    can be overcome (or bypassed! ) but this takes
    effort, enthusiasm, co-operation and a
    significant degree of lateral thinking from all
    concerned.
  •  


  • Dr David Kerr
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