FOOT CARE

Foot Care In Elderly: Managing Change For Service Improvement



Foot Care In Elderly: Managing Change For Service Improvement

Introduction

Background

More than one million amputations due to diabetes are recorded each year worldwide, warning the International Diabetes Federation (IDF). Every year, too, 4 million people worldwide suffer from a foot ulcer. In most cases, it is possible to prevent ulcers and amputations as long as basic precautions are taken. Most problems can be, in effect, prevented by effective prevention. This was said yesterday, experts, including Professor Fouzia Sekkal, Department Head of Diabetes at the University Hospital of Bab El Oued, and Professor Mohamed Bouayed, chief of vascular surgery service at the EHU Oran . They intervened at a seminar on the prevention and treatment of diabetic foot arranged at the hotel by Golden Mouflon Lad Pharma laboratories, in collaboration with the Federation of Associations of diabetics (Lipsky, 2004, 156-162).

"Prevention is the key to preserving lesions that can be fatal for a diabetic," said Professor Bouayed, insisting on foot hygiene, often overlooked by diabetics. According to him, "an impeccable foot hygiene is highly recommended." "I often advise the patient to wear suitable shoes, cotton socks and dry your feet thoroughly, especially after his ablutions, to avoid too el henna. The Gymnasts feets, which also combines rotations and bending the ankles, is of enormous benefit, and an hour of walking daily, "he said. In short, simple precautions to help people escape the pire.Le professor also called for the need to implement preventive actions towards patients, emphasizing the role of diabetic homes and general practitioners. He stressed that "80% of cases, a foot ulcer precedes the amputation," adding that over a period of five years, 33% of diabetic patients hospitalized in the service have been cut, hence the interest of a multidisciplinary management and an efficient prevention.

"Preventing foot ulcers can inevitably prevent amputation," he says. In addition to insufficient prevention, gaps in care for patients and monitoring and the lack of specialized centers are also present (Bolton et al., 2005). Prendre care of your feet is essential for a diabetic because it presents some sensitivity to heat and cold and decreased pain sensation. So he does not see the trauma that can occur and can injure themselves without realizing it, resulting in irreversible consequences such as foot ulcers and wounds difficult to treat. Infection of these wounds can lead to amputation. A formidable public health problem, especially as the cost of care is heavy. Amputation of the foot of a diabetic would cost in AD 900 000. In terms of therapeutic management, treatments are recommended against the diabetic foot ulcer, like the epidermal growth factor Human Recombinant (Heberprot-P) (Affleck et al., 2007, 273-279).

This drug stimulates granulation and accelerates re-epithelialization of diabetic foot ulcer, decreases healing time and the number of surgical debridements and recurrences locales.Le laboratory asked to extend the registration of the drug to hospital pharmacies but no action was given to him for almost 15 ...