Nurses’ Role in Diabetic Foot Prevent and Care: A Healthcare Challenge
Abstract:
The diabetic foot is considered one of the most devastating complications
of diabetes. Diabetic foot is defined as a foot affected by ulceration. It is associated
with neuropathy and or peripheral arterial disease of the lower limb. Health education
is a combination of learning experiences designed to help people; by increasing
their knowledge and influencing their attitudes to improve well-being. The aims of nursing interventions in diabetic foot care- to enhance patients
care and services through health promotion, prevention, and patient-centered care.
Nurses play vital roles in achieving these goals by providing health care, educating,
consulting, being transformational leaders, researching and advocating for patients.
However, this action plan focused on the roles of nurses in diabetic foot prevention
and care and identified some of the challenges faced. The main goal of the article-
to provide health services and to improve the physical, emotional, mental, socio-cultural
and spiritual needs of clients.
Education on the basics of foot care, how to perform
the physical examination and educating clients on the importance of wearing the
right shoes are fundamental areas. Developing educational programs for each client
and their families, teaching on the importance of follow-up checks, monitoring of
blood glucose at a specified interval, the primary principles of diabetic care and
prevention of complications are vital roles of a nurse.
On the other hand, minimizing the risk of the recurrence of the wound
is vital. Therefore, by managing contributing systemic factors such as hypertension,
hyperlipidemia, obesity, heart conditions or renal insufficiency is crucial. DFU
are classified based on the features of the wound and tissues involvement. The study focused on the importance of complying with
self-foot care the prevention of complications and the roles of the nurse in the
process.
Method: An evaluative study was completed using the nursing process. The
monofilament test a method used for the screening process. Educational sessions
were conducted and practical demonstrations on the importance of self-foot care.
Cases were referred for further management based on the needs identified. Many tables were used to aid in the teaching processes.
Results: All
clients visited for follow-up checks were knowledgeable on the importance of compliance
with care and ably demonstrated foot examination. 20% of the clients reported difficulties
encountered with complying to care due to socioeconomic challenges. Notably, there
were no newly diagnosed cases.
Conclusion:
Nurses’ roles remained the key factors in managing, caring, educating, advocating
and helping clients in modifying their lifestyle practices.
Keywords: Diabetic foot, diabetic foot ulcer, education, compliance.
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