Diabetic Foot Ulcers

Laurie Swezey's picture
Wound Assessment Tools

By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

There are many tools that can be used to assess wounds. It is important to be aware of these tools and what they measure. It is also important to become knowledgeable about the tool(s) used in your workplace.

Thomas Serena's picture
authorization denied

By Thomas E. Serena MD, FACS, FACHM, FAPWCA

During the 2010 presidential campaign, Sarah Palin, the former governor of Alaska, quipped during a debate that then presidential candidate Obama's health care reform contained within it "death panels": bureaucrats with limited or no medical training making life and death decisions. She suffered interminable criticism for the comment and political fact checkers dubbed it the "lie of the year."

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Industry News's picture

By The Alliance of Wound Care Stakeholders

The Alliance of Wound Care Stakeholders submitted formal written comments in response to the First Coast Service Option (FCSO) draft local coverage determination (LCD) for Application of Skin Substitute Grafts for Treatment of Diabetic Foot Ulcers (DFU) and Venous Leg Ulcers (VLU) of Lower Extremities DL36013 - note: this directs you to a CMS landing page where you must accept a license/disclaimer, and once accepted it connects you to the LCD).

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Laurie Swezey's picture
total contact casting

By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

Total contact casting (TCC) is considered to be the 'gold standard' in the treatment of diabetic foot ulcers. Although TCC is often very successful in healing diabetic foot ulcers, this treatment modality is not used as often as it could be.

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Temple University School of Podiatric Medicine's picture

By Tasneem Masqati and James McGuire DPM, PT, CPed, FAPWHc

The majority of the wounds of the lower extremity are of arterial, venous or neurotrophic(diabetic) origin.

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Michel Hermans's picture
healing rate

By Michel H.E. Hermans, MD

An interesting article in JAMA Internal Medicine (February 2015) by doctors from Massachusetts, Maryland and California (A.B. Jena, M.D. lead author) analyzed mortality and treatment differences in patients who were admitted with cardiovascular pathology during dates of national cardiology meetings and compared these with the situation when the physicians were at the hospital. They found that high-risk patients with heart failure and cardiac arrest had a lower 30-day mortality rate when a national cardiology meeting was taking place. Fewer percutaneous interventions were performed during these meetings without an effect on mortality in patients with an acute myocardial infarction. Although the authors did not state this, one might (cynically?) think that treatment may have been excessive when the (interventional) cardiologists were "at home": perhaps bad for the patient and certainly not good for the cost of health care.

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Mark Hinkes's picture
leg bones

By Dr. Mark Hinkes, DPM

Unequal limb length (ULL) is a clinical problem that is more common than most clinicians realize and is one for which most patients are rarely evaluated. Common problems associated with unequal limb length include instability in gait, falling, low back pain, sciatica, joint pain, IT Band Syndrome, chronic muscle strain, tendonitis, and failure of diabetic foot wounds to heal.

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Temple University School of Podiatric Medicine's picture

By Rizwan Tai and James McGuire DPM, PT, CPed, FAPWHc

According to Centers for Disease Control and Prevention (CDC), the number of adults between the ages of 18-79 with newly diagnosed diabetes has more than tripled in the last 30 years. Foot ulcers are a major complication of uncontrolled diabetes, and 25% of the patients will be affected with foot ulcers in their lifetime, the majority of which lead to lower extremity amputations.

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Diana Gallagher's picture

By Diana L. Gallagher MS, RN, CWOCN, CFCN

I recently had the honor of participating in a meeting of the Wound Ostomy Continence Nursing Certification Boar> (WOCNCB®). My role was to assist the Foot Care Committee with the evolution of the exam for certification in foot care nursing. All WOCNCB exams are expanding to a larger format based on the recommendations of the testing industry. The committee worked diligently to assure that item inclusion matched the test blueprint which in turn matched the job analysis that had been completed earlier this year. There is SO MUCH work that goes on behind the scenes to maintain examinations that are worthy of the WOCNCB's "Gold Standard." Participating in this meeting was truly an honor. As one of the members of the original committee for foot care nursing, I could not have been prouder of the progress that has been made in the past decade.

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