Care Management of Elderly Patients with Diabetic Foot Ulcers who Have High Amputation Risk: A Case Study
Article Sidebar
Main Article Content
Abstract
Foot ulcers are one of the important complications and commonly found in
older adults with diabetes. It caused by physiological changes according to the elderly
and having poor control of blood sugar level resulting in peripheral vascular and peripheral
nerve degeneration, numbness and decreased perception at foot. In addition, inappropriate
foot care behavior has also affected the risk likely of diabetes elderly patients to develop
foot ulcers easily. If the foot ulcer becomes infected, the amputation risk is high and can
lead to mortality. This article aimed to presents a case study of elderly patients who have a diabetic foot ulcer with a high risk for amputation by integration the performance of advanced practice nurse roles in the care management to assist the diabetes elderly patient adapt with disease and reduce foot amputation. This will further promote the quality of life among diabetes elderly patients.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Aekplakorn W. Thai National Health Examination Survey, NHES VI 2019 – 2020. Bangkok: Aksorn Graphic And Design Publishing House, 2021; p.177-78. (In Thai)
Kosachunhanun N. Pathophysiology of diabetic foot diseases. In: Kosachunhanun N, editor. Prevention and
management of the diabetic foot. Bangkok: Trick Think; 2013. p.21-34. (In Thai)
The Royal College of Physicians of Thailand, Diabetes Association of Thailand under The Patronage of Her Royal Highness Princess Maha Chakri Sirindhorn,The Endocrine Society Thailand, Department of Medical Services, National Health Security Office. Clinical practice guideline 2017; 2017 [cited 2022 May 1]. https://www.dmthai.org/attachments/article/443/guidelinediabetes-care-2017.pdf (In Thai)
Choowattanapakorn T, Suriyawong S. The view of illness among older persons with diabetes mellitus. Thai Journal of Nursing Council 2011; 26(4): 96-107. (In Thai)
Srisomthrong, K., Chintanawat, R., & Sucamvang, K. (2017). Effect of self-Management support on foot care behaviors among older persons with type 2 diabetes mellitus. Thai Journal of Nursing Council, 32(3), 120-34. (In Thai)
Pataky Z, Vischer U. Diabetic foot disease in the elderly. Diabet Med 2007; 1(33): 56-66.
Surit P. Foot: problems that should not be overlooked for nurses in the elderly diabetes. Journal of Nursing Science and Health. 2006 ;29(1): 61-8. (In Thai)
Moakes H. An overview of foot ulceration in older people with diabetes: diabetic complications can result in foot ulcers that may become infected, so it is vital that nurses know when to refer patients.Nurs Older People 2012; 24(7): 9-14.
Laure Sayyed Kassem, David C. Aron, The assessment and management of quality of life of older adults with diabetes mellitus, Expert Review of Endocrinology & Metabolism, 10.1080/17446651.2020.1737520, 15, 2, (71-81), (2020).
Adeyi A, Muzerengi S, Adeyi IG, Gupta I. Leg ulcers in older people: a review of management leg ulcers. Br. J.Med. Pract 2009; 2(3): 21-8.
National Health Security Office. National Health Security Fund Management Manual Budget Year 2015 Volume 4: Administering the budget for the prevention and treatment of chronic disease control services 2015 Bangkok: Sahamit Printing and Publishing; 2014. (In Thai)
Siriniyomchai R. Advanced practice nursing in foot care for older adults with diabetes mellitus. Rama Nurs J. 2013;19(2):183-93. (In Thai)
Intarasombat, P. Gerontological Advanced Practice Nurse and Aging Society in Thailand. Thai Journal of Nursing and Midwifery Practice 2014; 1(1) 47-56 (In Thai)
Moungkum, S. Nurses’ Role in Diabetic Foot Care. Journal of The Royal Thai Army Nurses. 2017; 18(supplement): 1-10. (In Thai)
Thailand Nursing and Midwifery Council. Official Announcements: Scope and Competencies of advanced practice nurses. [Cited 2022 Aug 2]. https://www.tnmc.or.th/news/124 (In Thai)
Institute of Medical Research and Technology Assessment. Clinical Practice Guideline: Prevention and Management of Diabetic Foot Complications. Bangkok: Institute of Medical Research and Technology Assessment; 2013. (In Thai)