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Self-Care among Diabetic Amputee
... Various studies have shown that foot care among diabetes were inadequate. 21 Further, the foot examination by health care professional also has been poor. Of the various factors in diabetes care, the foot examination was found to be the least with only 22% having been examined. ...
... 3 In one survey in Canada, it was seen that only 40% of patients (4 in 10) reported having their feet examined by a doctor less than once a year. 21 In another study from Asia, around 61.9% of patients said that their feet were never examined by physician or a nurse. In another study from Africa, only (27.5%) of patients reported their feet being examined by a doctor. ...
Background: Diabetic foot is a well-known complication of diabetes. The aim of this study was to determine the foot evaluation done in surgical patients admitted with diabetic foot problems and to distribute the components of evaluation through Amit Jain’s triple assessment for foot in diabetes.Methods: A descriptive retrospective analysis was carried out in Department of Surgery of Rajarajeswari Medical College, Bangalore, India. The study was approved by Institutional ethics committee.Results: 50 inpatients files of surgery patients were reviewed. Majority of patients were males. The most common diagnosis was non-healing ulcer affecting 34% of patients. Around 26% of patients had diagnosis written as just Diabetic Foot without mentioning the pathological lesion. 38% of patients didn’t have duration of diabetes mellitus mentioned in records. Although 94% of patients had ipsilateral foot examined, the component distribution like feeling the peripheral pulses and testing sensation for neuropathy was only 42% and 2%. The contralateral foot was examined in only 2% of patients.Conclusions: Diabetic foot is often neglected by patients and health care professionals. This study that analyzes diabetic foot evaluation through Amit Jain’s triple assessment for foot shows that although the ipsilateral foot is inspected in 94% of the patients, only 42% patient’s pulses were assessed and only 2% patients’ sensation were tested. The contralateral foot wasn’t examined in 98% of patients. Amit Jain’s triple assessment should be considered a minimum and mandatory evaluation tool for all patients with diabetic foot.
... By 2030, it is anticipated that there would be 8700 deaths per day and 6 deaths per minute worldwide in industrialized and developing countries, respectively [6]. According to IDF data from 2011, Bangladesh has 8.4 million diabetic patients, and by 2030, that number is expected to treble [7]. In Bangladesh, urban areas are more likely to have diabetes than rural ones [8]. ...
... 10 However, there are studies that show diabetic foot care among patients to be inadequate. 19,20 Further, it is also seen that foot evaluation by the health care professionls has been poor. There are data which suggested that diabetic foot is adequately evaluated only in 12-20% of the time. ...
Background: The present study was done to assess the foot evaluation done by the physician in diabetic patients and analyzing it through Amit Jain’s triple assessment for foot in diabetes.Methods: A descriptive retrospective study was done at Rajarajeswari Medical College, Bangalore, Karnataka, India. The study period was from July 2017 to December 2017. All the patients admitted in medical ward with diabetes were studied.Results: A total of 65 patients were included in this study. Majority of patients had diabetes of less than 10 year duration. Around 27.7% who were admitted had some history of foot complaints. However, foot examination was done by physicians only in 7.7% of the cases. It was seen that only 6.2% of the feet were inspected (look component), 1.5% of patients pulses were assessed (Feel component) and none of the patients had their sensation checked (Test component). Ophthalmologist was most commonly consulted specialist (35.4%) for eye evaluation in comparison to surgeon for foot evaluation.Conclusions: Diabetic foot is a common complication of diabetes mellitus and screening of foot is essential to prevent complications and amputation. This study done through Amit Jain’s triple assessment for foot in diabetes showed that foot evaluation was poorly done by physicians.
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