The Diabetic Foot putting the best foot forward Phyllis Camilleri - PowerPoint PPT Presentation

The Diabetic Foot putting the best foot forward Phyllis Camilleri Podiatrist Diabetes Foot Care

TARGET MORE LESS OF OF THIS THIS

PATHWAY OF CARE FOR THE FOOT IN DIABETES STAGE CARE NEED SCREENING- early detection of complications and risk factor early intervention and education. presently done in secondary HEALTHY FOOT and primary care but not all stake holders aware. NATIONAL DIABETEIC FOOT SCREENING PROGRAMME IS NEEDED. REQUIRES MORE SPECIFICALLY DEDICATED, HUMAN RESOURSES ,EQUIPMENT AND SPACE. ONCE IN PLACE PATIENT AND HEALTH CARE PROVIDER AWARENESS CAN BE IMPROVED.

PATHWAY OF CARE FOR THE FOOT IN DIABETES STAGE CARE NEED REGULAR PREVENTIVE CARE AND THE ‘AT RISK’ AND TIMELY OR IMMEDIATE ‘HIGH RISK’ FOOT INTERVENTION WHERE NECESSARY. Currently available with good liaising between professionals who are aware of services. Introduction of joint vascular clinics and vascular surgery has lead to improvement in limb salvaging. Improvements necessary: • Appointments for further investigation. • Budgetary and human resource limitations at OPU. • Investment in a CAD-CAM 3D scanner will reduce timing of orthotic supply significantly.

300 268 268 250 Introduction of 232 Vascular Surgery Service 218 200 165 133 150 115 129 109 112 122 100 111 114 95 89 105 85 104 84 97 50 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Major Minor Amputations

PATHWAY OF CARE FOR THE FOOT IN DIABETES STAGE CARE NEED REGULAR PREVENTIVE CARE AND THE ULCERATED TIMELY OR IMMEDIATE FOOT INTERVENTION. Currently available with good liaising between professionals who are aware of services. Improvements necessary: • Provision of medications including dressings and antibiotics often fraught with red tape and too much paper work. Not clear to practitioners what can be supplied. • Faster OPU supplies are crucial at this stage. • Problems with: timing of delivery and site location of OPU not conducive to multidisciplinary liaising.

PATHWAY OF CARE FOR THE FOOT IN DIABETES STAGE CARE NEED THE AMPUTATED REGULAR REVIEW TO MONITOR LIMB FOOT OR LIMB STATUS AND PREVENTIVE CARE FOR STUM AND COLLATERAL LIMB. Services for good after care are currently in place and generally at this stage patients will be aware of quick access pathways to any of health care professions needed. Improvements needed: • Better psychological after care. • CPD programme for care providers re teaching strategies. • Unit for screening/monitoring amputees.

Thank you.