Comorbidities
- Coronary artery disease
- Large and small vessel damage
- Depression
Causes of Foot Ulcerations
- Peripheral & autonomic nervous system neuropathy
- Mechanical stress
- Foot deformities
Assessment and Diagnostic Tools
- Loss of protective sensation
- Semmes- Weinstein 5.07 monofilament
- 128hz tuning fork
- Capillary refill
- ABI
Managing the Diabetic Foot
- L.E.A.P
- Callus management
- Footwear
Characteristics of a Diabetic Foot Ulcer
- Location
- Shape
- Exudate
- Wound bed appearance
Assessment of Bacterial Burden
- Signs of infection
- Silent infection
- Quantitative tissue biopsy
- Wound cultures
- Proper wound cleansing
Orthopedic Assessment
- X ray
- Osteolysis
- Charcot foot
- Total contact casting
- Offloading boots
- Custom shoe inserts
- Osteomyelitis
Vital Role of Dietitian
- Protein & carbohydrates
- RDA’s for adults
- Amino acids
- Nitric oxide
Optimal Wound Healing Requirements
- Too wet/too dry
- Dressings
- Biologics
- Silvers
- Cytotoxics
Therapy Modalities
- High and low frequency ultrasound
- Pulsed lavage/jet ox
- Hyperbaric oxygen
- Topical/transcutaneous oxygen
- Electric Stimulation (HVPG)
- MIRE
- Wound Vac