Order Description
Evaluate care for a person with an acute or chronic diabetic foot problem detail clinical presentation and discuss assessment diagnosis classification and treatment choices. Assess the need for medical and/or pharmacological management justify your decisions using current guidelines recommendations and literature. Further consider the rule of the multidisciplinary foot team and discuss referral at the most appropriate stage of each intervention.
The assignment format should be as following:
1. Case overview (case history main complain examination drug history etc).
2. Brief introduction about diabetes and its complications mainly diabetic foot.
3. Risk factors for diabetic food complications (neuropathy ischemia infection trauma poor glycemic control etc)
4. How to assess the diabetic foot.
A. Neuropathic assessment
B. vascular assessment (Fontaine classification)
C. Structural assessment (deformities and charcots arthropathy).
D. Infection assessment(wound classification systems).
5. Management of foot ulcer
A. Treatment of infection (superficial and deep)
B. local wound care (debridement dressing)
C. Off-loading
D. Other treatment.
use the following references amongst the other references.
1. National institute for health and clinical excellence guidance (NICE)
2. United Kingdom prospective diabetes study (UKPDS)
3. Diabetes control and complications trial (DCCT)

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