Diabetic Foot and Ulcers Health and Social Care Training Resources

Diabetic Foot and Ulcers 1) Awareness 2) Wound Management

Presentation 1 - Diabetic Foot Awareness (67 Slides) (Sectioned into Topics) - Slide Titles:

Aims/Objectives
SECTION: Background Information
Introduction
Diabetes Morbidity
Prevention of Diabetic Foot Complications
15 Healthcare Essentials
Correct Management
National Focus of Diabetic Foot Care
Poor Footcare Outcomes
Hospital Admissions
SECTION: National Guidelines/Standards relevant to Foot Care for Diabetes
NHS Outcomes Framework
Public Health Outcomes Framework (England)
Adult Social Care Outcomes Framework
CCG Outcomes Indicator Set
Quality and Outcomes Framework (QOF)
NHS Oversight Framework
NICE Quality Standards
NICE NG19
Multidisciplinary Footcare Service
SECTION: DIABETIC FOOT COMPLICATIONS
The Development of Foot Ulcers
PAD Peripheral Arterial Disease
Peripheral Neuropathy
Peripheral Motor Neuropathy
Peripheral Autonomic Neuropathy
Warning Signs of Foot Ulceration
SECTION: ASSESSING DIABETIC FOOT ULCERS
Foot Ulcer Scoring System
SINBAD
SINBAD Classification Tool
Non Specialist Practitioners
Assessment of DFU
Examination of the Ulcer
DFU Characteristics - Documenting
Photographs
Loss of Sensation Tests
Testing for Neuropathy
Testing for Vascular Status
PAD Ischaemia
The 6 P's - Acute Limb Ischaemia
DFU - Identifying Infection
Risk Factors for Infection
Difficulties Identifying Infection
Classification and Severity of Diabetic Foot Infections
If Infection is Suspected
Acute Spreading Infection
Assessing Bone Involvement
Inspecting Feet for Deformities
Foot Inspections
Charcot Foot
SECTION: CLASSIFICATION OF DFUs
Common Wound Classification Systems - Key Features
References

Presentation 2 - DFUs Wound Management (59 slides, sectioned into Topics) -Slide titles:

Aims and Objectives
SECTION: BACKGROUND INFORMATION
Introduction
Diabetic Foot Wounds
Severity of Infection
Physiological Processes Associated with Diabetes
Neuropathic DFU Image
Ischaemic DFU Image
Neuroischaemic DFU Image
Charcot's Neuroarthropaphy Image
Role of the Nursing Team - the DSN
Role of the Nursing Team - All Nurses
SECTION: WOUND MANAGEMENT
Standard Care for Treatment of DFUs
Principle Aim of Wound Management
Treating Underlying Disease Processes
Optimising Local Wound Care
Tissue Debridement
Sharp Debridement
Other Debridement Methods
Inflammation and Infection Control
Infection in DFUs
Treatment
Antibiotics
Offloading
Pressure Offloading
Pressure Offloading Contraindications
Pressure Offloading Removable Devices
Successful Pressure Offloading
SECTION: WOUND DRESSINGS
NICE Guidelines
Moisture Balance - Optimal Dressing Selection
Moist Wound Healing
Dressing Selection
Dressing Changes
Dressing Choice - Factors to Consider
SECTION: DRESSING APPLICATION AND WOUND MONITORING
Regular Review
Patient Advice
Applying Dressings
Wound Cleansing
Managing Pain
Removing Difficult Dressings
SECTION: AMPUTATION AFTER CARE
Review of Patients with Amputations
References

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Handouts x 11

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