43: Diabetic Pt Behavior - Bennett Flashcards Preview

CS3: Exam 3 > 43: Diabetic Pt Behavior - Bennett > Flashcards

Flashcards in 43: Diabetic Pt Behavior - Bennett Deck (14):
1

big three complications of diabetes

blindness
kidney failure
foot and leg amputation

2

reasons for poor quality of life

-reduced mobility
- change in lifestyle of individual and family
- loss of social role
- unemployment
- reduce social activities

3

how many diabetics are undiagnosed?

8.1 million or 27.8% of diabetic pop.

4

leading cause of amputation

foot ulcers

5

why are diabetics at a higher risk for further breakdown post-amputation?

gait and foot mechanics have changed

6

5 yr mortality rate after new onset of diabetic foot ulceration =

up to ______ with LE amputation

43-55%

74%

because of the increased cardiovascular risks post amputation

these rates are higher than a lot of cancers

7

principles of ulcer management

1. infection
2. vascular supply
3. debridement
4. off loading
5. wound management
6. wound closure
7. management of medical comorbidities

8

successful management needs to address _______ and ______

pts mental status
ulcer management

9

3 requirements for successful amputation

1. remove all necrotic, painful or infected tissue
2. must be able to fit amputation stump with a functional and easily applied prosthesis
3. blood supply at the level of proposed amputation must be sufficient to allow primary skin healing

10

major factors to consider for amputation level

- medical and mental status of pt
- infection

11

what joints are amputated with choparts?

talonavicular
calcaneal-cuboid

12

do amputees go through the grieving process?

yes

denial
anger
bargaining
depression
acceptance
recovery

13

successful management needs to address pts __________ and _______

mental status
amputation management

14

if things are progessing well ...

express to pt and congratulate him or her


if not going well, need to be up front and honest and be clear for tx plan

consider professional psych help if significant signs of anxiety and depression