Operational Protocol Role Of Diabetic Foot Wound Treatment (DFU) and the Future of its Treatment

Publish Year: 1398
نوع سند: مقاله کنفرانسی
زبان: English
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WTRMED06_181

تاریخ نمایه سازی: 5 بهمن 1398

Abstract:

RequisitenessDiabetes is a type of metabolic disorder in the body that is caused by a decrease in insulin production or resistance to insulin in body that results in an increase in blood sugar and the effects of it on all organs. Considering the global statistics of increasing diabetes incidence in recent years and decreasing age of diabetes which is the main cause of global lifestyle changes and due to the incidence of diabetes complications including renal failure, retinopathy and vasculopathy, neuropathy and ultimately diabetic foot ulcer Tat cuases amputation After years of diabetes onset and the lack of knowledge of some wound therapists, we decided to develop a 0-to-100 protocol on the treatment of diabetic foot ulcers based on functional questionnaires.AbstractThese protocols include respectively:Initial evaluation:Initial evaluation emphasizes current and past medical history of the patient as well as clinical evaluation of the wound, involved organ, and related clinical examination.DiagnosisBased on clinical examinations and past and present patient evaluations, the initial diagnosis is made, and the primary treatment plan is established based on the initial diagnosis and after further diagnostic evaluations (if necessary) as well as secondary evaluation, a specific treatment plan will be established.Treatment planFinally, treatment plan will be based on performed numerous studies and on the main treatment (compression therapy, vein surgery, sclerotherapy, infection control, wet dressing, amniotic membrane graft, PRP, etc.) and complementary therapy (low power laser, ozone, Carboxy, Ultrasound, PHMB, Hyperbaric Oxygen, etc) and will emphasis on teamwork to reduce and eliminate risk factors and underlying factors.Prospects of the future venous wounds:Due to poor response to treatment for varicose veins and the multifactorial cause of the wound, as well as the need for underlying factor treatment and reducing risk factors, varicose vein treatment is a team work treatment and needs trained people in this area to reduce treatment error and reach The maximum efficacy of treatment in minimal healing time. The future of wound healing in varicose veins is a combination of many variables (based on response to treatment) and single-brand and one-dimensional treatment based on focusing without Removing the underlying factors will not work.This protocol emphasizes the need for team work and multidisciplinary wound healing، treatment planning based on accurate diagnosis of the cause of the wound، elimination or reduction of the underlying factor and patient education to prevent recurrence of the wound or to create a new wound.There will be a special protocol for the treatment of venous wounds in the future with the team, as well as the use of combination therapies where therapists have a choice based on the patient s wound and financial condition.

Keywords:

Diabetic Foot Ulcer Treatment (DFU). Future of diabetic wounds

Authors

kobra Sari

BSc, instructor of Midwifery, Azad University of Arsanjan, esfahan, Iran