Tuesday, July 10, 2012

Nursing Management of Diabetic Ulcers

Nursing Management of Diabetic Ulcers

Diabetic ulcers are sores, or pain that occurs at the foot of the person who has suffered from diabetes mellitus.

Meanwhile, according to Askandar (2001) Diabetic Ulcers are sores on the feet of red-black and foul smelling due to the blockage that occurred in medium or large vessels in the legs.

The cause of diabetic ulcers

Diabetic ulcers occur because of complications of diabetes mellitus called sensory neuropathy. People with diabetes also have poor blood circulation, thereby causing injury to the toe easily or toes which can lead to ulcer / gangrene.

Diabetic ulcer wound care
  • Dressing and wound control and help protect the wound from further damage.
  • Keep the circulation in the legs with active passive movement.
  • Control blood sugar levels.
  • If necessary, collaboration with medical debridement for action.

Prevention to avoid diabetic ulcers
  • For patients with diabetes mellitus are at risk for diabetic ulcers should consult immediately to health care. If you experience itching, blisters, blisters between the toes or on the skin around the toes. Pale-colored toes, aching or tingling, skin cracks and breaks, signs of inflammation.
  • Clean your feet every day with water that is not too cold or hot and use a soft cloth to clean your toes.
  • Use a moisturizing cream on dry skin. Not be used in between the toes.
  • Prevent skin irritation on the foot.
  • Maintenance / cut nails should be done with caution. Cut nails straight and smooth after immersion for 20 minutes in water, so that the nail is not hard.
  • Wear clean socks every day. Socks should not be too tight so that air circulation is not obstructed.
  • Avoid using tight shoes to prevent blisters.
Source : http://nanda-nursing-care-plan.blogspot.com/2012/07/nursing-management-of-diabetic-ulcers.html
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