Risk factors of diabetic foot in older adults: clinical case
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Publicación 9. Vol 6. Num 1.1 (Español (España))
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Published:
Feb 6, 2023
Keywords:
Risk factors, Diabetic foot, Clinical Case
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Abstract
Introduction. Diabetic foot is defined as infection, ulceration or destruction of the deep tissues of the foot that may be associated with different factors. Objective. To carry out a bibliographic analysis and treatment of the disease to determine the risk factors of diabetic foot in elderly women through a clinical case of the FUNPRA geriatric center in the city of Cañar - Ecuador. Methodology. 80-year-old female patient, widowed, from the city of Azogues and resident in Cañar-Ecuador FUNPRA (nursing home), with no education. She is treated for diabetic foot grade I superficial wound in the right foot, does not involve tendon capsule or bone, in the healing process granulation tissue is observed. Results. She was administered a general diet, physical activity prior to healing, insulin in the morning 14 IU/dL and in the afternoon 6 IU/dL per day at the end of healing and bandaging. With 3 years of evolution DMT type II, 3 months of evolution of diabetic foot. No pathological, surgical or family history. Improvement of the patient is observed after the cures performed, control of glycemia and administration of medication appropriately. Conclusion. A patient with diabetes mellitus type II was treated, her diabetic foot was associated with obesity, inadequate care and poor hygiene.
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Huerta Chimborazo, V., & Mesa Cano, I. C. (2023). Risk factors of diabetic foot in older adults: clinical case . ConcienciaDigital, 6(1.1), 144-155. https://doi.org/10.33262/concienciadigital.v6i1.1.2487
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References
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Senteio, J, Teston E, Costa M, Soares V, De souza, & Spigolon D (2018). Prevalence of risk factors for diabetic foot development / Prevalência de fatores de risco para o desenvolvimento de pé diabético. Revista de Pesquisa Cuidado é Fundamental Online, 10(4), 919–925. https://doi.org/10.9789/2175-5361.2018.V10I4.919-925
Tolossa, T., Mengist, B., Mulisa, D., Fetensa, G., Turi, E., & Abajobir, A. (2020). Prevalence and associated factors of foot ulcer among diabetic patients in Ethiopia: A systematic review and meta-analysis. Revista. BMC Public Health, 20(1). https://doi.org/10.1186/S12889-019-8133-Y
Yazdanpanah, L., Shahbazian, H., Nazari, I., Hesam, S., Ahmadi, F., Cheraghian, B., Arti H & Mohammadianinejad S (2018). Risk factors associated with diabetic foot ulcer-free survival in patients with diabetes. Revista. Diabetes & Metabolic Syndrome, 12(6), 1039–1043. https://doi.org/10.1016/J.DSX.2018.06.020
Ahuja, R., Dixit, P., Banga, A., & Sharma, S. (2022). Classification Algorithms for Predicting Diabetes Mellitus: A Comparative Analysis. EAI/Springer Innovations in Communication and Computing, 233–253. https://doi.org/10.1007/978-3-030-77746-3_16
Armijos R & Romero, J. (2019). Riesgo de pie diabético y factores asociados en pacientes con diabetes mellitus tipo 2. Club de diabéticos del Hospital José Carrasco Arteaga. Cuenca, 2017 - 2018. Tesis de Maestría. Universidad de Cuenca, 1–66.
Association, A. (2009). Standards of Medical Care in Diabetes—2009. Revista. Diabetes Care, 32(Supplement 1), S13–S61. https://doi.org/10.2337/DC09-S013
Aziz, A. & Alsabek, M. (2020). Diabetic foot and disaster; risk factors for amputation during the Syrian crisis. Revista. Journal of Diabetes and Its Complications, 34(2). https://doi.org/10.1016/J.JDIACOMP.2019.107493
Brocco, E., Ninkovic, S., Marin, M., Whisstock, C., Bruseghin, M., Boschetti, G., Viti, R., Forlini, W., & Volpe, A. (2018). Diabetic foot management: multidisciplinary approach for advanced lesion rescue. Revista. The Journal of Cardiovascular Surgery, 59(5), 670–684. https://doi.org/10.23736/S0021-9509.18.10606-9
De Sousa M, Da Silva Q, Duarte J, Melo A, De Resende E & Da Silva Santos, Á. (2019). Risk assessment for diabetic foot in elderly with diabetes mellitus. Revista. Cultura de Los Cuidados, 23(55), 270–282. https://doi.org/10.14198/CUID.2019.55.23
Gouri, S., & Suresh, K. (2021). Management of Diabetic Foot Ulcer- A case study. Revista. Global Journal of Obesity, Diabetes and Metabolic Syndrome, 8(1), 001–005. https://doi.org/10.17352/2455-8583.000049
Illas, A & Martínez S (2017). Características clínico-epidemiológicas de pacientes pre-escolares con traumatismos craneoencefálicos que ingresan al servicio de emergencia del Hospital de Niños Jorge Lizarraga desde enero a diciembre del año 2015. Universidad de Carabobo. http://riuc.bc.uc.edu.ve/handle/123456789/4193
Lynar S, Robinson C, Boutlis C & Commons R(2019). Risk factors for mortality in patients with diabetic foot infections: a prospective cohort study. Revista. Internal Medicine Journal, 49(7), 867–873. https://doi.org/10.1111/IMJ.14184
Martínez, D. (2018). Clinical case: complicated diabetic foot ulcer. Revista Española de Sanidad Penitenciaria, 20(3), 121.
Minchala R, Estrella M, Suarez P, Ramírez A, Guaraca P, Bautista, X (2021). Epidemiological factors associated with the evolution of the diabetic foot. Revista Latinoamericana de Hipertension, 15(2), 126–131. https://doi.org/10.5281/ZENODO.5512500
OMS. (2019). Diabetes. Reporte.
OMS. (2021). La OMS lanza un nuevo paquete técnico mundial para acelerar las acciones para abordar la diabetes. Reporte.
ONU. (2015). Objetivo 3: Garantizar una vida sana y promover el bienestar para todos en todas las edades. Agenda 2030 Sobre El Desarrollo Sostenible.
OPS/OMS. (n.d.). Ecuador - La diabetes, un problema prioritario de salud pública en el Ecuador y la región de las Américas. Reporte.
Pourkazemi, A., Ghanbari, A., Khojamli, M., Balo, H., Hemmati, H., Jafaryparvar, Z., & Motamed, B. (2020). Diabetic foot care: knowledge and practice. Revista. BMC Endocrine Disorders, 20(1). https://doi.org/10.1186/S12902-020-0512-Y
Qi, M., Zhou, Q., Zeng, W., Wu, L., Zhao, S., Chen, W., Luo, C., Shen, M., Zhang, J., & Tang, C. e. (2018). Growth factors in the pathogenesis of diabetic foot ulcers. Revista. Frontiers in Bioscience - Landmark, 23(2), 310–317. https://doi.org/10.2741/4593
Rossboth, S., Lechleitner, M., & Oberaigner, W. (2020). Risk factors for diabetic foot complications in type 2 diabetes-A systematic review. Endocrinology, Revista. Diabetes & Metabolism, 4(1). https://doi.org/10.1002/EDM2.175
Senteio, J, Teston E, Costa M, Soares V, De souza, & Spigolon D (2018). Prevalence of risk factors for diabetic foot development / Prevalência de fatores de risco para o desenvolvimento de pé diabético. Revista de Pesquisa Cuidado é Fundamental Online, 10(4), 919–925. https://doi.org/10.9789/2175-5361.2018.V10I4.919-925
Tolossa, T., Mengist, B., Mulisa, D., Fetensa, G., Turi, E., & Abajobir, A. (2020). Prevalence and associated factors of foot ulcer among diabetic patients in Ethiopia: A systematic review and meta-analysis. Revista. BMC Public Health, 20(1). https://doi.org/10.1186/S12889-019-8133-Y
Yazdanpanah, L., Shahbazian, H., Nazari, I., Hesam, S., Ahmadi, F., Cheraghian, B., Arti H & Mohammadianinejad S (2018). Risk factors associated with diabetic foot ulcer-free survival in patients with diabetes. Revista. Diabetes & Metabolic Syndrome, 12(6), 1039–1043. https://doi.org/10.1016/J.DSX.2018.06.020