Diabetic Foot 

In case you have diabetes, your blood sugar, or blood glucose, amounts are excessively large. With the years, this can damage blood vessels or your nerves. Damage from diabetes may cause you to eliminate feeling in your toes. You might not believe a blister a cut or a sore and foot injuries like these can lead to infections and ulcers. Some serious cases might even result in an amputation. Damage to the blood vessels may also indicate that your toes don’t get enough oxygen and blood. Should you have a foot sore or diabetes, It is harder for the foot to cure without proper foot care for diabetic patients.

It is possible to help prevent foot issues. Control your glucose levels. Fantastic foot hygiene is crucial:

• Check your feet daily
• Wash your feet daily
• Keep skin soft and free from any cracks and bruises
• If corns/calluses exist, smooth these gently
• If you can see, hit, and feel your toes, cut your toenails regularly. If you can’t, request a foot doctor or podiatrist to trim them.
• Wear shoes and socks always
• Protect your feet from too much heat and too much cold
• Keep the blood flowing to your toes

Foot symptoms of diabetes might be contingent and differ from person to person and may include:

• A reduced feet sensation
• Numbness or tingling sensation accompanies with painful tingling
• Blisters or other wounds but no resultant pain
• Skin discoloration and temperature changes in the feet
• Reddish streaks
• Wounds sometimes also have fluid oozing out and causing stains on socks

Risk Factors

Common risk factors for the development of foot ulcers in diabetics include:

• Peripheral vascular disease
• Neuropathy
• Poor glycemic control
• Smoking
• Diabetic nephropathy
• Past foot ulcerations / amputations

The two most important and worrisome risk factors are neuropathy and peripheral vascular disease.

Neuropathy may impact sensory autonomic and motor elements. Innervation of muscles of the foot creates abnormalities like prominences and pressure factors and bony prominences. These may induce the individual to shed skin and have an ulceration breakdown in the impacted feet. In addition, dysfunction leads to perspiration, leading to dry skin which may develop fractures or fissures that could become susceptible to infection. Loss of feeling means that patients are not able to feel discomfort when wounds are growing, enabling wounds to advance as a result of weight and ambulation bearing and mostly without the patient even realizing how serious this can get!

Atherosclerosis is often experienced by diabetics sooner than the non-diabetics. Peripheral vascular disease (PVD) is prevalent in diabetics and frequently impacts the aortoiliac segment and the superficial femoral artery. Posterior, anterior and peroneal tibias are also affected in diabetics.

Ways of Diabetic Footcare for Men and Women

• Cleanliness – They should wash their feet daily.
• Keeping foot problems away – Keeping foot problems away is vital for diabetics’ foot care. Keeping feet healthy is vital, and an individual ought to be extremely watchful about foot hygiene. The next measures can be taken by them:
• Assess the toes daily – Assess the feet each day, or ask someone to check for any modifications or harms.
• Wash the feet each day – Keep the feet clean to stop infections.
• Wear supportive shoes and socks – Shield the feet in shoes and socks constantly. A podiatrist may recommend exceptional shoes to help avoid deformities. Do not use so tight socks that they limit blood circulation.
• Boost blood circulation to the toes – Place the feet up after sitting wiggle the feet periodically and get sufficient exercise. These activities help promote wholesome blood circulation.
• Keep nails carefully trimmed – Trim toenails straight across and keep them short. Nails that are rounded may grow inward, resulting in disease.
• Maintenance for corns and bunions – Heal corns and bunions closely. As the possibility of disease increases never shave corns.
• Shield feet from extreme temperatures – Exposure to intense cold and hot may damage the feet of people with diabetes.
• Get normal examinations on the toes – Routine examinations by a physician are crucial to preventing illnesses, amputations, and severe deformities.
• Control blood glucose – Uncontrolled blood glucose raises the danger of podiatric complications in diabetes.
• Prevent smoking – Smoking adversely affects blood circulation to the cells, which may make foot troubles worse in people with diabetes.

Remedy for diabetic foot

Treatment for diabetic foot problems varies based on the condition’s seriousness. A variety of nonsurgical and surgical alternatives can be obtained.

Nonsurgical therapy – Without using operation, A physician will first try to take care of foot issues. Some approaches include:

• Keeping wounds dressed and clean – sporting immobilization apparatus, like a thrown boot or total contact cast.
• Closely watching – Closely watching some gangrene on the feet until self-amputation happens, which will be when the feet fall off because of lack of blood circulation

Surgical therapy – When diabetic foot issues do not cure, the physician may consider the operation. Surgical choices include:

• The elimination of sterile or dead tissue – amputation, which ranges from single feet or segments of foot to amputation of the leg below or perhaps over the knee.
• Surgical stabilization of Charcot’s Foot – an arterial bypass for peripheral vascular disease, which aids blood circulation to the region
• Endovascular surgery – Endovascular surgery with placement of stents, which utilizes little apparatus to keep blood vessels available

Home Care: Nursing Care Plan for Diabetic Foot

A recent study done found that Diabetes currently affects more than 62 million Indians, which is greater than 7.1% of the Indian adult population. The average age at onset is 42.5 years and nearly 1 million Indians die due to diabetes every year. This comprises a large fraction of Seniors who frequently experience many health problems which often lead to hospitalization. The research found that patients with diabetes have been admitted to the hospital for comorbidity which is the presence of one or more additional conditions co-occurring with a primary condition; leading to diabetic attention being overlooked. During the release, these patients tend to be known to home care providers according to their other health issues; and diabetes care somewhere gets out of focus and is infrequent. However, a diabetes diagnosis may result in a lot of complications and significantly contributes to healthcare costs. After adjusting for population age and gender differences, common medical expenses among individuals with diagnosed diabetes were 2.3 times greater than that which expenses are in the absence of diabetes. Diabetes comes with different complications and is frequently not treated as seriously as it needs to be. Even though a nurse might be in the house of a patient due to a different set of health problems, it is still necessary to follow the correct nursing care plan for the diabetic foot to maintain proper foot treatment at home, This can also be considered as nursing care plan for a diabetic foot ulcer.

Prevention with Home Care Nursing

Diabetic foot problems are preventable with appropriate diabetes control, exercise regimen, balanced and planned diet, closely monitoring the blood glucose, and proper foot care for men and women. This is the point where a nurse can help in preventing these complications. In is necessary that diabetes control be identified as an issue for your nurse so that care is contained in the individual’s plan of care. There is a diabetes diagnosis placed on the back burner of care since the attention is put on comorbidities. The homecare nurse could handle the right foot treatment at home which may assist in preventing diabetic foot complications while still treating the individual for additional health problems.

To begin, the healthcare nurse must evaluate the disease is being managed by the individual to attempt and avoid foot problems. Be certain that the individual is sticking to a balanced diet, getting adequate exercise, and adequately monitoring their blood glucose. Education is vital to health care and injury prevention.

The following is a list of the nursing care plan for diabetic foot gangrene foot care nursing procedure that needs to be carried out by the nurse for foot treatment at home and monitor the diabetic footcare complications. The individual also needs to be motivated to execute them and taught proper foot care for men and women.

• Inspect the toes, scrutinising any sores or cuts – Start looking for cracked skin dry and redness, heat, or tenderness. If anything, else is found, speak to the doctor. Instruct the patient to report any calluses or corns.
• Wash, dry, and moisturize the individual’s feet – Be certain that the water is not warm, and pat dry the feet thoroughly after completed. Lotion may be used on the skin, but you should avoid the regions between the toes since this might lead to moisture being trapped.
• Avoid barefoot walking – Instruct the individual to avoid walking barefoot.
• Wearing well-fitting and comfortable shoes  – Encourage the utilization of comfortable, well-fitting shoes that permit the feet to breathe and supply adequate support.
• Wear loose-fitting socks made from natural fibers and then change them every day.
• Avoid harsh temperature changes for the feet – Take care of the individual’s feet from cold and hot flashes. Inform the patient also to double check the temperature of the water before putting the foot and to prevent heating pads.
• Trim toenails straight across – Avoid rounded edges. Educate them to take doctor’s care in the event the individual is not able to do so on their own,
• Stop smoking – Encourage the individual to stop smoking if appropriate.
• Blood circulation in toes – Protects the patient from crossing their legs because this reduces blood and feeling supply.

With these measures as well as diabetes control, it is possible to manage and protect foot of diabetics patients well and with reasonable ease.

As patient recovery is ensured by postoperative nursing care, postoperative care is a vital element of the curing process. Post-operative care for individuals might be easy and may be short term or long term or may entail procedure for a few.

In the case of long term post-operative care, a patient is much better off within the warmth or home rather than in a hospital. Aiding this kind of care is something that we provide from our home care nursing services. As a part of our services, our group of nurses and other caregivers, would come and see you and offer care. In some cases, the nurse may remain with the individual for 24*7 monitoring and attention.

Therefore, if you require nursing care in your home, look no further and trust your loved ones’ care to Care24 and we guarantee a satisfactory and quick recovery of the individual in the most effective and fastest way possible.